耳穴治疗围绝经期失眠选穴规律

The acupoint selection rule for treating perimenopausal insomnia

目的:应用数据挖掘技术探索耳穴治疗围绝经期失眠的选穴规律。方法:以“围绝经期”“更年期”“失眠”“不寐”“耳穴”“耳针”等为主题词或关键词,收集中国期刊全文数据库、万方数据知识服务平台、维普资讯中文期刊服务平台、中国生物医学文献数据库中相关文献,检索时限为建库以来至2022年4月。采用Excel建立数据库,通过SPSS Modeler 18.0、SPSS Statistics 24分析得出高频耳穴穴位及穴位配伍关联。结果:共纳入86篇文献,包含耳穴19个,治疗围绝经期失眠常用耳穴为神门、肾、皮质下等穴位,常用耳穴的穴对为神门-肾、神门-心、神门-交感等。结论:耳穴治疗围绝经期女性失眠主要选取具有调节内分泌水平、影响神经血管活动、促进脏腑功能作用的穴位。

Objective:To explore the auricular acupoints selection rule for treating perimenopausal insomnia by data mining technology.Methods:Taking perimenopause,menopause,insomnia,sleeplessness,auricular acupoint,ear acupuncture as the subject terms or keywords,the related literature on treating perimenopausal insomnia by acupuncture was retrieved in databases such as CNKI,Wanfang Data,VIP,and SinoMed.The retrieval time was from the establishment of each database to April 2022.The Excel software was used to establish a database.The high-frequency acupoints and acupoint compatibility were obtained by SPSS Modeler 18.0 and SPSS statistics 24.Results:A total of 86 studies were included,including 19 acupoints.The commonly used auricular acupoints for the treatment of perimenopausal auricular insomnia were Shenmen(TF4),kidney(CO10),subcortical(AT4)and so on.The commonly used matched acupoints were Shenmen-kidney,Shenmen-heart(CO15),Shenmen-sympathetic(AH6a)and so on.Conclusion:The auricular acupoints selected for the treatment of perimenopausal insomnia are mainly the acupoints that can regulate endocrine level,affect neurovascular activity,and promote viscera function.