基于数据挖掘探究刺络放血治疗外感发热的临床应用规律

Study on the Clinical Application Patterns of Pricking Blood to Treat Exogenous Fever Based on Data Mining Technology

目的运用数据挖掘技术对刺络放血治疗外感发热的临床应用规律进行分析和总结,为规范外感发热刺络放血疗法提供参考。方法计算机检索中国知网、Web of Science、万方数据知识服务平台、中国生物医学文献服务系统、PubMed和维普网,检索收集应用刺络放血法治疗外感发热的研究文献,检索时限为1990-01-01至2024-02-29。运用Excel(Microsoft Office 2019)建立基础数据库,采用IBM SPSS Modeler 18.0及SPSS Statistics 26.0进行关联规则分析与聚类分析。结果最终纳入文献99篇、腧穴37个、总频次为200次。结果显示使用频次最高的穴位和部位分别是耳尖-经外奇穴和头颈部;刺络放血治疗外感发热的同时使用了中医特色辅助方法的文献74篇,其中最常用的辅助手段为拔罐治疗。关联规则分析显示支持度最高的穴对为“少商-商阳”;复杂网络结果显示刺络放血治疗外感发热的核心穴位组成为“耳尖-少商-商阳-大椎-肺俞”;聚类分析结果显示,设以23.5为标度共可得出3个聚类群:“风门、曲池、委中、中冲、太阳、尺泽、肺俞、十宣”“商阳、少商、大椎、关冲、耳尖、耳背络脉”“耳垂”。结论刺络放血治疗外感发热临床选穴以耳尖穴-经外奇穴最为常见,多用头颈部部穴位,重视配合中医特色辅助治疗手段,局部取穴及远近配伍取穴。

Objective To analyze and summarize the clinical application patterns of pricking blood therapy for exogenous fever using data mining technology,in order to provide reference for standardizing the pricking blood therapy for exogenous fever.Methods Computer searches were conducted on CNKI,Web of Science,Wanfang Data Knowledge Service Platform,China Biomedical Literature Service System,PubMed,and VIP website to collect research literature on the application of bloodletting therapy for the treatment of exogenous fever.The search period was from January 1,1990 to February 29,2024 The basic database was established by Excel(Microsoft Office 2019).IBM SPSS Modeler 18.0 and SPSS Statistics 26.0 were used to analyze the association rules and cluster analysis.Results 99 articles,37 acupoints,and a total frequency of 200 were ultimately included.The most frequently used acupoints and locations were the ear tip meridian external acupoints and the head and neck region,respectively;the use of traditional Chinese medicine characteristic auxiliary methods in the treatment of exogenous fever through bloodletting and puncture was described in 74 literature articles.The most commonly used auxiliary method was cupping therapy among those.The most supported acupoint pair was“Shao Shang-Shang Yang”according to the association rule analysis;the core acupoint group for the treatment of exogenous fever through pricking and bloodletting was“Ear tip Shaoshang-Shangyang-Dazhui-Feishu”according to the complex network results;a total of three clustering groups can be obtained with a scale of 23.5:“Fengmen,Quchi,Weizhong,Zhongchong,Taiyang,Chize,Feishu,and Shixuan”“Shangyang,Shaoshang,Dazhui,Guanchong,Ear Tip,and Ear Back Meridian”“Earlobes”according to the clustering analysis results.Conclusion The clinical selection of acupoints for the treatment of exogenous fever by pricking and bloodletting was the most common one,which was from the ear tip acupoint to the meridian external qi acupoint.The acupoints in the head and neck were often used,and attention was paid to the combination of traditional Chinese medicine characteristic auxiliary treatment methods,local acupoints selection,and acupoint selection in combination with distance and near.