基于数据挖掘的针灸治疗神经源性膀胱取穴规律研究*
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(贵州中医药大学,贵州 贵阳 550002)

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R246.9

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收稿日期: 2019 - 04- 10
* 基金项目: 国家自然科学基金(81660822);贵州中医药大学2017年大学生创新创业训练计划项目;2017年贵州省中医 药、民族医药科学技术研究专项课题项目(QZYY2017-027);第四批全国中医(临床、基础)优秀人才研修项目 (1007-00120120201)
第一作者简介: 黄宇(1995-),女,在读硕士研究生,研究方向:针灸对下泌尿生殖系统与内分泌系统疾病基础与临床研究。


Acupuncture Treatment Based on Data Mining for the Treatment of Neurogenic Bladder Acupoints
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(College of Acupuncture and Bone Injury, Guizhou University of Traditional Chinese Medicine, GuiYang 550002, China)

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    摘要:

    目的以数据挖掘为手段分析针灸治疗神经源性膀胱的经穴应用规律特点。方法 参考万方(Wanfang Data,WF)、中国知网(China national knowledge,CNKI)、维普(China Secience and Technology Journal,VIP)、PubMed、Medline、Cochrane Library等数据库并从中摘取2008年1月-2019年3月以来针灸治疗神经源性膀胱的临床研究类文献,以数据挖掘的手段对针灸临床取穴规律特点进行分析。结果 按照纳入排除标准最终纳入82篇文献:(1)常用主穴39个:中极(8.9%)、关元(8.8%)、三阴交(8.0%)、次髎(7.8%),使用频次累及537次;(2)腧穴关联度:中极-关元(56.3%、84%)、次髎-中髎(40.0%、100%)、肾俞-膀胱俞(37.5%、83%)、上髎-下髎(33.8%、93%);(3)腧穴分布:腰骶部(45.3%)、下腹部(30.9%)、四肢(21.0%)、头面部(2.8%);(4)常用经脉:足太阳膀胱经(235,43.8%)、任脉(137,25.5%)、足太阴脾经(69,12.8%);(5)处方多由5~8(51.2%)个腧穴组成;(6)针灸方法以单纯针刺(30.5%)为主。结论 通过数据挖掘技术对近十年临床文献分析,总结出针刺治疗神经源性膀胱以中极、关元、三阴交、次髎最为常用,中极-关元、次髎-中髎、肾俞-膀胱俞、上髎-下髎的关联程度最高,腧穴分布多集中于腰骶部和下腹部,以足太阳膀胱经、足太阴脾经、任脉常见,单纯针刺为主要针灸方法,采用局部(病位)(腰骶部)及远端(四肢)相结合的取穴方式,为针刺治疗神经源性膀胱的临床选经选穴提供相应的循证依据。

    Abstract:

    Objective To analyze the application rules and characteristics of acupuncture and moxibustion on neurogenic bladder by means of data mining. Methods The reference from Wanfang Data (WF), China national knowledge (CNKI), China Secience and Technology Journal (VIP), PubMed, Medline, Cochrane Library and other databases, clinical studies on acupuncture and moxibustion for neurogenesis of bladder from January 2008 to March 2019 were extracted. By means of data mining, this paper analyzes the characteristics of acupoint selection in clinical acupuncture and moxibustion. Results According to the inclusion and exclusion criteria, 82 articles were finally included: (1) 39 main points were commonly used: CV3 (8.9%), CV4 (8.8%), SP6 (8.0%), BL32 (7.8%), Use frequency involved 537 times; (2) Correlation degree of acupoints: CV3-CV4 (56.3%, 84%)、 BL3-BL33 (40.0%, 100%), BL23- BL28 (37.5%, 83%), BL31-BL34 (33.8%, 93%); (3) Distribution of acupoints: lumbosacral (45.3%), lower abdomen (30.9%), limbs (21.0%), head and face (2.8%); (4) Common meridians: foot solar bladder meridian (235, 43.8%), ren meridian (137, 25.5%), foot taiyin spleen meridian (69, 12.8%); (5) Most prescriptions are composed of 5~8(51.2%) acupoints; (6) Acupuncture and moxibustion methods were mainly simple acupuncture and moxibustion (30.5%). Conclusion Through the data mining technology for nearly a decade of clinical literature analysis, it is concluded that CV3、 CV4、 SP6 and BL32 are the most commonly used acupuncture to treat neurogenic bladder, The correlation degree of CV3-CV4、 BL32-BL33、 BL23-BL28 and BL31-BL34 was the highest. Acupoints are mostly distributed in the lumbosacral region and the lower abdomen, The bladder meridian of foot sun, spleen meridian of foot taiyin and ren meridian are common.Simple acupuncture is the main method of acupuncture and moxibustion.use local (disease) (lumbar di ministry) and the distal (limbs) with the combination of the find, To provide evidence basis for the clinical selection of acupuncture points in the treatment of neurogenic bladder.

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