[基于数据挖掘技术的针药结合治疗急慢性荨麻疹处方特征研究]。

Q3 Medicine
Guang-Ran He, Qian Mo, Chun-Sheng Jia
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引用次数: 0

摘要

目的:利用复杂网络技术和数据挖掘技术,分析针刺治疗急慢性荨麻疹穴方的特点,为急慢性荨麻疹的穴位选择和临床治疗途径提供依据。方法:系统检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(Wanfang)、中国医学信息网(sinmed)和PubMed数据库中针灸治疗荨麻疹的临床试验。根据筛选标准,建立“针刺治疗急慢性荨麻疹数据库”。采用IBM SPSS Modeler18.0、Cytoscape3.9.0、Origin2021、Gephi0.9.2等软件进行频率分析、关联规则分析和聚类分析。结果:共纳入文献352篇,提取针灸方剂158份,涉及穴位76个。重点分析主要腧穴,辨证取穴用药规律。结果表明,针刺使用频率最高的经络为足太阳膀胱经。使用频率最高的前6个穴位为曲池(LI11)、血海(SP10)、足三里(ST36)、三阴交(SP6)、葛舒(BL17)和肺俞(BL13)。针刺治疗荨麻疹以“辨证论治”确定原则,以针刺与药物结合为主要治疗方案。在补泻技术中,中性补泻法是最常用的。在针刺-药物结合治疗慢性荨麻疹的穴位和方剂中:曲池(LI11)与血海(SP10)、曲池(LI11)与足三里(ST36)、血海(SP10)与三阴交(SP6) 3个最强的穴位配对。最强的3对草本植物分别是荆芥-防风、甘草-防风、当归-防风。3个最强的中草药-穴位关联分别是雪海(SP10)与防风(Saposhnikovia)、曲池(LI11)与防风(Saposhnikovia)、足三里(ST36)与防风(Saposhnikovia)。结论:针刺与药物联合治疗急慢性荨麻疹疗效较好。联合治疗可以解决单纯针灸或中药治疗的不足,充分发挥针灸与中药的优势,提高治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Research on the prescription characteristics in treatment of acute and chronic urticaria with integrative acupuncture and medicines based on data mining technology].

Objectives: To analyze the characteristics of point prescriptions for acute and chronic urticaria treated with acupuncture using complex network and data mining, so as to provide the basis for acupoint selection and the approaches to clinical treatment of acute and chronic urticaria.

Methods: The clinical trials of acupuncture in treatment of urticaria were systematically searched from China National Knowledge Infrastructure (CNKI), VIP database (VIP), Wanfang database (WanFang), SinoMed and PubMed. According to the screening criteria, the "database of acupuncture for acute and chronic urticaria" was established. IBM SPSS Modeler18.0, Cytoscape3.9.0, Origin2021, Gephi0.9.2 and other softwares were used for frequency analysis, association rule analysis and cluster analysis.

Results: A total of 352 articles were included, and 158 acupuncture prescriptions were extracted, involving 76 points. The analysis focused on main acupoints, and the laws of acupoint selection and medications based on syndrome differentiation. The results showed that the meridian with the highest use frequency of acupuncture was the bladder meridian of foot-taiyang. The top 6 acupoints with the highest use frequency included Quchi (LI11), Xuehai (SP10), Zusanli (ST36), Sanyinjiao (SP6), Geshu (BL17) and Feishu (BL13). Acupuncture was delivered for urticaria in terms of "syndrome differentiation and treatment" to determine the principle, and acupuncture was combined with medication as the main regimen. Among reinforcing and reducing techniques, the neutral supplementation and drainage method is the most frequently used. In the acupoint and herbal prescriptions for combined acupuncture-medication therapy of chronic urticaria:the 3 strongest acupoint pairings were Quchi (LI11) and Xuehai (SP10), Quchi (LI11) and Zusanli (ST36), and Xuehai (SP10) and Sanyinjiao (SP6). The 3 strongest herb pairs were Jingjie (Schizonepeta) and Fangfeng (Saposhnikovia), Gancao (Licorice) and Fangfeng (Saposhnikovia), and Danggui (Angelica sinensis) and Fangfeng (Saposhnikovia). The three strongest herb-acupoint associations were Xuehai (SP10) and Fangfeng (Saposhnikovia), Quchi (LI11) and Fangfeng (Saposhnikovia), and Zusanli (ST36) and Fangfeng (Saposhnikovia).

Conclusions: Acupuncture is commonly combined with medication in treatment of acute and chronic urticaria. The combined therapy can solve the insufficiency presented in treatment with either simple delivery of acupuncture or Chinese herbal medicine, give a full play to the advantages of acupuncture and Chinese medicine, and advance the therapeutic effect.

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来源期刊
针刺研究
针刺研究 Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
0
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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