基于数据挖掘分析针灸治疗干眼症的取穴规律研究

Study on Acupoint Selection Rules of Acupuncture in the Treatment of Xerophthalmia Based on Data-mining Analysis

【目的】通过数据挖掘分析针灸治疗干眼症的取穴规律。【方法】通过计算机检索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)三大数据库。筛选各数据库自建库以来至2021年8月20日针灸治疗干眼症的全部随机对照试验文献,建立Excel数据库,运用SPSS 26.0和SPSS modeler 18.0进行聚类分析、关联规则分析、因子分析。【结果】共纳入103篇文献,涉及腧穴60个,总频次861次。针灸治疗干眼症使用频次前5位的腧穴依次为攒竹、睛明、太阳、三阴交、四白;使用较多的经脉为膀胱经、胃经、胆经;所使用的腧穴65.27%分布在头颈部;观察组中采用1种治疗或2种方式联合治疗占84.47%;对使用频次≥10次的腧穴进行聚类分析可将其分为5类,因子分析共提取7个公因子。【结论】在国内文献中,针灸治疗干眼症选穴以头颈部腧穴为主,常选用攒竹、睛明、太阳等为主穴,多配合辨证选穴或辅以中药治疗。

Objective To analyze the acupoint selection rules of acupuncture in the treatment of xerophthalmia through data-mining technology.Methods Three major databases of China National Knowledge Internet(CNKI),Wanfang Full-text Database of Academic Journals(Wanfang)and China Science and Technology Journal Database(VIP)were searched by computer.All randomized controlled trial literature on acupuncture for xerophthalmia since the establishment of each database until August 20,2021 were screened to create an Excel database,and cluster analysis,association rule analysis,and factor analysis were performed using SPSS 26.0 and SPSS modeler 18.0.Results A total of 103 articles were included,involving 60 acupoints and a total frequency of 861 times.The top 5 frequently used acupoints in acupuncture for xerophthalmia were Cuanzhu(BL2),Jingming(BL1),Taiyang(EX-HN5),Sanyinjiao(SP6)and Sibai(ST2),respectively;the more frequently used meridians and vessels were the bladder meridians,stomach and gallbladder meridians;65.27%of the acupoints used were in the head and neck region;84.47%of the observation group used one treatment or a combination of two modalities;the acupoints used≥10 times were classified into 5 categories by cluster analysis,and a total of 7 common factors were extracted.Conclusion In the domestic literature,acupuncture points on the head and neck are mainly selected for the treatment of xerophthalmia with Cuanzhu(BL2),Jingming(BL1),Taiyang(EX-HN5)as the main points,which are often used in conjunction with the syndrome differentiation of acupoints selection or supplemented with Chinese herbal medicines.