基于数据挖掘技术探讨灸法治疗不孕症的临床应用规律

Exploration of the Clinical Application of Moxibustion in the Treatment of Infertility Based on Data Mining Technology

目的利用数据挖掘技术探讨灸法治疗不孕症的临床应用规律,为临床灸法治疗不孕症提供诊疗依据。方法计算机检索中文期刊全文数据库(CNKI)、万方数据库(WANFANG)、维普数据库(VIP)、中国生物医学文献数据库(CBM)、PubMed中2010年1月1日—2022年1月1日关于灸法治疗不孕症的相关文献,根据排除纳入标准筛选文献并提取其中灸法种类、灸量、治疗方法、主要证型、腧穴频次、腧穴所在部位及归经等信息,利用Excel2019、SPSS24.0、SPSS Modeler18.0对数据进行数据统计分析、聚类分析、关联规则分析以及复杂网络分析。结果文献检索与筛选共获取文献101篇。文献数据提取并数理统计分析后获得腧穴49个,总频次为374,其中关元穴频次最高。腧穴涉及十二经脉以及任脉和督脉,特定穴中交会穴腧穴数最高,胸腹部穴位最多。灸法方面,治疗方法种类较多,其中灸法与中药结合为主;灸法种类分为9类,其中以温和灸为主;治疗时间多以20~30min或2~5壮艾炷为主;治疗频率多为1次/d。聚类分析获取4组腧穴聚类,关联规则分析获取8个关联组,复杂网络分析获取腧穴复杂网络图。结论灸法治疗不孕症以温和灸、热敏灸为主,并注重施灸的灸量与频次,常用的治疗方法为灸法与中药组合,常用的施治腧穴为关元穴、神阙穴、子宫穴、三阴交穴和气海穴,其结果可以为灸法治疗不孕症临床应用提供参考依据。

Objective:To explore the clinical application rules of moxibustion in the treatment of infertility by using data mining technology and to provide diagnosis and treatment basis for clinical moxibustion in the treatment of infertility.Methods:The relevant literature on moxibustion in the treatment of infertility in CNKI,WANFANG,VIP,CBM and PubMed from January 1,2010 to January 1,2022 were searched by computer.The literature was screened according to the exclusion criteria,and information such as the type of moxibustion method,amount of moxibustion,treatment method,main syndrome type,frequency of acupoints,location of acupoints and meridian normalization were extracted.The data statistical analysis,cluster analysis,association rule analysis and complex network analysis were made by using Excel2019,SPSS24.0 and SPSS Model 18.0.Results:A total of 101 literature was obtained by literature search and screening.After literature data extraction and mathematical statistics analysis,49 acupoints were obtained with a total frequency of 374,among which Guanyuan point had the highest frequency.The acupoints relates to twelve meridians as well as Ren and Du channels.In specific acupoints,confluent acupoints were the highest,and the acupoints in the chest and abdomen were the most.In terms of moxibustion,there were many kinds of treatment methods,among which the combination of moxibustion and Chinese medicine was the main one.Moxibustion methods are divided into 9 categories,of which mild moxibustion was the main method.The duration of treatment was mainly 20-30 min,taking 2 to 5 strong moxa cones.The frequency of treatment was usually 1 time/day.The cluster analysis obtained 4 groups of acupoints cluster,the association rule analysis obtained 8 association groups,complex network analysis obtained complex network diagram of acupoints.Conclusion:Moxibustion treatment of infertility mainly consists of mild moxibustion and heat-sensitive moxibustion,and stresses on the amount and frequency of moxibustion.The commonly used treatment methods are the combination of moxibustion and Chinese medicine,and the commonly used treatment points are Guanyuan point,Shenque point,Zigong point,Sanyinjiao point and Qihai point.The results can provide reference for the clinical application of moxibustion treatment of infertility.