基于数据挖掘的耳穴贴压治疗更年期综合征选穴规律分析

Analysis of acupoint selection based on data mining in the treatment of climacteric syndrome with auricular acupressure

目的利用数据挖掘技术, 了解耳穴贴压治疗更年期综合征的选穴配伍规律, 为不同辨证分型的更年期综合征患者耳穴贴压治疗提供参考依据。方法计算机检索PubMed、Web of Science、中国知网、万方数据知识服务平台、中国生物医学文献数据库中有关耳穴贴压治疗更年期综合征的文献, 检索时限为建库至2022年2月27日。使用Excel表建立耳穴贴压治疗更年期综合征的耳穴数据库, 并采用SPSS 25.0统计学软件对数据库中的耳穴进行频次、频数统计, 通过SPSS Modeler 18.0进行关联规则分析, 描述各耳穴之间的配伍关联规律。结果最终纳入文献145篇, 更年期综合征辨证分型以虚证为主, 其中肾阴虚证、肝肾阴虚证及肾阳虚证为主要证型。耳穴贴压治疗更年期综合征共涉及耳穴63个, 多数耳穴分布在耳甲部, 其中最常用耳穴依次为肾、内分泌、肝、神门。耳穴贴压治疗更年期综合征的常用配伍耳穴为内生殖器-内分泌-交感、肝-内分泌-肾-神门、内生殖器-内分泌-皮质下-交感-肾等。结论数据挖掘可有效分析更年期综合征的主要证型、耳穴贴压治疗更年期综合征的常用耳穴及耳穴配伍规律, 能够为临床护理人员选穴提供可靠依据。

Objective To explore the rule of point selection and compatibility of auricular acupressure for climacteric syndrome based on data mining,so as to provide a reference for auricular acupressure for climacteric syndrome patients with different syndrome differentiation types.Methods The article on auricular acupressure for climacteric syndrome was retrieved through computer in PubMed,Web of Science,China National Knowledge Infrastructure,WanFang Data and China Biomedical Literature Database.The retrieval time limit was from the establishment of the database to February 27,2022.The database of auricular points for the treatment of climacteric syndrome with auricular acupressure was established using Excel.SPSS 25.0 was used to conduct frequency on auricular points in the database.The association rules were analyzed by SPSS Modeler 18.0 to describe the compatibility and association rules among auricular points.Results A total of 145 articles were finally included.The main syndrome types of climacteric syndrome were deficiency syndrome,including kidney-yin deficiency syndrome,liver kidney-yin deficiency syndrome and kidney-yang deficiency syndrome.There were 63 auricular points involved in the treatment of climacteric syndrome with auricular acupressure.Most of the auricular points were distributed in the auricular concha.The most commonly used auricular points were kidney,endocrine,liver,and shenmen.The commonly used compatible auricular points for the treatment of climacteric syndrome with auricular acupressure were internal genitalia-endocrine-sympathy,liver-endocrine-kidney-shenmen,internal genitalia-endocrine-subcortex-sympathy-kidney.Conclusions Data mining can effectively analyze the main syndrome types of climacteric syndrome,the commonly used auricular points and their compatibility rules in the treatment of climacteric syndrome with auricular acupressure,and can provide reliable basis for clinical nurses to select points.