针刺治疗小儿脑瘫腧穴配伍规律文献研究

Literature Research on the Rule of Acupoint Combination in Acupuncture Treatment of Children with Cerebral Palsy

目的:探究针刺治疗小儿脑瘫的腧穴配伍规律。方法:检索中国知网、万方数据库、维普数据库和PubMed,根据纳入与排除标准筛选文献,提取文献信息构建数据库,采用频数、关联规则及复杂网络进行核心腧穴及配伍规律分析。结果:322篇文献共提取针刺处方332个,涉及腧穴201个,总使用频数为2874次。频数分析显示,高频腧穴前三个依次为百会、足三里和四神聪;腧穴归经分别与经外奇穴、督脉和胆经等密切相关;特定穴中五输穴与下合穴最常用。关联规则分析示脑三针-智三针-颞三针(置信最高96.296%)、合谷-曲池-足三里等腧穴组合联系最紧密。复杂网络分析提示核心节点腧穴为足三里、百会、合谷、三阴交、曲池、太冲等。结论:针刺治疗小儿脑瘫常用靳三针腧穴及督脉穴,头部选穴与体穴相结合,重视特定穴的应用,常用核心腧穴为足三里、百会、合谷、三阴交、曲池、太冲等。

Objective:To explore the clinical acupoint combination rules for children with cerebral palsy treated with acupuncture.Methods:The clinical researches regarding acupuncture for children with cerebral palsy were searched in CNKI,Wanfang,VIP and PubMed databases.According to the inclusive and exclusive criteria,the collected data were extracted to establish an acupuncture prescription database for children with cerebral palsy.The core acupoints and compatibility rules were analyzed by frequency,association rules and complex network.Results:Totally,322 related clinical papers for acupuncture treatment of children with cerebral palsy were collected,involving 332 acupoint prescriptions.A total of 201 acupoints were involved,with a total frequency of 2874.Among them,the first three high-frequency acupoints were Baihui(DU20),Zusanli(ST36)and Sishencong(EX-HN1).The acupoints of meridians were closely related to the extra points,DU Meridian and Gallbladder Meridian.Among specific acupoints,five Shu-points and Xiahe points were most commonly used.The results of association analysis showed that brain three-needle-temporal three-needle-mental three-needle(96.296%),and Hegu(LI4)-Quchi(LI11)-Zusanli(ST36)were most closely related to the combination of acupoints.The constructed complex network of acupoint prescriptions showed that the core acupoints included Zusanli(ST36),Baihui(DU20),Hegu(LI4),Sanyinjiao(SP6),Quchi(LI11)and Taichong(LR3),etc.Conclusion:In the treatment of children with cerebral palsy,Jin’s three-needle and acupoints of DU Meridian were often used.Combination of acupuncture points on the head and body points and the application of specific points were valued.The core acupoints were Zusanli(ST36),Baihui(DU20),Hegu(LI4),Sanyinjiao(SP6),Quchi(LI11)and Taichong(LR3),etc.