[Acupoints selection rules of acupuncture and moxibustion for promoting gastrointestinal function recovery after intestinal cancer surgery based on complex network analysis].
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引用次数: 0
Abstract
Objectives: To investigate the selection rules of acupoints for promoting gastrointestinal function recovery after colorectal cancer surgery using complex network technology.
Methods: Relevant literatures on acupuncture and moxibustion for promoting gastrointestinal function recovery after colorectal cancer surgery were searched from databases including PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform, VIP Chinese Journal Service Platform, and SinoMed from retrieved to May 9, 2023. Literatures were selected based on inclusion and exclusion criteria, and a database of acupuncture and moxibustion for promoting gastrointestinal function recovery after intestinal cancer surgery was established. Association rule analysis was performed using IBM SPSS Modeler 18.0. Clustering analysis was performed using IBM SPSS Statistics 26.0. Complex network analysis was conducted using Gephi0.9.2.
Results: A total of 255 articles were included, covering 113 acupoints, with a total usage frequency of 1 080 times. The top 5 frequently used acupoints were Zusanli (ST36), Shangjuxu (ST37), Tianshu (ST25), Zhongwan (CV12), and Neiguan (PC6). The meridians predominantly used were the Stomach Meridian, Conception Vessel, and Spleen Meridian. Commonly used specific acupoints included lower he-sea points, five shu acupoints, crossing points, and mu-front acupoints. Association rule analysis showed that the acupoint combination with the highest support degree was ST36-ST37 (33.82%), followed by ST36-ST25 (23.53%), ST36-CV12 (23.53%), and ST36-PC6 (22.43%). Clustering analysis identified 3 effective clusters. Complex network analysis revealed two core groups of acupoints：the back-lower limb prone position group and the abdomen-limb supine position group. Intervention measures primarily involved filiform needle acupuncture and electroacupuncture. Uniform reinforcing-reducing method was mostly used techniques, with strongly associated acupoints being ST37 and ST36；lifting-thrusting and twisting reducing method came secondly, with strongly associated acupoints being ST25 and CV12. Overall, reducing technique was used more frequently than reinforcing technique.
Conclusions: Acupuncture and moxibustion for promoting gastrointestinal function recovery after intestinal cancer surgery focuses on strengthening and harmonizing the spleen and stomach, cultivating the body's foundation, and regulating qi flow. The specific acupoints on the Stomach Meridian, Conception Vessel, and Spleen Meridian were mainly selected, and filiform needle acupuncture and uniform reinforcing-reducing technique were mainly used to realize the bidirectional regulation characteristics and advantages of acupuncture.
期刊介绍：
Acupuncture Research was founded in 1976. It is an acupuncture academic journal supervised by the State Administration of Traditional Chinese Medicine, co-sponsored by the Institute of Acupuncture of the China Academy of Chinese Medical Sciences and the Chinese Acupuncture Association. This journal is characterized by "basic experimental research as the main focus, taking into account clinical research and reporting". It is the only journal in my country that focuses on reporting the mechanism of action of acupuncture.
The journal has been changed to a monthly journal since 2018, published on the 25th of each month, and printed in full color. The manuscript acceptance rate is about 10%, and provincial and above funded projects account for about 80% of the total published papers, reflecting the latest scientific research results in the acupuncture field and has a high academic level. Main columns: mechanism discussion, clinical research, acupuncture anesthesia, meridians and acupoints, theoretical discussion, ideas and methods, literature research, etc.
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