基于数据挖掘技术分析针灸治疗脑卒中后吞咽障碍的用穴规律

Exploration on the Application Laws of Meridian Points in the Treatment of Post-Stroke Dysphagia with Acupuncture and Moxibustion based on the Data Mining Technology

目的运用数据挖掘技术分析针灸治疗脑卒中后吞咽障碍的用穴规律。方法通过电脑检索中国期刊全文数据库(CNKI)、维普期刊全文数据库(VIP)、万方数据资源系统、中国生物医学文献光盘数据库(CBM)、Pub Med及Ovid Lww数据库收集1999年1月至2016年7月所有与针灸治疗脑卒中后吞咽障碍相关的文献,并建立文献分析数据库,运用数据挖掘技术的关联规则,对选用的腧穴种类、归经及使用频次进行统计分析。结果共纳入402条针灸处方,共运用十四经穴62个,经外奇穴33个,总应用频次1 981次,头颈和四肢部腧穴使用率分别为79.30%(1571/1981)和20.04%(397/1981),阳、阴经使用率分别约为47.15%(934/1981)和28.42%(563/1981);特定穴占71.02%(1407/1981)。结论局部选穴是针灸治疗脑卒中后吞咽障碍的重要原则;重视特定穴使用,其中交会穴的用穴个数及使用频次均为最多,尤以任脉与阴维脉之交会穴廉泉最为常用。

Objective Using data mining technology to analyze the application laws of meridian points in the treatment of post-stroke dysphagia with acupuncture and moxibustion. Methods The database of literatures analysis was established based on the collection of literature about the treatment of post-stroke dysphagia with acupuncture and moxibustion by searching China Journal Full-Text Database （CJFD）, VIP Chinese Journal Full-Text Database,Wanfang Database, Chinese Biomedical Literature CD-ROM Database （CBM）, Pubmed and Ovid Lww database from January 1999 to July 2016. The rele-vant rule method in the data mining technology was mainly adopted to do statistical analysis in the selected types of acu-points, merdian distribution and application frequency. Results There were 402 prescriptions of acupuncture and moxibustion were collected, including the application of 62 acupoints in the fouteen meridians, 33 extraordinary points, and 1981 applica-tion frequency. The application frequency of the head and neck was 79.30% （1571/1981） and 20.04% （397/1981）, respectively. The application frequency of the Yang meridian accounted for 47.15% （934/1981）, the YIN meridian 28.42% （563/1981）, and the specific acupoints 71.02% （1407/1981）. Conclusion The selection of acupoints on the local affected area was the impor-tant principle for treating post-stroke dysphagia with acupuncture and moxibustion, and it was focused on the application of specific acupoints. The application number and frequency of confluent acupoints was the highest, especially Lianquan CV23, which is the convergent acupoints of Conception Channel and Yin Link Channel.