基于数据挖掘探讨针刺治疗围绝经期失眠症选穴规律

Acupoint selection rules of acupuncture in the treatment of perimenopausal insomnia based on data mining

目的基于数据挖掘探讨针刺治疗围绝经期失眠症的选穴规律。方法计算机检索中国期刊全文数据库、万方数据知识服务平台、中国生物医学文献数据库2011年11月至2021年11月针刺治疗围绝经期失眠症的相关文献。运用SPSS Modeler 18.0 Apriori算法对腧穴进行关联规则分析并绘制复杂网络图,采用SPSS Statistics 25.0对腧穴进行聚类法绘制树状图。结果最终纳入51篇文献,得出51首处方,涉及74个穴位,频次较多的穴位为三阴交、神门、心俞,排在前3位的经脉依次为足太阳膀胱经、督脉、任脉。涉及特殊穴的有37个腧穴,使用频次排在前3位依次为背俞穴、原穴、输穴。使用频次前20位的腧穴进行关联规则分析,得到18条腧穴强关联规则。腧穴配伍主要为5组。结论围绝经期失眠症的治疗应重视全身脏腑功能的调节,并且根据围绝经期妇女的生理特点调理冲任督,再根据失眠的病理状态进行调神。

Objective To analyze the acupoint selection rules of acupuncture in the treatment of perimenopausal insomnia based on data mining.Methods The relevant literatures of China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform and China Biology Medicine from November 2011 to November 2021 on acupuncture in the treatment of perimenopausal insomnia were searched by computer.SPSS Modeler 18.0 Apriori algorithm was used to analyze the association rules of acupoints and draw a complex network diagram.SPSS Statistics 25.0 was adopted to cluster acupoints and draw a tree diagram.Results Finally,a total of 51 articles were included,with 51 point prescriptions,and 74 acupoints were involved.The most frequent points were sānyīnjiāo,shénmén,and xīnshù.The top three channels were taiyang bladder channel of foot,governor channel,conception channel.There were 37 points involved in special acupoints,and the top three points were back-shu point,yuan-primary point and shu-stream point.Association rules were analyzed on the top 20 acupoints with the highest frequency,and 18 strong association rules were obtained.There were mainly five groups of acupoint compatibility.Conclusion The treatment of perimenopausal insomnia should pay attention to the regulation of the functions of the viscera,regulate thoroughfare channel,conception channel and governor channel according to the physiological characteristics of perimenopausal women,and regulate the mind according to the pathological state of insomnia.