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基于数据挖掘的针灸治疗耳聋耳鸣临床规律探究 被引量:20
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作者 李茜莹 黄琴峰 +8 位作者 董小庆 张丹 杨光 韩榕 孔谐和 刘婕 赵越 杨延婷 马晓芃 《上海针灸杂志》 2020年第3期372-380,共9页
目的回顾1956年至2018年期刊发表的针灸治疗耳聋耳鸣的临床研究文献,总结归纳针灸治疗耳聋耳鸣的临床应用规律。方法检索《中医针灸信息库》、中国知网、万方学术期刊全文数据库和维普中文科技期刊数据库中的电子文献,按照纳入和排除标... 目的回顾1956年至2018年期刊发表的针灸治疗耳聋耳鸣的临床研究文献,总结归纳针灸治疗耳聋耳鸣的临床应用规律。方法检索《中医针灸信息库》、中国知网、万方学术期刊全文数据库和维普中文科技期刊数据库中的电子文献,按照纳入和排除标准筛选针灸治疗耳聋耳鸣的临床研究文献,应用《中医针灸信息库》内相关分析软件和SPSS25.0、Clementine12.0软件,运用计量分析、聚类分析及关联性分析等数据挖掘技术进行分析。结果治疗耳聋应用频次最多的穴位依次为听宫、翳风、听会、耳门、中渚、外关、太冲、风池、百会、合谷、太溪、足三里,治疗耳鸣应用频次最多的穴位依次为听宫、听会、翳风、耳门、中渚、太溪、风池、太冲、外关、足三里、侠溪,穴位选取均集中于头面部和下肢部;应用频次最高的经脉为手少阳三焦经;治疗方法以针刺、灸法、水针及电针为主。聚类分析得到针灸治疗耳聋耳鸣的共同有效聚类为听会、耳门、听宫、翳风、中渚,耳聋的另一类为太溪、足三里、外关、太冲、合谷、百会、风池,耳鸣的另一类为风池、太溪、足三里、侠溪、太冲、外关。关联性分析发现,规则支持度最高的穴位组合为耳聋-太冲-外关-中渚-翳风,耳鸣-太溪-太冲-中渚-听会-听宫-翳风。耳鸣残疾评估量表(THI)、耳鸣严重程度评估量表(TSIS)、纯音听阈测试(PTA)治疗前后比较,差异均有统计学意义(P<0.05)。结论针灸治疗耳聋耳鸣的选穴以局部取穴为主(选取头面部穴位,注重耳周穴位),辅以邻近选穴和远道取穴。建议将听宫、听会、翳风、耳门、中渚作为耳聋耳鸣针灸基础方,将针刺疗法作为首选的干预手段,加强对THI、TSIS、PTA等检测指标的应用。 展开更多
关键词 针灸疗法 耳聋耳鸣 数据挖掘 文献计量学 耳鸣残疾评估量表 耳鸣严重程度评估量表 纯音听阈测试
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针灸治疗痉挛性偏瘫临床选穴规律探析 被引量:15
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作者 孔谐和 黄琴峰 +7 位作者 杨光 李茜莹 董小庆 吴丽洁 韩榕 杨延婷 施征 马晓芃 《上海针灸杂志》 2019年第11期1302-1309,共8页
目的运用数据挖掘技术探索针灸治疗痉挛性偏瘫的临床应用规律。方法运用《中医针灸信息库》、中国期刊全文数据库、重庆维普数据库、万方学术期刊全文数据库对1954年至2018年针灸治疗痉挛性偏瘫的临床文献进行检索,应用《中医针灸信息... 目的运用数据挖掘技术探索针灸治疗痉挛性偏瘫的临床应用规律。方法运用《中医针灸信息库》、中国期刊全文数据库、重庆维普数据库、万方学术期刊全文数据库对1954年至2018年针灸治疗痉挛性偏瘫的临床文献进行检索,应用《中医针灸信息库》内相关分析软件进行计量分析,SPSS23.0进行聚类分析,Clementine12.0进行关联规则分析。结果应用频次最高的穴位依次为合谷、曲池、肩髃、外关、足三里、阳陵泉;应用频次最高的经络为手阳明大肠经和足阳明胃经;应用频次最高的治疗方法是针刺和针康结合;关联规则分析发现支持度最高的关联群为阳陵泉、足三里、外关、肩髃、曲池和合谷,此6穴均为拮抗肌附着部穴位;聚类分析结果显示穴组可分为3类,合谷、曲池、外关、手三里、肩髃、足三里、阳陵泉、太冲、解溪归为第一类,此9穴均为拮抗肌附着部穴位;极泉、尺泽、内关、三阴交、委中归为第二类,太溪单独归为第三类。结论针灸治疗痉挛性偏瘫以阳经选穴为主,以拮抗肌选穴为多,治疗方法上以针刺、针康结合治疗为主。 展开更多
关键词 针灸疗法 中风后遗症 偏瘫肌痉挛 数据挖掘 文献计量学
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Regulatory effects of moxibustion on ubiquitin and NLRP3 proteins in colon of ulcerative colitis rats 被引量:3
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作者 Li Xi-ying Yang Guang +10 位作者 Wu Li-jie Hong Jue Zhao Yue Liu Jie kong xie-he Dong Xiao-qing Zhi Fang-yuan Ma Xiao-peng Yang Ling Zhang Dan Yang Yan-ping 《Journal of Acupuncture and Tuina Science》 CSCD 2020年第2期96-104,共9页
Objective:To observe the effects of moxibustion on colonic inflammation,and the expressions of ubiquitin and nucleotide-binding oligomerization domain(Nod)-Iike receptor protein 3(NLRP3)proteins in rats with ulcerativ... Objective:To observe the effects of moxibustion on colonic inflammation,and the expressions of ubiquitin and nucleotide-binding oligomerization domain(Nod)-Iike receptor protein 3(NLRP3)proteins in rats with ulcerative colitis(UC),and to explore the anti-inflammatory mechanism of moxibustion in the UC treatment.Methods:Clean grade male Sprague-Dawley(SD)rats were randomly divided into a normal group(NG),a model group(MG),a moxa-stick moxibustion group(MSMG)and a Western medicine group(WMG).UC model was prepared by freely drinking 35 g/L d ext ran sulfate sodium(DSS)solution.Bilateral Tianshu(ST 25)were selected for mild moxibustion treatment in the MSMG;mesalazine solution was intragastrically administrated in the WMG.Rats in the NG and MG were only grasped and fixed as in the MSMG without any treatment.After treatment,hematoxylin-eosin(HE)staining was