基于数据挖掘技术探讨腕踝针治疗中风后遗症的临床应用规律

Discussion on Clinical Application Rules of Wrist-ankle Acupuncture in the Treatment of Apoplexy Sequelae Based on Data Mining Technology

目的:基于数据挖掘技术探索腕踝针疗法在中风后遗症治疗中的应用规律。方法:检索中国知网、万方学术期刊数据库、维普中文数据库,检索自建库至2021年12月31日有关腕踝针治疗中风后遗症的临床研究文献,进行整理、筛选、审核,并将其归类,根据疾病类型对高频穴位及其有效率进行统计,对腕踝针疗法的留针时间、总治疗次数、结合疗法进行分析,并采用Excel、SPSS 21.0、IBM SPSS Modeler 18.0软件进行关联分析及聚类分析。结果:本研究共纳入46篇关于腕踝针治疗中风后遗症的文献,其中使用频率最高的为肩痛(肩痛、肩手综合征),其次为偏瘫、偏身感觉障碍,其高频穴位肩部疼痛为上4、上5、上6,偏瘫为上5、下4,偏身感觉障碍为上5、下4、下5。聚类分析肩痛、偏瘫、偏身感觉障碍分别获得2组、3组、3组穴位组合,关联分析均获得6组穴位对。腕踝针的留针时间以30 min居多,总治疗次数多在30次以内,并常结合康复训练、针刺等来提高疗效。结论:腕踝针治疗中风后遗症在取穴选择及留针时间等方面具有特殊性,可有效缓解其相关症状,但还需探索更详尽的诊疗标准与治疗规律,以推动腕踝针疗法在中风后遗症中的治疗应用。

Objective:To explore the application rules of wrist-ankle acupuncture therapy in the treatment of stroke sequelae based on data mining technology.Methods:The clinical research literature on wrist-ankle acupuncture treatment of stroke sequelae were retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Database(WANFANG),and VIP Chinese Database(VIP)from the establishment of the database to December 31,2021,and were sorted,screened,reviewed and classified.According to the type of disease,the high-frequency acupoints and their effective rates were statistically analyzed.The retention time and total treatment frequency of wrist-ankle acupuncture therapy were analyzed combined with the therapy,and correlation analysis and cluster analysis were performed using Excel,SPSS 21.0,and IBM SPSS Modeler 18.0 software.Results:A total of 46 literatures on the treatment of stroke sequelae with wrist-ankle acupuncture were included in this study,the highest frequency of application was shoulder pain(shoulder pain,shoulder hand syndrome),followed by hemiplegia and hemisensory disorder.The high frequency acupoints shoulder pain was upper 4,upper 5,and upper 6,hemiplegia was upper 5,lower 4,and hemisensory disorders was upper 5,lower 4,and lower 5.Cluster analysis of shoulder pain,hemiplegia,and hemisensory disorder obtained 2,3,and 3 groups of acupoint combinations respectively,and correlation analysis obtained 6 groups of acupoint pairs.The retention time of wrist-ankle acupuncture was mostly 30 minutes,and the total number of treatments was less than 30 times.Rehabilitation training and acupuncture therapy were often combined to improve the therapeutic effect.Conclusion:The treatment of stroke sequelae with wrist-ankle acupuncture has special characteristics in the aspects of acupoint selection and needle retention time.It can effectively alleviate its related symptoms,but it is still necessary to explore more detailed diagnosis and treatment standards and treatment rules,and promote the application of wrist-ankle acupuncture in the treatment of stroke sequelae.