基于数据挖掘技术探析针灸治疗椎动脉型颈椎病随机对照临床试验的选穴规律

Exploration and Analysis on Acupoint Selection Rules in Randomized Controlled Clinical Trials of Acupuncture in Treating Cervical Spondylosis of Vertebral Artery Type Based on Data Mining

目的:通过数据挖掘分析临床上针灸治疗椎动脉型颈椎病的用穴特点和规律。方法:检索中英文数据库中的临床研究文献,筛选出符合标准的有关针灸治疗椎动脉型颈椎病的文章,建立针灸处方数据库,采用数据挖掘技术分析选穴规律。结果:纳入116篇文献,针灸处方146首,选穴73个,总频次819次。所用腧穴归属足三阳经及督脉为主,且督脉及足少阳胆经腧穴配伍较为常见;腧穴当中,风池运用累积频次最高;颈夹脊&风池、风池&百会、天柱&风池配伍最为常见;特定穴以八脉交会穴及原穴的频次最为高。结论:针灸治疗椎动脉型颈椎病在选穴、配伍方面有相当的规律性,对于指导临床及相关针灸研究具有一定的实用意义。

Objective:To analyze characteristics and rules of acupoint selection in clinical acupuncture treatment for cervical spondylosis of vertebral artery type(CSA)by data mining.Methods:Clinical research literature in Chinese and English databases was searched,and papers on acupuncture treatment of CSA were selected according to the inclusion criteria.Acupuncture prescription database was established,and the data mining technique was used to analyze the selection rules of acupoints.Results:A total of 116 papers were included,with 146 acupuncture prescriptions,73 selected acupoints,and the total frequency of 819.The acupoints used belong to three yang channels of foot and governor channel,and compatibility of acupoints from governor channel and foot shaoyang gallbladder channel is more common.Among the acupoints,Fengchi(GB 20)was used with the highest cumulative frequency;cervical Jiaji(EX-B2)&Fengchi(GB 20),Fengchi(GB 20)&Baihui(DU 20)and Tianzhu(BL 10)&Fengchi(GB 20)were the commonest combinations;among specific acupoints,the frequency of eight confluence acupoint and yuan-primary acupoint was the highest one.Conclusion:Acupuncture treatment of CSA has considerable rules in selecting acupoints and compatibility,which may have practical significance for guiding clinical application and related acupuncture research.