performed to observe and score the colonic pathological damage under light microscope;immunofluorescence method was used to determine the expression of colonic ubiquitin protein;immunohistochemical method was used to detect the expressions of colonic interleukin(IL)-1β and NLRP3 proteins.Results:The colon tissue was severely injured,and the pathological score was significantly increased in the MG than in the NG(P<0.01),and the protein expressions of ubiquitin,NLRP3 and IL-1β in the colon were significantly increased(all P<0.01).Compared with the MG,the colonic damage was repaired,the inflammation and pathological scores were reduced,and the ubiquitin,NLRP3 and IL-1β protein expressions were decreased in the MSMG and WMG(all P<0.01).Correlation analysis revealed that the ubiquitin protein expression was correlated with the colonic pathological score and the NLRP3 protein expression(r=0.677,P<0.01;r=0.536,P<0.05).Conclusion:Moxibustion can down-regulate the protein expressions of ubiquitin,NLRP3 and IL-1β in the colon of UC rats,which may be one of the mechanisms to promote the repair of colonic inflammatory lesions and exert anti-inflammatory effects. 展开更多
关键词 Moxibustion Therapy Moxa Stick Moxibustion Point Tianshu(ST 25) Colitis ULCERATIVE UBIQUITIN NLRP3 Protein Interleukin-lbeta RATS
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Efficacy and effect on related brain-gut peptides of acupoint sticking therapy for functional dyspepsia 被引量:3
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作者 kong Wei-guang He Tian-feng kong xie-he 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第5期384-388,共5页
Objective:To observe the efficacy of acupoint sticking with Jianpi Tongjing Zhitong ointmerrt in the treatment of functional dyspepsia due to liver-qi stagnation and spleen deficiency and its effect on serum 5-hydroxy... Objective:To observe the efficacy of acupoint sticking with Jianpi Tongjing Zhitong ointmerrt in the treatment of functional dyspepsia due to liver-qi stagnation and spleen deficiency and its effect on serum 5-hydroxytryptamine(5-HT)and ghrelin con tents.Methods:One hun dred patients with functi onal dyspepsia due to liver-qi stag nation and spleen deficiency were divided into a treatment group and a control group by the random number table method,with 50 cases in each group.The treatment group received acupoint sticking with Jianpi Tongjing Zhitong ointment and the control group was treated with mosapride citrate orally.Patients were treated for 4 weeks as a course.The therapeutic efficacy was compared after one-course treatment and the differences in gastric emptying rate,and serum 5-HT and ghrelin contents between groups were compared before and after treatment.Results:The total effective rate was 79.6%in the control group and 89.4%in the treatment group,showing significantly differe nt between groups(P<0.05).After treatme nt,the gastric empt ying rate and serum ghreli n con tent of the two groups in creased significantly,and the serum 5-HT content decreased significantly,the intra-group differe nces were significant(all P<0.01).After treatment,the gastric emptying rate and serum ghrelin content were significantly higher in the treatment group than those in the control group,while the serum 5-HT was significant lower in the treatment group,the inter-group differences were significant(all P<0.05).A negative correlation(r=-0.59)was