[基于数据挖掘技术的中风后癫痫针灸取穴规律]。

Zhi-Jie Xu, Lin-Na Wu, Fan Xu, Gui-Ping Li, Shu Wang, Yang-Zhen Ye
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引用次数: 0

摘要

目的:应用数据挖掘技术分析针刺治疗脑卒中后癫痫的取穴规律。方法:检索中国知网(CNKI)、维普网(VIP)、万方网(Wanfang)、国药网(sinmed)和PubMed数据库自建库至2022年8月1日止有关针灸治疗脑卒中后癫痫的文献。采用Microsoft Excel 2019软件建立数据库,对穴位进行描述性分析;使用SPSS Modeler 18.0 Apriori算法进行关联规则分析;采用Cytoscape3.9.0软件绘制高频穴道共现网络图;采用SPSS统计学25.0软件对高频穴位进行分层聚类分析,并绘制树形图。结果:共纳入文献39篇,提取针灸方剂63种,涉及56个穴位,总频次516次;使用频率最高的前3个穴位分别是百会穴(gv20)、凤龙穴(ST 40)、内关穴(pc6);选取的经络以督脉、手足阳明经络为主;穴位选择多在头、颈、下肢;穴位配合度方面,合谷(LI 4)-水沟(GV 26)和内关(pc6)置信度最高;高频前20个穴位可分为4个有效聚类。结论:现代针灸治疗脑卒中后癫痫非常重视阳经和益气血经络的运用;核心方剂为水沟(GV 26)-内关(pc6)-合谷(LI 4)-百会(GV 20)。此外,远近腧穴相结合对提高临床疗效也很有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Acupoint selection rules of acupuncture and moxibustion for post-stroke epilepsy based on data mining technology].

Objective: To analyze the acupoint selection rules of acupuncture and moxibustion for post-stroke epilepsy by data mining technology.

Methods: The literature regarding acupuncture and moxibustion for post-stroke epilepsy included in CNKI, VIP, Wanfang, SinoMed and PubMed databases from the establishment of the database to August 1st 2022 was retrieved. Microsoft Excel 2019 software was used to establish a database to conduct the descriptive analysis of acupoints; SPSS Modeler 18.0 Apriori algorithm was used to conduct association rule analysis; high-frequency acupoint co-occurrence network diagrams were drawn by Cytoscape3.9.0 software; SPSS Statistics 25.0 software was used to perform hierarchical cluster analysis on high-frequency acupoints and a tree diagram was drawn.

Results: Totally 39 articles were included, and 63 prescriptions of acupuncture and moxibustion were extracted, involving 56 acupoints, with a total frequency of 516 times; the top three acupoints with the highest frequency of use were Baihui (GV 20), Fenglong (ST 40) and Neiguan (PC 6); the selected meridians were mainly the governor vessel, the hand and foot yangming meridians; the selection of acupoints were mostly in the head, neck and lower limbs; in terms of acupoint compatibility, Hegu (LI 4)-Shuigou (GV 26) and Neiguan (PC 6) had the highest confidence degree; The top 20 high-frequency acupoints could be divided into 4 effective clusters.

Conclusion: Modern acupuncture and moxibustion treatment for post-stroke epilepsy attaches great importance to the use of yang meridians and meridians with enrich qi and blood; the core prescription is Shuigou (GV 26)-Neiguan (PC 6)-Hegu (LI 4)-Baihui (GV 20). In addition, the combination of distant and near acupoints is highly valued to improve clinical efficacy.

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