基于数据挖掘的手针疗法临床应用病种规律和特点

Regularities of clinical application of hand acupuncture therapy to treatment of various diseases based on data mining

目的:运用数据挖掘技术探究文献中手针疗法治疗疾病的应用规律,以期更好地指导临床。方法:搜集期刊、医案、医籍中手针治疗疾病的文献作为原始数据,建立手针疗法治疗疾病数据库,对60多年来手针疗法相关文献进行整理、筛选、录入、审核、提取数据、统计分析,总结手针疗法在临床应用中的规律和特点。结果:手针疗法在临床各科中均有应用,在外科和内科中应用频次较高。期刊、医案、医籍文献中外科应用频次分别是132次(66.33%)、73次(50.69%)、67次(11.65%),内科应用频次分别是37次(18.59%)、59次(40.97%)、338次(58.78%)。期刊文献中,手针疗法治疗各科疾病疗效显著,愈显率分别为:外科88.45%、内科78.06%、五官科89.96%、儿科90.65%、妇科60.61%、皮肤科67.73%;手针治疗各科疾病以双侧或者健侧手穴为主,手针配合运动疗法的使用频次为107次。医案文献中涉及34种疾病,以伤筋和腰腿痛较为多见。医籍文献中涉及了123种疾病,内科病种最多(56种)。结论:手针疗法在临床各科中均有应用,其中外科以伤筋、腰腿痛为主,内科以腹痛、哮喘为主,儿科以小儿遗尿、小儿腹泻为主,五官科以肌筋膜疼痛功能紊乱综合征、乳蛾为主,妇科以经行腹痛为主,皮肤科也有应用;取单侧手部穴位治疗疾病愈显率较高;手针治疗外科疾病时多配合运动疗法;手针疗法在治疗各科疾病时均有较好的疗效。

Objective To explore the regularities of clinical application of hand acupuncture therapy to the treatment of diseases of different departments by using data mining technique,so as to provide a reference for clinical practice.MethodsWe searched papers,academic dissertations and case reports(published in journals from Jan 1,1953 to December 31,2017)from databases of China National Knowledge Internet(CNKI),VIP,and Wanfang,and also searched papers from medical books about hand acupuncture treatment of different diseases/illness by using keywords of"hand acupuncture"and "hand acupoints",followed by constructing a database after sorting,screening,recording,extracting,and statistical analysis by using a computer.Then,the data mining was conducted for summarizing the characteristics and rules of the hand acupuncture therapy in clinical application.Results The hand acupuncture therapy in Chinese medical journals was found to be applied to various clinical departments,with the frequency from high to low successively being 16 types of diseases(37.21%)in the surgery,15 diseases(34.88%)in the internal medicine,2 diseases(4.65%)in the pediatrics,8 diseases(18.60%)in the ophthalmology-otorhinolaryngology,1 disease(2.33%)in the genecology and 1 disease(2.33%)in the dermatology.In the treatment of diseases,the cure plus markedly effective rate of hand acupuncture was found to be highest for diseases of the pediatrics(90.65%),and was88.45% surgery,78.06% internal medicine,89.96% ophthalmology-otorhinolaryngology,60.61% gynecology,and 67.73%dermatology,respectively.When hand acupuncture used,the acupoints of the hand region on both sides,healthy side and affected side were often selected,and movement exercise was often used in combination,particularly for problems of the surgery.In the collected medical records and 6 acupuncture books,the hand acupuncture was employed for treatment of 34 and 123 kinds of diseases or problems,respectively,with the tissue injury,lumbocrural pain being most frequently seen in the records,and abdominal pain,lumbocrural,chest obstruction,etc.most frequently seen in the acupuncture books.Conclusion Hand acupuncture therapy is widely used in the treatment of many clinical problems of different departments,such as tissue injury,leg pain,etc.of the surgery;abdominal pain,asthma,etc.of the internal medicine;infantile enuresis,diarrhea,etc.of the pediatrics.Acupoints of the hand on the unilateral side are frequently employed and may have a better therapeutic effect.