基于数据挖掘针刺治疗便秘型肠易激综合征经络取穴规律分析

Analysis of Acupoint Selection Law of Channels and Collaterals in the Treatment of Constipated Irritable Bowel Syndrome Based on Data Mining

目的:采用循证医学方法分析针刺治疗便秘型肠易激综合征(IBS-C)的经络取穴规律,为临床提供方案。方法:应用计算机检索截止至7月1日的文献,按照Cochrane系统文献质量评价的方法筛选随机对照研究方法文献,穴位出现采用频数和频率进行描述,运用SPSS26.0进行统计分析。结果:共有十二篇符合纳入标准的研究;十四经筛选统计总共出现19个穴位(前8个穴位依次为:足三里、天枢、上巨虚、三阴交、太冲、印堂、百会、中脘),分属11条经脉(足阳明胃经 > 任脉 > 足太阴脾经、督脉 > 足厥阴肝经、手少阳三焦经、手厥阴心包经、手阳明大肠经、足太阳膀胱经、手少阴心经、足少阳胆经)。结论:肠易激综合征便秘型针刺治疗穴位多选用募穴、下合穴、交会穴,常选用足阳明胃经、督脉、任脉、足太阴脾经、足厥阴肝经。Objective: To analyze the rule of meridian point selection in the treatment of constipated irritable bowel syndrome (IBS-C) by evidence-based medicine, and to provide clinical scheme. Methods: The literatures up to July 1 were searched by computer, and the literatures of randomized controlled studies were screened according to Cochrane systematic literature quality evaluation. The frequency of acupuncture points were described, and SPSS26.0 was used for statistical analysis. Results: A total of 12 studies met the inclusion criteria;After 14 screening, a total of 19 acupoints were found (the first 8 acupoints were: Zusanli, Tianshu, Shangjuxu, Sanyinjiao, Taichong, Yintang, Baihui, Zhongwan) belonging to 11 meridians (Zyangming Stomach Channel > Ren channel > Taiyin Spleen Channel, Du Channel > Jueyin Liver channel, Shaoyang Sanjiao Channel, Jueyin myocardium Channel, Yangming large intestine channel, Yang Sun Heart Channel, Shaoyang gallbladder channel). Conclusion: Mu point, Xiaihe point and Conifing point are the main acupuncture points for irritable bowel syndrome. The stomach channel, Du vein, Ren vein, Taiyin spleen channel and Jueyin liver channel of foot Yangming are often selected.