基于数据挖掘探究针灸治疗过敏性鼻炎的用穴规律

Exploring the Regularity of Acupoint Selection for Allergic Rhinitis Treated by Acupuncture Based on Data Mining Technology

目的:分析现代针灸治疗过敏性鼻炎文献的用穴特点和规律。方法:检索中国期刊全文数据库、万方医学数据库、中文科技期刊数据库、pubmed、Embase等中英文数据库,筛选符合本研究纳入标准以及排除标准,自2010年1月1日到2020年3月1日针灸治疗过敏性鼻炎的临床研究文献,建立针灸治疗过敏性鼻炎的处方数据库,采用数据挖掘技术分析针灸治疗过敏性鼻炎的经络和腧穴应用情况和规律特点等。结果:1)共纳入218篇文献,获得处方230个,涉及穴位78个,所用腧穴共计使用频次1472次。2)经络中以足太阳膀胱经的运用频次最高,占30.98%。腧穴中以肺俞使用频次最高,占9.58%。3)在针灸治疗过敏性鼻炎的腧穴配伍关联分析表中,迎香-合谷-印堂的置信度最高,为95.24%。结论:临床针灸疗法治疗过敏性鼻炎应重视局部取穴,强调阳经的运用,配合循经远端取穴,远近配伍,达到协同增效的作用。

Objective:To analyze the acupoint selection regularity and characteristics in modern research literature of acupuncture for allergic rhinitis through data mining.Methods:Clinical research literature on acupuncture for allergic rhinitis from Chinese and English databases including CNKI,Wanfang,VIP,pubmed and Embase from January 1,2010 to March 1,2020 were searched.All the papers met the inclusion and exclusion criteria of this study,and the prescription database of acupuncture for allergic rhinitis was established.Data mining technology was used to analyze the application and characteristics of meridians and acupoints of acupuncture in the treatment of allergic rhinitis.Results:1)A total of 218 papers were included,230 prescriptions were obtained,78 acupoints were involved,and the acupoints were used for a total of 1472 times.2)The urinary bladder meridian of Foot-Taiyang was the most frequently used among the meridians and collaterals,accounting for 30.98%,Feishu(BL 13)was the most frequently used among the acupoints,accounting for 9.58%.3)Yingxiang-Hegu-Yintang(LI 20-LI 4-EX-HN 3)had the highest confidence,accounting for 95.24%,in the correlation analysis table of acupoint compatibility of acupuncture in the treatment of allergic rhinitis.Conclusion:Clinical acupuncture therapy for allergic rhinitis should attach importance to local acupoint selection,emphasize the use of yang meridian,combine distant acupoint selection along meridian with nearby point selection to achieve synergistic effect.