摘要
目的探讨针刺治疗围绝经期综合征的临床选穴规律。方法检索中国知识资源总库(CNKI)、万方数据知识服务平台(万方数据)、维普资讯中文期刊服务平台(维普网)、中国生物医学文献数据库(CBM)、Embase、PubMed、Cochrane Library、ScienceDirect建库至2023年8月16日收录的针刺治疗围绝经期综合征的临床研究文献,利用Excel2021建立针刺治疗围绝经期综合征处方数据库,对腧穴进行频次统计和分类。运用SPSSModeler18.0和SPSSStatistics26.0软件对核心腧穴进行关联规则分析、聚类分析和决策树分析,探究选穴特点及配伍规律。结果共纳入114篇文献,提取腧穴处方115条,共108个腧穴,腧穴总频次为787。高频腧穴为三阴交、关元、肾俞等,常用经脉为足太阳膀胱经、任脉,特定穴中交会穴、五输穴、背俞穴等使用较多,腧穴多位于下肢部、腹部、背部。针刺手法多为平补平泻法,最常用的电针波形为疏密波,留针时间10~30min。决策树分析以关元为因变量筛选出3条精简选穴路径。分析核心穴组得到14组关联规则和7个有效聚类群。结论针刺治疗围绝经期综合征选穴遵循补肾、调节阴阳的治疗原则,数据挖掘得到的腧穴配伍及核心穴组可为临床和科研提供参考。
Objective To explore the acupoint selection rules in the treatment of perimenopausal syndrome(PMS)with acupuncture by using data mining technology.Methods The clinical research literature on acupuncture treatment of PMS was retrieved from CNKI,Wanfang Data,VIP,CBM,Cochrane Library,Embase,PubMed and ScienceDirect from the establishment of the databases to August 16,2023.Excel 2021 was used to establish a prescription database for acupuncture treatment of PMS,and frequency statistics and classification of acupoints were conducted.SPSS Modeler 18.0 and SPSS Statistics 26.0 software were used to conduct association rules,clustering analysis and decision tree analysis,to explore the characteristics and compatibility rules of acupoint selection in acupuncture and moxibustion treatment of PMS.Results Totally 114 articles were included,including 115 acupoint prescriptions,and 108 acupoints with a total frequency of 787.The high-frequency acupoints were Sanyinjiao,Guanyuan,Shenshu,etc.The commonly used meridians were the bladder meridian and Conception Vessel.The majority specific acupoints were intersection acupoints,wu-shu points and back-shu points.The involved acupoints were mostly located in the lower limbs,abdomen and back.Acupuncture techniques often used the method of flat reinforcement and reduction,with the most commonly used waveform of electroacupuncture being the dilatational wave and the duration of needle retention being 10–30 minutes.The decision tree selected three simplified selection paths based on the dependent variable of Guanyuan.The core acupoints group was analyzed,and 14 groups of association rules and 7 effective cluster groups were obtained.Conclusion Acupuncture treatment of PMS follows the therapeutic principles of tonifying the kidney and harmonizing yin and yang.The acupoint combinations and core acupoint groups obtained from data mining can provide reference for clinical and scientific research.
作者
张芳之
范郁山
苗芙蕊
贺煜竣
ZHANG Fangzhi;FAN Yushan;MIAO Furui;HE Yujun(College of Acupuncture,Moxibustion and Tuina of Guangxi University of Chinese Medicine,Nanning 530001,China)
出处
《中国中医药信息杂志》
CAS
CSCD
2024年第6期24-31,共8页
Chinese Journal of Information on Traditional Chinese Medicine
基金
国家自然科学基金(82260983)
广西壮族自治区中医药管理局中医药人才队伍建设专项(2023017-05-07)
广西研究生教育创新计划项目(YCBZ2023149)。
关键词
围绝经期综合征
针刺
数据挖掘
选穴规律
perimenopausal syndrome
acupuncture
data mining
acupoint selection rules
作者简介
通讯作者:范郁山,E-mail:fanyushan1116@163.com。
