基于数据挖掘技术探讨针刺治疗突发性耳聋的取穴规律

Exploration on acupoint selection rules of acupuncture in treating sudden deafness based on data mining

目的运用数据挖掘技术分析针刺治疗突发性耳聋的临床选穴特点及规律。方法采用专业检索模式,检索并提取2009年10月—2019年10月中国知网、万方、维普数据平台收录的突发性耳聋相关临床研究文献;采用中医传承辅助平台(V2.5)收集数据并建立选穴数据库,运用规则分析、改进的互信息法、复杂系统熵聚类等方法进行统计分析。结果本研究纳入文献179篇,涉及穴位处方180个,腧穴65个,总频次1052次。高频穴位为听宫(81.7%)、听会(74.4%)、翳风(74.4%)、耳门(69.4%)、中渚(36.1%)等;腧穴使用频次排名前3的经脉是手少阳经、足少阳经、督脉;设定支持度为36、置信度为0.8,得到25对常用穴位组合、37个组合规则;设定支持度为27、36,可分别得出相应的腧穴组合网络展示图;设置相关度为8、惩罚度为2,得到新方组合4首。结论针刺治疗突发性耳聋的选穴及配伍方面具有一定的规律性,可为临床上治疗该病提供思路。

Objective To analyze the clinical characteristics and rules of points selection of acupuncture in treating sudden deafness based on data mining.Methods The clinical research literatures on sudden deafness collected by CNKI,Wanfang and VIP data platforms from October 2009 to October 2019 were retrieved and extracted by professional retrieval mode,the data was collected and the acupoint selection database was established by traditional Chinese medicine inheritance support system(V2.5),and statistical analysis was conducted by rule analysis,improved mutual information method,complex system entropy clustering and other methods.Results One hundred and seventy nine literatures were included,which involved 180 prescriptions and 65 acupoints.The total frequency was 1052 times.The high frequency acupoints were tīnggōng(81.7%),tīnghuì(74.4%),yìfēng(74.4%),ěrmén(69.4%),zhōngzhǔ(36.1%)and so on.The top three meridians with the highest frequency were Shaoyang channel of hand,Shaoyang channel of foot and governor channel.By setting the support level to 36 and the confidence level to 0.8,25 pairs of commonly used acupoint combinations and 37 combination rules were gotten.By setting the support degree as 27 or 36,the corresponding network diagram of acupoints could be obtained respectively.The degree of correlation was eight and penalty was two,and four new prescriptions were concluded.Conclusion Acupuncture treatment of sudden deafness has considerable rules in selecting acupoint and compatibility,which can provide ideas for clinical treatment of the disease.