基于数据挖掘的耳穴治疗围绝经期综合征的选穴规律分析

Analysis of Acupoint Selection Rule of Auricular Point Therapy for Perimenopausal Syndrome Based on Data Mining

目的运用数据挖掘技术分析国内外耳穴治疗围绝经期综合征(PMS)的取穴规律,挖掘耳穴治疗PMS的核心处方,为临床治疗提供参考。方法检索建库至2022年8月收录于中国期刊全文数据库(CNKI)、维普资讯(VIP)、万方学术期刊全文数据库、PubMed、Web of Science、EMbase数据库的耳穴治疗PMS的相关文献。对符合要求的文献进行处方提取,整理耳穴处方数据库,使用IBM SPSS Statistics 24.0、Clementine 12.0软件进行聚类分析和关联规则分析。结果共纳入190篇文献,收集耳穴处方252条,涉及40个耳穴,耳穴使用总频次1685次。共涉及19种证型,排前3的证型为心肾不交、肝郁气滞、肝肾阴虚。主要症状有:头晕目眩、头疼、失眠、心悸、心慌等。临床治疗PMS常用穴为神门、肾、内分泌、肝、皮质下等。结论针灸治疗PMS的核心穴对为“内分泌-肾”“神门-肾”,核心腧穴处方为:内分泌、肾、神门、交感、心、皮质下、肝。

Objective To analyze the acupoint selection rules of auricular points in the treatment of perimenopausal syndrome(PMS)at home and abroad by using data mining technology,and to explore the core prescription of auricular points in the treatment of PMS,so as to provide reference for clinical treatment.Methods The relevant literatures of auricular point therapy for PMS included in China Journal Full-text Database(CNKI),VIP Information(VIP),Wanfang Academic Journal Full-text Database,PubMed,Web of Science and EMbase database from the establishment of the database to August 2022 were searched.Prescriptions were extracted from the literature that met the requirements,and the auricular prescription database was sorted out.Cluster analysis and association rule analysis were performed using IBM SPSS Statistics 24.0 and Clementine 12.0 software.Results A total of 190 articles were included,and 252 ear acupoint prescriptions were collected,involving 40 ear acupoints.The total frequency of ear acupoint use was 1685 times.A total of 19 syndromes were involved,and the top three syndromes were heart and kidney disharmony,liver depression and qi stagnation,liver and kidney yin deficiency.The main symptoms were:dizziness,headache,insomnia,palpitations,palpitations,etc.The commonly used acupoints for clinical treatment of PMS were Shenmen,kidney,endocrine,liver,subcortical,etc.Conclusion The core acupoints for acupuncture and moxibustion treatment of PMS are"endocrine-kidney"and"Shenmen-kidney".The core acupoints are:endocrine,kidney,Shenmen,sympathetic,heart,subcortical,liver.