基于数据挖掘分析近20年针刺治疗突发性耳聋的选穴规律

Selection Rules of Acupoint in Acupuncture Treatment of Sudden Deafness in Recent 20 Years Based on Data Mining Analysis

【目的】运用数据挖掘技术探析针刺治疗突发性耳聋的腧穴配伍规律,为临床治疗提供参考方案及新思路。【方法】通过计算机检索中国知网(CNKI)、万方数据库(Wanfang)近20年收录的针刺治疗突发性耳聋的临床研究文献,应用Excel建立数据库,运用SPSS统计软件分析及数据挖掘,分析腧穴配伍的规律。【结果】共收集到139首处方,腧穴总频次由高到低依次为翳风、听会、听宫、耳门、中渚等;腧穴出现频次最高的归经为手少阳三焦经,其次是足少阳胆经;关联度较高的腧穴组合有“翳风-听宫,翳风-听会,听会-听宫”等。通过聚类分析,以23为标度,得到8个聚类群。【结论】针刺治疗突发性耳聋,具有重视耳部穴位的运用,并与远端配穴相结合的特点。

Objective To explore and analyze the selection rules of acupoints compatibility in acupuncture treatment of sudden deafness by data mining technology,so as to provide a reference scheme and new ideas for clinical treatment of the disease.Methods The clinical research literatures on acupuncture treatment of sudden deafness were collected by screening out CNKI and Wanfang databases in recent 20 years,the database was established by Excel and the acupoints compatibility was analyzed by SPSS software data mining method to analyze the selection rules of acupoints compatibility.Results A total of 139 prescriptions were collected,and the total frequency of acupoints from high to low was Yifeng(SJ17),Tinghui(GB2),Tinggong(SI19),Ermen(SJ21),Zhongzhu(SJ3),etc..The most frequency occurred acupoints were hand Shaoyang triple energizer meridian,followed by foot Shaoyang gall bladder meridian.The combination of acupoints with high correlation were“Yifeng(SJ17)-Tinggong(SI19),Yifeng-Tinghui(GB2),Tinghui(GB2)-Tinggong(SI19)”and so on.Conclusion Acupuncture in treating sudden deafness has the characteristics of focusing on the use of ear acupoints and combining with distal acupoints.