基于数据挖掘探讨针灸治疗颅脑损伤后意识障碍的选穴规律
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R651.15

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广东省中医药局科研项目(20241010)


Exploration of Acupoint Selection Rules of Acupuncture and Moxibustion for Disorder of Consciousness After Craniocerebral Injury Based on Data Mining
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    摘要:

    目的:运用数据挖掘技术探讨针灸治疗颅脑损伤的优势病症及选穴规律。方法:检索中国知网数 据库、万方数据库、维普数据库及中国生物医学文献数据库从建库至2024年3月收录的有关针灸治疗颅脑损伤 临床研究文献,利用Microsoft Excel 2019 进行腧穴频数、归经、特定穴、治疗措施统计分析,采用SPSS Modeler 18.0、SPSS Statistics 18.0 软件分别对腧穴进行关联规则和聚类分析, 利用Gephi 0.9.7 软件中的 Fruchterman Reingold算法与K-core进行复杂网络分析。结果:最终纳入532篇文献,其中针灸治疗颅脑损伤后 意识障碍的文献最多,进一步进行选穴规律分析,共涉及腧穴103个,使用频率最多的腧穴为水沟、内关和三 阴交;归经以督脉的使用频次最多;特定穴占比较高,以合穴为主。关联规则得出常用的腧穴组合为水沟-内 关-三阴交-百会-涌泉-合谷。聚类分析共得出7类穴位组合。复杂网络分析共得到7个核心腧穴。结论:颅脑 损伤后意识障碍为针灸治疗的优势病症,体现了开窍通络、通督调神的选穴治疗思路。

    Abstract:

    Abstract:Objective:To explore the dominant indications and acupoint selection rules of acupuncture and moxibustion for craniocerebral injury. Methods: The clinical research literature on acupuncture and moxibustion for craniocerebral injury were retrieved in China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform (Wanfang), China Science and Technology Journal Database (VIP) and China Biology Medicine disc (CBM) from the establishment of the databases to March 2024. Microsoft Excel 2019 was used to analyze the use frequency of acupuncture points, meridian entries, specific acupoints and treatment measures. SPSS Modeler 18.0 and SPSS Statistics 18.0 software were used to conduct the association rules analysis and cluster analysis on acupuncture points. The Fruchterman Reingold algorithm and K-core of Gephi 0.9.7 software were used for complex network analysis. Results: Finally, 532 articles were included, of which acupuncture and moxibustion were the most used for disorder of consciousness after craniocerebral injury. Further analysis of acupoint selection rules was done , involving a total of 103 acupuncture points. The most frequently used acupuncture points were Shuigou (DU26) point,Neiguan (PC6) point and Sanyinjiao (SP6) point;the most frequently used meridian entry was the governor vessel;the specific acupoints accounted for a high proportion,mainly He points. The association rules analysis showed that the commonly used acupoint combination was Shuigou (DU26) point-Neiguan (PC6) point-Sanyinjiao (SP6) point-Baihui (DU20) point-Yongquan (KI1) point-Hegu (LI4) point. A total of seven types of acupoint combinations were figured out by the cluster analysis. The complex network analysis suggested seven core acupuncture points in total. Conclusion: The disorder of consciousness after craniocerebral injury is a dominant indication of acupuncture and moxibustion therapy, which reflects the acupoint selection rules of opening the orifices and unblocking the collaterals, and regulating the governor vessel and the spirit.

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李珮馨,李佳佳,文希.基于数据挖掘探讨针灸治疗颅脑损伤后意识障碍的选穴规律[J].新中医,2024,56(23):83-91

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  • 在线发布日期: 2024-12-19
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