针灸治疗直肠脱垂的处方规律分析

Analysis on prescription rules of acupuncture and moxibustion in the treatment of rectal prolapse

目的分析总结现代研究中针灸治疗直肠脱垂的处方规律。方法主题检索建库至2019年12月的中国知网、万方数据、维普期刊、PubMed以及Web of Science核心合集中针灸治疗直肠脱垂的相关文献,经人工筛查、数据规范化后采用数据挖掘软件CiteSpace分析研究其处方规律。结果共纳入94篇文献,涉及针灸处方112条、腧穴67个。艾灸脾俞和针刺脾俞的中介中心性数值最大;共现频次最多的处方是针刺长强和针刺百会。特定穴应用频次多于非特定穴,其中长强和百会是选用频次最多的腧穴。在处方聚类分析中共获得7个聚类,分别为针刺大肠俞、针刺八髎、针刺百会、电针环门、艾灸长强、艾灸足三里、针刺天枢。结论针灸治疗直肠脱垂的措施以针刺疗法为主,选用腧穴归经以督脉、膀胱经、任脉和胃经为主,选穴以长强、百会为主,且注重腧穴配伍与特定穴应用。

Objective To analyze and summarize the prescription rules for acupuncture and moxibustion in the treatment of rectal prolapse in modern research.Methods Subject retrieval about CNKI,Wanfang Data,VIP,PubMed and Web of Science core integrated acupuncture and moxibustion in the treatment of rectal prolapse from the database establishment to December 2019 was carried out.After manual screening and data normalization,the prescription rules were analyzed by using data mining software CiteSpace.Results A total of 94 literatures were enrolled,involving 112 prescriptions and 67 acupoints.The mediating centrality of moxa-wool moxibustion and acupuncture on píshùwas the largest,and the most frequent prescriptions were acupuncture of chángqiáng and acupuncture of bǎihuì.The application of frequency of specific points was more than that of non-specific points,among which,chángqiáng and bǎihuìwere the most frequently selected acupoints.In the prescription cluster analysis,a total of seven clusters were obtained,which were acupuncture of dàchángshù,acupuncture of bāliáo,acupuncture of bǎihuì,electro-acupuncture of huánmén,moxa-wool moxibustion of chángqiáng,moxa-wool moxibustion of zúsānlǐand acupuncture of tiānshū.Conclusion The treatment of rectal prolapse by acupuncture and moxibustion is mainly acupuncture,and the acupoints are mainly governor channel,bladder meridian,conception channel and stomach meridian.The acupoints are mainly chángqiáng and bǎihuì,and the acupoint compatibility and specific points application are emphasized.