基于数据挖掘的针灸治疗急迫性尿失禁临床取穴规律*
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(贵州中医药大学,贵州 贵阳 550002)

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R246

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收稿日期: 2019 - 08- 12
* 基金项目: 国家自然科学基金项目(81660822);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);贵州省科技计划项目(黔科合基础 [2017]1008)
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。
△通信作者: 莫倩,E-mail:duoduo425@126.com


Acupuncture and Moxibustion in the Treatment of Urge Urinary Incontinence Based on Data Mining
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(Guizhou University of Traditional Chinese Medicine, GuiYang 550002, China)

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    摘要:

    目的对针灸治疗急迫性尿失禁临床文献的取穴规律进行归纳分析。方法 参考中国知网(China National Knowledge Infrastructure,CNKI)、万方(WanFang Data,WF)、维普(China Secience and Technology Journal,VIP)、PubMed、Ovid、Cochrane Library等数据库并从中摘取2000年1月-2019年6月以来针灸治疗急迫性尿失禁的临床研究类文献,通过数据挖掘技术分析针灸临床取穴规律特点。结果 共纳入32篇文献,涉及腧穴25个:①腧穴使用频次最高的为会阳、次髎、中髎、中极;②腧穴关联度:会阳-中膂俞、次髎-三阴交(会阳)、大赫-委中;③涉及到的经脉以足太阳膀胱经、任脉、足太阴脾经为主,占总频次的81.2%;④腰骶部选穴部位频次最高,占选穴部位总频次的53.4%。结论 以数据挖掘技术的方式总结出针灸治疗急迫性尿失禁的腧穴和经脉的内在规律,以会阳、次髎、中髎、中极最为常用,电针为主,采用局部(病位)(腰骶部)与“经脉所过,主治所及”原则相结合的取穴方式,为针灸治疗急迫性尿失禁的临床选穴依据提供循证依据。

    Abstract:

    Objective To summarize and analyze the acupuncture and moxibustion treatment of urgent urinary incontinence clinical literature on point selection rules and literature quality research. Methods Clinical research literature on acupuncture and moxibustion-based treatment of urge incontinence from January 2000 to June 2019 in China National Knowledge Infrastructure(CNKI), WanFang Data(WF), China Secience and Technology Journal(VIP), PubMed, Ovid, Cochrane Library and other databases. By establishing acupuncture and moxibustion prescription database and using data mining technology to analyze the characteristics of acupoint selection. Results A total of 32 literatures were included, including 25 acupoints. (1) The most frequently used acupoints were BL35, BL32,BL33 and RN3; (2) the correlation between acupoints: BL35-BL33, BL32-SP6(BL35), K112-BL40; (3) the meridians involved are mainly The full solar bladder meridian, Ren meridian and The spleen meridian of the foot taiyin, accounting for 81.2% of the total frequency. (4) the lumbosacral points selection frequency was the highest, accounting for 53.4% of the total points selection frequency. Conclusion Through data mining technology, summed up the acupuncture treatment of urge incontinence and inherent law of meridians and acupoints with BL35, BL32, BL33, RN3 is most commonly used, cupping is given priority to, use local (disease) (lumbar di ministry) and “meridians, by attending and principles of” combining way to find out, urge incontinence for acupuncture treatment of clinical acupuncture point according to provide evidence-based basis.

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