基于数据挖掘探讨针灸治疗脊髓损伤尿潴留的临床选穴规律

Study on Clinical Points Selection Rules of Acupuncture and Moxibustion in the Treatment of Spinal Cord Injury Induced Urinary Retention Based on Data Mining Technology

目的探析针灸治疗脊髓损伤尿潴留的临床选穴规律。方法检索中国知网(CNKI)、万方数据学术论文总库、维普网、Pubmed从建库至2016年,以针灸疗法为主的脊髓损伤尿潴留临床文献,进行描述分析、关联分析和聚类分析。结果针灸治疗脊髓损伤尿潴留以电针为主,常结合其他中西医康复疗法。使用频次高的临床常用穴为关元、中极、次髎、三阴交等16穴。上髎、次髎、中髎、下髎四穴相关性最高。有效腧穴聚类群集为下髎、上髎、中髎、次髎,关元、中极、气海,阴陵泉、足三里、三阴交,肾俞、膀胱俞,水道、曲骨、命门、会阳。结论针灸治疗(尤其是电针治疗)脊髓损伤尿潴留在临床日益受到重视。临床治疗和选穴思路体现了传统与现代相结合的特点。

OBJECTIVE To study the clinical points selection rules of acupuncture and moxibustion in the treatment of spi- nal cord injury induced urinary retention. METHODS From the data base establishment to 2016, the clinical literatures about spinal cord injury induced urinary retention mainly treated with acupuncture and moxibustion were retrieved in CNKI, WANG- FANG, VIP and Pubmed. And descriptive analysis, association rule analysis and clustering analysis were performed on these literatures. RESULTS In the treatment of spinal cord injury induced urinary retention, eleetroacupuncture （EA） was mainly used, which was usually combined with other comprehensive Chinese and Western rehabilitation therapy. Clinically, the most commonly used points with the highest frequency included 16 points such as Guanyuan （CV 4）, Zhongji （CV 3）, Ciliao （BL 32） and Sanyinjiao （SP 6）. There was a highest correlation among Shangliao （BL 31）, Ciliao （BL 32）, Zhongliao （BL 33） and Xialiao （BL 34）. The effective acupoint clusters included Xialiao （EL 34）, Shangliao （BL 31）, Zhongliao （BL 33） and Ciliao （BL 32） ; Guanyuan （CV 4）, Zhongji （CV 3） and Qihai （CV 6） ; Yinlingquan （SP 9）, Zhongji （CV 3） and Sanyinjiao （SP 6） ; Shenshu （BL 23） and Pangguangshu （BL 28） ; Shuidao （ST 28）, Qugu （CV 2）, Mingmen （GV 4） and Huiyang （EL 35）. CONCLUSION The application of acupuncture and moxibustion treatment （especially EA） for spinal cord injury induced uri- nary retention is receiving more and more attention in clinic. The clinical treatment and points selection thoughts reflect the characteristics of traditional and modern combination.