基于数据挖掘技术探析针灸治疗慢性盆腔炎选穴规律

Analysis of acupoints selection rules in treating chronic pelvic inflammatory with data mining technique

目的:运用数据挖掘技术分析现代临床针灸治疗慢性盆腔炎的选穴规律。方法:通过计算机检索CNKI、VIP、CBM、万方数据库、Pubmed等自1978年-2014年有关针灸治疗慢性盆腔炎的临床研究文献,建立针灸处方数据库,运用数据挖掘技术的关联规则,分析腧穴选用规律。结果:共纳入慢性盆腔炎针灸处方207条。三阴交使用频次最高,其次为关元、中极;最常用的腧穴配伍为关元与三阴交;经络分布以任脉、膀胱经、脾经居多;腧穴分布以胸腹部、下肢部和背部居多;选穴重视特定穴。结论:针灸治疗慢性盆腔炎临床选穴符合病因病机特点;重视局部取穴、循经取穴;重视特定穴的运用,特别重视交会穴配穴、局部配穴和俞募配穴。

Objective: To analyze the acupoints selection rules in treating chronic pelvic inflammatory with data mining technique in modern times. Methods: The relevant literatures on this disease treated with clinical acupuncture and moxibustion from 1978 to 2014 were researched and collected in CNKI, VIP, CBM, Wanfang Database and Pubmed, etc. The database of acupuncture-moxibustion prescription was set up. The relevant regulations of data mining technology were used to analyze the rules of acupoint selection. Results: Totally, 207 acupuncture-moxibustion prescriptions were included. Sanyinjiao(SP6) was used the most, followed by Guanyuan(RN4) and Zhongji(RN3). The combination of Guanyuan(RN4) with Sanyinjiao(SP6) was most commonly used; the mainly meridians involved Ren channel, Bladder meridian, Spleen channel; acupoints were distributed mainly on the chest and abdomen, lower limbs and backside; the specific acupoints were emphasized in the acupoint selection. Conclusion: Treating chronic pelvic inflammatory with acupuncture and moxibustion conformes with the characteristics of etiology and pathogenesis; the local point selection and the acupoint selection from involved meridians are emphasized; the application of specific acupoints, especially the acupoint combination of convergent acupoints, local acupoints, back-shu and frontmu acupoints are attached too much importance.