基于数据挖掘探索针刺治疗麻痹性斜视的选穴规律研究

Acupoint selection rules of acupuncture for paralytic strabismus based on data mining

目的通过数据挖掘探索针刺治疗麻痹性斜视的选穴规律,以期为临床提供参考。方法检索2016年7月1日至2021年7月1日收录于PubMed数据库、中国期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(SinoMed)有关针刺治疗麻痹性斜视的随机对照试验研究文献,建立Excel数据库进行数据分析。结果共纳入31篇文献,患者总数1103例,涉及有效穴位47个,针刺平均有效率为92.69%,暂无不良事件报道。针刺使用频次前12的穴位依次为:攒竹、太阳、睛明、合谷、阳白、鱼腰、丝竹空、足三里、瞳子髎、承泣、球后、四白。结论针刺治疗麻痹性斜视多选用足少阳胆经、足阳明胃经、足太阳膀胱经穴及经外奇穴;选用频次最多的特定穴为交会穴;穴位分布以头面部和下肢部为主。

Objective To explore the pattern of acupoints selection in the treatment of paralytic strabismus by acupuncture through data mining,in order to provide clinical reference.Methods Search the randomized controlled trial research literatures on acupuncture treatment of paralytic strabismus collected in PubMed,CNKI,Wanfang,VIP and Sinomed from July 1,2016 to July 1,2021,and establish Excel database for data analysis.Results A total of 31 literatures are included,with a total of 1103 patients,involving 47 effective acupoints.The average effective rate of acupuncture is 92.69%without any adverse event.The top 12 of the acupoints are Cuanzhu(BL2),Taiyang(EX-HN5),Jingming(BL1),Hegu(LI4),Yangbai(GB14),Yuyao(EX-HN4),Sizhukong(SJ23),Zusanli(ST36),Tongziliao(GB1),Chengqi(ST1),Qiuhou(EX-HN7),Sibai(ST2).Conclusion Acupuncture treatment of paralytic strabismus mostly selects acupoints from foot Shaoyang gallbladder meridian,Foot Yangming stomach meridian,foot Taiyang bladder meridian,and extra meridian;The most frequently selected specific acupoint is intersection acupoint;The acupoints are mainly distributed on the head,face,and lower limbs.