observed between serum 5-HT content and gastric emptying rate,and a positive correlation(r=0.64)was observed between serum ghrelin content and gastric emptying rate,showing statistical significance(all P<0.01).Conclusion:Acupoint sticking with Jianpi Tongjing Zhitong ointment has a remarkable ciinical efficacy in treating patie nts with functional dyspepsia due to liver-qi stagnation and spleen deficiency and is able to in fluence the secretion of serum 5-HT and ghrelin-1 mproving the gastrointestinal motility through the regulation of related brain-gut peptides is suggested as an underlying mechanism for this therapy. 展开更多
关键词 Acupoi nt Sticking Therapy Emplastrum Therapy DYSPEPSIA Liver-qi Stag nation日nd Spleen Deficie ncy Brain-gut Peptide 5-HYDROXYTRYPTAMINE Ghrelin
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Effects of auricular point sticking on dry eye in myopia patients after SMILE surgery:a prospective randomized controlled clinical trial 被引量:2
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作者 Zhang Dan Huang Xiao-fei +7 位作者 Zhao Yue Yang Guang kong xie-he Zhang Cui-hong Hong Jue Yang Yan-ting Liu Jie Ma Xiao-peng 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第2期139-146,共8页
Objective:To observe the intervention effect of auricular point sticking on dry eye in myopia patients after small-incision lenticule extraction(SMILE)surgery.Methods:This was a prospective randomized controlled study... Objective:To observe the intervention effect of auricular point sticking on dry eye in myopia patients after small-incision lenticule extraction(SMILE)surgery.Methods:This was a prospective randomized controlled study conducted among the myopia patients who received SMILE surgery at Eye and ENT Hospital of Fudan University.The post-SMILE operation patients who screened by the inclusion and exclusion criteria were randomized into a control group and a treatment group.Patients in the control group were given 0.1%fluorometholone and 0.5%carboxymethylcellulose sodium eye drops,while the treatment group was given additional unilateral auricular point sticking for 1 month.The patients were estimated using ocular surface disease index(OSDI),Schirmer tear test-1(STT-1),tear film break-up time(TF-BUT),corneal fluorescein staining(CFS)score,corneal sensitivity(CS)and visual quality(VQ)at 1 d,1 week and 1 month after surgery;the changes in anxiety and depression were also observed in the patients.Results:Compared with the first day after operation,CS in the nasal region was improved in the treatment group,and the VQ score increased in the control group patients at 1 week after operation(both P<0.05);at 1 month after operation,the TF-BUT increased,CFS score decreased,CS in the central and nasal regions increased(all P<0.05),and VQ score increased(P<0.01)in the treatment group,and the CS in the central,upper,lower and nasal regions were improved(all P<0.05),and VQ score increased(P<0.01)in the control group.The between-group comparison showed that the differences in the change of TF-BUT were statistically significant at 1 week and 1 month after surgery,respectively(both P<0.05).Conclusion:Auricular point sticking therapy can increase the TF-BUT and accelerate the repair of ocular surface function in post-SMILE patients. 展开更多
关键词 Auricular Point Sticking Laser Therapy MYOPIA Postoperative Complications Dry Eye Syndrome Artificial Tears Randomized Controlled Trial
