基于数据挖掘技术探析针灸治疗干眼选穴规律

Regular pattern of acupoint selection in treatment of dry eye by acupuncture and moxibustion based on data mining technology

目的基于数据挖掘技术探析针灸治疗干眼的临床选穴规律。方法计算机检索自建库以来至2018年12月发表在中国期刊全文数据库包括中国知网、万方和维普数据库中的临床文献,建立腧穴处方数据库,应用SPSS 20.0和Clementine12.0数据挖掘软件进行频次分析和关联规则分析。结果针灸治疗干眼排在前5位穴位有睛明(85.9%)、攒竹(85.2%)、太阳(69.5%)、丝竹空(53.9%)、四白(53.1%);穴位归经以足太阳膀胱经、足阳明胃经、足少阳胆经为主;特定穴应用频次排名前5位的有睛明(110次)、三阴交(67次)、合谷(67次)、风池(54次)、太冲(43次);穴位组合中攒竹、丝竹空合用频次最多。结论针灸治疗干眼以太阳经、阳明经及少阳经为主,选穴重视局部取穴及对神经的刺激,穴位组合注重“局部-远端-辨证”相结合。

OBJECTIVE To explore the regular pattern of acupoint selection in the treatment of dry eye by acupuncture and moxibustion therapy based on data mining technology.METHODS From the establishment of the database to December 2018,the clinical literature published in the full-text database of Chinese journals was searched by computer,including CNKI,WanFang and CQVIP database.The database of acupoint prescription was established.The frequency and association rule of acupoints were analyzed by SPSS 20.0 and Clementine12.0 data mining software.RESULTS The top five acupoints in the treatment of dry eye were Jingming(85.9%),Cuanzhu(85.2%),Taiyang(69.5%),Sizhukong(53.9%)and Sibai(53.1%).The top three meridians were the bladder meridians(BL),the stomach meridians(ST),the gallbladder meridians(GB).The top five application frequency of specific acupoints were Jingming(110 times),Sanyinjiao(67 times),Hegu(67 times),Fengchi(54 times),Taichong(43 times).CONCLUSIONS Acupuncture and moxibustion treatment of dry eye was mainly based on Taiyang meridian,Yangming meridian,Shaoyang meridian.Acupoint selection attached importance to local acupoints and nerve stimulation.The combination of acupoints emphasized the combination of“local distal syndrome differentiation”.