基于数据挖掘探讨针灸治疗产后尿失禁选穴规律

Discussion on acupoint selection law of acupuncture and moxibustion for postpartum incontinence based on data mining technology

目的运用数据挖掘技术探讨针灸治疗产后尿失禁的选穴规律。方法检索中国期刊全文数据库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(重庆维普)、中国生物医学文献数据库(CBM)、中华医学期刊全文数据库、PubMed、Embase、Web of Science建库至2023年2月1日有关针灸治疗产后尿失禁的临床研究文献, 采用Excel 2016软件建立腧穴处方数据库并进行腧穴、归经和特定穴频次统计, 分别采用SPSS Statistics 25.0软件、SPSS Modeler 18.0软件对腧穴进行聚类分析与关联规则分析。结果共纳入文献70篇, 涉及针灸处方70首, 包含腧穴31个, 总频次384次。使用频次排名前5位的腧穴依次为三阴交(46次)、关元(45次)、足三里(43次)、中极(41次)和气海(38次), 常用经脉为任脉、足太阳膀胱经和足太阴脾经, 腧穴多位于下肢部和腹部, 特定穴以交会穴、募穴和五输穴居多。高频腧穴聚类分析得到5个有效聚类群。关联规则分析得到核心腧穴组合为三阴交-足三里-关元-气海-中极。结论产后尿失禁病机以气虚为主, 针灸治疗基于益气健脾、养肺补肾治法, 注重腹部和下肢部腧穴的使用, 并运用上下配穴、前后配穴等配穴方法。

Objective To explore the acupoint selection law in acupuncture and moxibustion in treating postpartum incontinence by using data mining technology.Methods The clinical research literature on acupuncture and moxibustion treatment for postpartum incontinence was retrieved from CNKI,Wanfang Data,VIP,CBM,China Medical Journal Full-text Database,PubMed,Embase,Web of Science from the establishment of the databases to February 1,2023.The acupoint prescription database was established using Excel 2016 and conducting frequency statistics of acupoints,meridians and specific acupoints.Clustering analysis was performed using SPSS Statistics 25.0,and association rule analysis was performed using SPSS Modeler 18.0.Results A total of 70 articles were included,involving 70 acupuncture prescriptions and including 31 acupoints with a total frequency of 384 times.The top five acupoints were Sanyinjiao(SP6,46 times),Guanyuan(CV4,45 times),Zusanli(ST36,43 times),Zhongji(RN3,41 times),and Qihai(CV6,38 times).The commonly used meridians were Conception Vessel,bladder meridian and spleen meridian.The involved acupoints were mostly located in the lower limbs and belly,and most of them were Jiaohui,Mu and Wushu acupoints.Five effective clustering groups were obtained by clustering analysis of high frequency acupoints.The core acupoint combination of association rules was Sanyinjiao(SP6)-Zusanli(ST36)-Guanyuan(CV4)-Qihai(CV6)-Zhongji(RN3).Conclusions The pathogenesis of postpartum urinary incontinence is mainly characterized by qi deficiency.Acupuncture and moxibustion treatment of postpartum urinary incontinence follows the principles of invigorating qi and tonifying spleen,nourishing lung and tonifying kidney,paying attention to the use of acupoints in abdomen and lower limbs,and using the methods of upper and lower acupoints,anterior and posterior acupoints.