基于数据挖掘针灸治疗中风后遗症的病症谱及腧穴谱

Exploration on the spectrum of disease and acupoints in post-stroke disorder treated with acupuncture and moxibustion on the basis of data mining technology

目的:运用数据挖掘技术分析总结现代针灸临床治疗中风后遗症的病症谱及腧穴谱。方法:通过采集文献建立数据库,规范病症、腧穴名称,统计中风后遗症所属病症的针灸病症谱及系统分类概况,总结针灸治疗中风后遗症的腧穴谱。结果:共纳入针灸治疗中风后遗症的现代临床研究文献652篇,共涉及《国际疾病和健康有关问题的统计分类标准》(ICD-10)中9个分类系统、40种病症。运用非经穴共143个,总应用频次737次;运用十四经穴共253个,总应用频次5395次,按腧穴的支持度大小将其分为常用腧穴23个、较常用腧穴100个、偶用腧穴130个。结论:中风后遗症的现代针灸文献普遍存在术语不规范性,针灸病症谱分布呈偏向性,腧穴谱遍布十四经脉,首选阳经腧穴,常用腧穴以阳明、少阳经穴为主。

Objective Data mining technology is used to analyze the spectrum of disease and acupoints in the treatment of post-stroke disorder with acupuncture and moxibustion in modern times. Methods The literature re- sources are formulated, the name of disease and acupoint are standardized, the spectrum of acupuncture for disease that post-stroke disorder belonged to and their genealogical classification are collected, the spectrum of acupoints in the treatment of post-stroke disorder are summarized. Results Totally, 652 modern clinical research papers are collected, including 9 classification systems in ICD-10 and 40 diseases; 143 nonacupoints are used and the applica- tion frequency are 737; 253 acupoints are used and the application frequency are 5395. According to application frequency, the points are divided into often used points（23 points）, sometimes used points （100） and less used points（130）. Conclusion The lack of standardization is the common problem found in modern acupuncture litera- ture in the treatment of post-stroke disorders and the spectrum of disease is in biased distribution. The selected acupoints are distributed in the fourteen meridians and acupoints of yang meridian are the first option. The most common used meridians are Yangming and Shaoyang.