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Analysis of clinical application patterns in acupuncture-moxibustion treatment of Alzheimer disease 被引量:1
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作者 Dong Xiao-qing Li Xi-ying +7 位作者 kong xie-he Wu Li-jie Huang Qin-feng Yang Yan-ting Yang Ling Yang Guang Ma Xiao-peng Shi Jian-rong 《Journal of Acupuncture and Tuina Science》 CSCD 2020年第3期238-246,共9页
Objective:To summarize the clinical application patterns in acupuncture-moxibustion treatment of AD by reviewing the clinical literatures on acupuncture-moxibustion for Alzheimer disease(AD)published between January 2... Objective:To summarize the clinical application patterns in acupuncture-moxibustion treatment of AD by reviewing the clinical literatures on acupuncture-moxibustion for Alzheimer disease(AD)published between January 2009 and December 2019.Methods:China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang),Chongqing VIP Database(CQVIP),Chinese Medicine Acupuncture-moxibustion Information Database,PubMed Medical Data Retrieval Service System,Springer Database and Ovid Technologies(OVID)were retrieved to screen clinical studies of acupuncture-moxibustion treatment of AD according to the inclusion and exclusion criteria to conduct quantitative,clustering and association analyses.Results:In acupuncture-moxibustion treatment of AD,the frequently used points were Baihui(GV 20),Zusanli(ST 36),Sishencong(EX-HN 1),Taixi(KI 3),Sanyinjiao(SP 6),and Neiguan(PC 6)in the descending order.Regarding meridians,the most frequently used one was the Governor Vessel,followed by the Stomach Meridian of Foot Yangming and Gallbladder Meridian of Foot Shaoyang.From the perspective of body regions,the points in the head-face region and the lower-limb region had the highest frequencies,followed by the upper-limb,back and chest-abdomen regions.The point group,Baihui(GV 20)and Sishencong(EX-HN 1)-Neiguan(PC 6)-Sanyinjiao(SP 6),showed the most significant association,and the group winning the second place was Baihui(GV 20)and Sishencong(EX-HN 1)-Neiguan(PC 6)-Zusanli(ST 36).The clustering analysis showed that the commonly used point pairs included Zusanli(ST 36)-Sishencong(EX-HN 1)and Taixi(KI 3)-Sanyinjiao(SP 6),which were closely associated with Baihui(GV 20).By analyzing the three commonly used acupuncture-moxibustion methods,acupuncture plus medication was found achieving the best result in the total effective rate and mini-mental state examination(MMSE)score,followed by monotherapy of electroacupuncture therapy,and these two methods were superior to acupuncture alone(P<0.05);the scores of MMSE,Alzheimer disease assessment scale-cognitive section(ADAS-cog)and activity of daily living scale(ADL)showed significant improvements after treatment(all P<0.01).Conclusion:In the acupuncture-moxibustion prescriptions for AD,the main points are Baihui(GV 20),Sishencong(EX-HN 1),Neiguan(PC 6),Zusanli(ST 36),Sanyinjiao(SP 6)and Taixi(KI 3).Monotherapy of acupuncture has the highest frequency amongst the treatment methods,but its effective rate is lower than that of acupuncture plus medication and monotherapy of electroacupuncture. 展开更多
关键词 Acupuncture Therapy Moxibustion Therapy Acupuncture-moxibustion Therapy Alzheimer Disease DEMENTIA BIBLIOMETRICS Databases(Traditional Chinese Medicine)
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