针刺治疗卒中后失语的选穴规律分析

Based on Data Mining the Selection Law of Needle in the Treatment of Aphasia after Stroke is Analyzed

目的:运用数据挖掘技术分析针刺治疗卒中后失语的选穴规律。方法:检索中国知网(CNKI)、万方数据知识服务平台、维普中文科技期刊服务平台(VIP)等数据库2010年12月-2020年12月发表的以针刺为主治疗卒中后失语的相关文献,运用统计软件进行关联规则和聚类分析。结果:共纳入文献160篇,涉及腧穴118个,腧穴总使用频次1242次,经外奇穴和督脉穴位使用频次最多,使用率最高的腧穴为廉泉穴,腧穴主要分布在头面颈项部,特定穴多使用交会穴,关联规则分析显示支持度最高的是金津-玉液,聚类分析得出四个有效类别。结论:针刺治疗卒中后失语以宣通经脉,醒神开窍为治则,重视经外奇穴和头面颈项部穴位的使用,核心组穴为金津、玉液、廉泉、通里,选穴以就近选穴和循经取穴原则为主,配以临床辨证分型取穴。

Objective:To analyze the acupoint selection rule of acupuncture for post-stroke aphasia by using data mining technology.METHODS:Relevant information about acupuncture-based treatment of post-stroke aphasia published from December 2010 to December 2020 was retrieved from databases such as China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform,and VIP Chinese Science and Technology Periodical Service Platform(VIP).Literature,using statistical software for association rules and cluster analysis.RESULTS:A total of 160 articles were included,involving 118 acupoints.The total frequency of acupoints was 1242.The extra-meridian acupoints and the Du meridian acupoints were used most frequently.The most frequently used acupoint was Lianquan.The intersection points are mostly used for specific points.Association rule analysis shows that Jinjin-Yuye has the highest support.Four valid categories are obtained by cluster analysis.Conclusion:Acupuncture treatment of poststroke aphasia is based on the principles of clearing the meridians,refreshing the mind and opening the orifices,paying attention to the use of extra-meridian acupoints and acupoints on the head,face and neck.The principle of selecting acupoints from the nearest point and following the meridian is the main principle,and acupoints are selected based on clinical syndrome differentiation.