针灸治疗卒中后吞咽障碍取穴规律的文献研究

Literature Study on Rules of Acupoint Selection of Acupuncture and Moxibustion in the Treatment of Post-stroke Dysphiglia

目的应用数据挖掘技术对针灸治疗卒中后吞咽障碍的取穴规律进行分析总结,为临床治疗提供参考。方法计算机检索中国期刊全文数据库(中国知网)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(重庆维普)2007年1月1日—2017年1月1日针灸治疗卒中后吞咽障碍的临床研究文献,建立相应数据库,采用关联规则、系统聚类统计方法分析取穴的频次、归经及配穴规律。结果共纳入文献285篇,涉及针灸处方285首、腧穴78个。取穴频次较高的前五位腧穴为廉泉、金津、玉液、风池、翳风,取穴部位以头颈项为主,累计频次1315次(83.91%),腧穴关联分析中,关联度最高的一组穴位是金津、玉液、廉泉。结论针灸治疗卒中后吞咽障碍以局部取穴为基础,结合辨证配穴。

Objective The use of data mining techniques to analyze the acupuncture treatment of post-stroke dysphiglia was analyzed and summarized to provide a reference for clinical treatment. Method Computer retrieval China journal full-text database（ CNKI）,China academic journal database（ WANFANG DATA）,Chinese science and technology periodical database（ CHONGQING VIP）from January 1,2007 to January 1,2017 of acupuncture in the treatment of post-stroke dysphiglia research literature,a corresponding database was established,and the association rules,method of system clustering statistics analysis,the frequency of acupoint selection and the regularity of distribution point were adopted. Results A total of 285 literatures were included,including 285 acupuncture prescriptions and 78 acupoints. The top five acupoints with higher frequency are Lianquan（ CV23）,Jinjin（ EX-HN12）,Yuye（ ENHN13）,Fengchi（ GB20）,Yifeng（ TE17）,the main position of acupoint is head and neck,the cumulative frequency is 1315 times（ 83. 91%）,and a set of points of the highest correlation is Jinjin（ EX-HN12）,Yuye（ EN-HN13）,Lianquan（ CV23）.Conclusion Acupuncture in the treatment of post-stroke dysphiglia is based on local acupoints combined with syndrome differentiation.