基于数据挖掘技术探讨针灸治疗卒中后焦虑取穴规律

Discussion on Point Selection Rule of Acupuncture for Post-Stroke Anxiety Disorder Based on Data Mining Technology

目的:分析针灸治疗卒中后焦虑症(PSAD)的取穴规律,为其临床治疗提供参考。方法:计算机检索中国知识资源总库(CNKI)、中国学术期刊数据库、中文科技期刊数据库、中国生物医学文献数据库(CBM)、PubMed从建库至2019年7月10日收录的针灸治疗PSAD的相关文献,用Excel软件建立数据库,并进行描述性分析,用SPSS20.0、SPSS Modeler 18.0软件进行关联规则分析和聚类分析。结果:针灸治疗PSAD使用频次前十的腧穴由高到低依次是百会、内关、神门、印堂、太冲、三阴交、神庭、四神聪、足三里、合谷;经脉选用以督脉、手少阴心包经、手厥阴心经最多;选穴部位主要以头部、上下肢为主;特定穴以交会穴使用最多,其次为原穴。高频腧穴关联分析结果显示综合支持度最高的腧穴为百会、印堂、四神聪、神门、内关,聚类分析得出6个有效聚类群及5个常用穴位配伍。结论:针刺治疗PSAD多从"心脑"论治,以局部取穴、循经取穴为主,注重特定穴的应用,尤其是交会穴。

Objective:To analyze the point selection rule of acupuncture for Post-Stroke Anxiety Disorder(PSAD),and to provide reference for its clinical treatment. Methods: The literatures related to acupuncture for PSAD released from the establishment day of each database to July 10, 2019, were searched through computer from China National Knowledge Internet(CNKI), China Science Periodical Database, Chinese Citation Database, China Biology Medicine(CBM), and PubMed. Descriptive analysis was conduct based on a database established via Excel software. Association rule analysis and cluster analysis were conducted via SPSS20.0 and SPSS Modeler 18.0 software. Results: In the treatment of PSAD, the used points ranking top ten were Baihui(DU20), Neiguan(PC6), Shenmen(HT7), Yintang(EX-HN3), Taichong(LV3),Sanyinjiao(SP6), Shenting(DU24), Sishencong(EX-HN1), Zusanli(ST36) and Hegu(LI4);the majority of meridians were governor vessel,pericardium channel of hand-shaoyin and pericardium channel of hand-jueyin;the selected points were mainly on the head,upper and lower limbs;in terms of specific points,intersecting points were mostly used,followed by source point. The results of correlation analysis of high-frequency acupuncture point show that the points with highest overall support were Baihui(DU20), Yintang(EX-HN3), Sishencong(EX-HN1), Shenmen(HT7), and Neiguan(PC6);six effective clustering groups and five commonly used point combinations were obtained by cluster analysis. Conclusion:The treatment of PSAD by acupuncture mainly starts from "the heart and brain" and pays attention to local point selection and point selection based on meridians,focusing on the application of specific points,especially intersection points.