基于数据挖掘的针灸治疗血脂异常选穴规律分析
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1.湖南中医药大学;2.湖南中医药大学第一附属医院

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Data Mining-based Analysis of Regularities of Acupoint Selection for Acupuncture and Moxibustion Treatment of Dyslipidemia
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    摘要:

    摘要 目的:探讨针灸治疗血脂异常在现代临床研究中的选穴规律。方法:参考医学主题词表(MeSH)中与血脂异常及针灸相关的主题词并将其进行组合,用计算机检索中国知网、维普数据库、万方数据库、SinoMed及PubMed数据库中1979年1月至2019年12月针灸治疗血脂异常的文献并进行统计分析。结果:筛选出合格文献164篇,涉及92个俞穴,共使用916次。常用穴位为足三里、丰隆、三阴交、中脘、内关、脾俞、天枢、肝俞、肾俞、太冲。选用经络以足阳明胃经、足太阳膀胱经、任脉、足太阴脾经为主;选穴部位以下肢、胸腹部为主;针灸方法以针刺疗法为主。关联规则分析显示穴位间相关性最高的是三阴交—足三里、丰隆—足三里。通过聚类分析,可得到6个聚类群。结论:针灸治疗血脂异常注重远近配合、循经取穴、随证配伍,选穴方法多有调理中焦脾胃之气的特点。

    Abstract:

    Objective: To explore the law of acupoint selection in modern clinical research of acupuncture and moxibustion in the treatment of dyslipidemia. Methods: referring to the subject words related to dyslipidemia and acupuncture in the medical thesaurus (mesh) and combining them, the literature of acupuncture treatment of dyslipidemia from January 1979 to December 2019 in CNKI, VIP database, Wanfang database, sinomed and PubMed database was searched by computer and analyzed statistically. Results: 164 qualified documents were selected, involving 92 Acupoints, and 916 times of use. The commonly used acupoints are Zusanli, Fenglong, Sanyinjiao, Zhongwan, Neiguan, Pishu, Tianshu, Ganshu, Shenshu and Taichong. The meridians and collaterals were mainly the stomach meridian of Foot Yangming, bladder meridian of foot Taiyang, renmai and spleen meridian of foot Taiyin; the lower limbs and chest abdomen of the selected points were mainly selected; the acupuncture method was mainly acupuncture therapy. The analysis of association rules shows that the highest correlation among acupoints is Sanyinjiao Zusanli and Fenglong Zusanli. Through cluster analysis, six clusters can be obtained.Conclusion:: Acupuncture and moxibustion treatment of dyslipidemia focuses on the combination of near and far, acupoint selection along the meridians, and the combination with syndrome. Acupoint selection method has the characteristics of regulating the Qi of Zhongjiao

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  • 收稿日期:2020-05-14
  • 最后修改日期:2020-06-05
  • 录用日期:2020-06-23
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