基于数据挖掘技术探讨针刺治疗焦虑性失眠的取穴规律

Acupoint Selection Rules of Acupuncture in the Treatment of Anxiety Insomnia Based on Data Mining Technology

【目的】运用数据挖掘技术分析现代文献针刺治疗焦虑性失眠的取穴规律。【方法】采用计算机检索中国期刊全文数据库、万方数据知识服务平台和维普数据库从建库至2021年4月18日收录的针刺治疗焦虑性失眠的相关文献,采用Excel软件建立数据库并进行描述性分析,运用SPSS 23.0、SPSS Modeler 18.0软件进行关联规则分析和聚类分析。【结果】针刺治疗焦虑性失眠使用频次前10位的腧穴是神门、百会、三阴交、四神聪、太冲、安眠、申脉、照海、印堂、内关;经脉主要以足太阳膀胱经及督脉为主;选穴部位主要以下肢部及头面颈项部为主;特定穴以五输穴、交会穴最多。高频腧穴关联分析结果提示支持度最高的腧穴是申脉、照海,聚类分析得出4个有效聚类群。【结论】针刺治疗焦虑性失眠多从心脑论治,以局部取穴、循经取穴为主,注重特定穴的应用。

Objective To analyze the acupoint selection rules in the modern literatures on acupuncture in treating anxiety insomnia by using data mining technology.Methods The literatures related to acupuncture treatment of anxiety insomnia were retrieved by computer from the establishment of China Journal Full-text Database(CJFD),Wanfang Data Knowledge Service Platform and VIP database to April 18,2021.Excel software was used to establish the database and conduct descriptive analysis.SPSS 23.0 and SPSS Modeler 18.0 software were used for association rule analysis and cluster analysis.Results The top 10 acupoints frequently used by acupuncture in the treatment of anxiety insomnia were Shenmen(HT07),Baihui(GV20),Sanyinjiao(SP06),Sishencong(EXHN1),Taichong(LR3),Anmian(EN-HN15),Shenmai(BL62),Zhaohai(KI6),Yintang(EX-HN3)and Neiguan(PC06).The main meridians were foot taiyang bladder meridians and governer vessol.The selected points were mainly in lower limbs and head and neck;The specific points were five transporting points and confluent point.The correlation analysis of high-frequency acupoints showed that the acupoints with the highest support degree were Shenmai(HT07)and Zhaohai(KI6),and four effective clustering groups were obtained by cluster analysis.Conclusion Acupuncture treatment for anxiety insomnia is mostly based on the heart and brain treatment formulation,with the selection rules of selecting localized acupoints and selecting acupoints along channels,and the application of specific points being the main focus.