运用数据挖掘技术探究近10年不同针灸疗法治疗膝骨关节炎临床应用特点

Clinical application characteristics of different acupuncture-moxibustion therapies for knee osteoarthritis in the past decade:an analysis based on data mining techniques

目的:探讨运用不同针灸疗法治疗膝骨关节炎(KOA)的特点,为临床应用提供参考。方法:运用计算机和数据挖掘技术,建立针灸治疗KOA数据库,对近10年运用中医针灸疗法治疗KOA的文献进行收集、整理、筛选、录入、审核、分析。总结不同针灸疗法治疗KOA的术式、临床疗效、术式与取穴关系、针具规格、针刺层次等特点。结果:治疗KOA的术式达46种,以灸法频次最高、术式种类最多。针灸治疗KOA效果显著,有效率均在90%以上,其中中医微创技术的治愈率最高(42.23%)。术式与取穴关系分析表明,中医理论指导的针灸疗法多注重辨证取穴,而中医微创技术则多为近部取穴。使用频次最高的针具直径为0.3 mm,针具直径越大,愈显率越高。针刺层次最多为筋,其次在骨,针刺至骨的治愈率最高。结论:针灸疗法治疗KOA疗效显著,有着深厚的中医理论基础,临床治疗KOA要注重整体调理,针刺至筋骨层,以达到更好的疗效。

Objective To investigate the application characteristics of different acupuncture-moxibusition(acu-moxi)therapies for knee osteoarthritis(KOA),and to provide a reference for clinical application.Methods Computer and data mining techniques were used to establish a database of acu-moxi therapies for KOA,and the articles on acu-moxi in the treatment of KOA in the past decade were collected,screened,entered,reviewed,and analyzed.Acu-moxi therapies for KOA were summarized in terms of treatment method,clinical effect,association between treatment method and acupoint selection,needle specifications,and depth of acupuncture.Results There are as many as 46 kinds of operation methods to treat knee osteoarthritis,among which moxibustion method has the highest frequency and the most operation methods.Traditional Chinese acupuncture and moxibustion technology has a significant effect on knee osteoarthritis,and the effective rate is more than 90%,among which the minimally invasive technique of traditional Chinese medicine has the highest cure rate and recovery rate.The relationship between traditional Chinese medicine operation and acupoint selection shows that the acupuncture and moxibustion therapy guided by traditional Chinese medicine theory pays more attention to acupoint selection based on syndrome differentiation,while the minimally invasive technique of traditional Chinese medicine is mostly proximal acupoint selection.The diameter of the needle with the highest usage frequency was 0.3 mm.The larger the diameter of the needle,the higher the specificity.The level of acupuncture was mostly tendon,followed by bone.The cure rate of acupuncture to bone is the highest.Conclusion Acupuncture and moxibustion has a significant effect in the treatment of KOA,with a profound theoretical basis;treatment of KOA should emphasize overall conditioning,and acupuncture should reach the bone and the tendon,so as to achieve a better clinical effect.