基于数据挖掘技术探讨针灸治疗糖尿病胃轻瘫选穴规律

Acupoint selection law of acupuncture and moxibustion in treating diabetic gastroparesis based on data mining

目的运用数据挖掘技术分析针灸治疗糖尿病胃轻瘫(DGP)的选穴规律。方法检索中国知识资源总库(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(SinoMed)、PubMed、Cochrane Library建库至2023年7月31日收录的针灸治疗DGP临床文献。采用Excel 2016软件建立腧穴处方数据库,统计腧穴频次及频率、腧穴归经、腧穴分布部位、特定穴使用情况,采用SPSS Modeler 18.0软件进行腧穴关联规则分析,SPSS Statistics 25.0软件进行聚类分析和因子分析,总结针灸治疗DGP选穴规律。结果共纳入文献153篇,涉及腧穴59个,总频次802次;频次排名前5位腧穴依次为足三里、中脘、内关、三阴交、脾俞;多选取足阳明胃经、任脉及足太阳膀胱经腧穴;选用腧穴多分布于胸腹和下肢部;特定穴方面重用五输穴、募穴、下合穴。核心处方为“足三里-中脘-内关-脾俞-胃俞-三阴交-天枢”,共得到关联规则24条、有效聚类组合5个和因子6个。结论针灸治疗DGP注重脾胃并重、标本兼治,运用远近配穴、募合配穴、俞募配穴等穴位配伍方法,达到滋阴益气、消痞化浊、和胃健脾的治疗作用。

Objective To explore the acupoint selection law of acupuncture and moxibustion in treating diabetic gastroparesis(DGP)using data mining technology.Methods The clinical literature on acupuncture and moxibustion treatment for DGP was retrieved from CNKI,Wanfang Data,VIP,SinoMed,PubMed,the Cochrane Library from the establishment of the databases to July 31,2023.The acupoint prescriptions were extracted to Excel 2016 to establish a database,and the statistics of acupoint frequency,meridian,distribution site and specific acupoint use were collected.SPSS Modeler 18.0 was used to analyze the association rules among acupoints,and SPSS Statistics 25.0 was used for clustering analysis and factor analysis to summarize the acupoint selection law for acupuncture treatment of DGP.Results Totally 153 articles were included,involving 59 acupoints,with a total frequency of 802 times.The 5 most frequently used acupoints were"Zusanli"(ST 36),"Zhongwan"(CV 12),"Neiguan"(PC 6),"Sanyinjiao"(SP 6),"Pishu"(BL 20).The commonly used meridians were stomach meridian,Conception Vessel and bladder meridian.The involved acupoints were mostly located in the chest-abdomen and lower limbs,and most of them were Wushu acupoints,Mu acupoints,and Xiahe acupoints.The core acupoints group was"Zusanli(ST 36)-Zhongwan(CV 12)-Neiguan(PC 6)-Pishu(BL 20)-Weishu(BL 21)-Sanyinjiao(SP 6)-Tianshu(ST 25)",24 groups of association rules,5 effective clusters and 6 factors were obtained.Conclusion Acupuncture and moxibustion treatment of DGP focuses on both spleen and stomach,treating both symptoms and root causes,and uses methods of combining acupoints such as distant and near matching,combining Mu acupoints,and Xiahe acupoints,and combining of Wushu acupoints and Mu acupoints,to achieve the therapeutic effect of nourishing yin and tonifying qi,dispelling upper abdominal fullness and resolving turbidity,and harmonizing stomach and strengthening spleen.