基于数据挖掘针刺治疗术后肠梗阻取穴组方规律分析
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(1. 山东中医药大学针灸推拿学院,山东 济南 250355;2. 山东中医药大学针灸研究所,山东 济南 250355)

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R246.2

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收稿日期: 2020 - 10- 30
基金项目: 国家重点研发计划(2019YFC1712100);山东中医药大学科研创新基金(2018-220315)
第一作者简介: 刘婷婷(1990-),女,在读硕士研究生,研究方向:腧穴作用规律、针刺作用规律的现代针灸学研究与临床. △通信作者: 陈少宗,E-mail:ccsz1963@163.com


Discussion on Law of Acupoint Selection in Acupuncture Treatment of Postoperative Ileus Based on Data Mining
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(1. Acupuncture, Moxibustion and Tuina College, Shandong University of Traditional Chinese Medicine, Jinan 250355,China; 2. Institute of Acupuncture and Moxibustion, Shandong University of Traditional Chinese Medicine, Jinan 250355,China)

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    摘要:

    目的 运用数据挖掘技术分析针刺治疗术后肠梗阻取穴组方规律,为针灸临床提供一定的数据参考。方法 检索中国期刊全文数据库、万方数据资源系统、维普期刊全文数据库,从建库至2020年10月公开发表的有关针刺治疗术后肠梗阻的文献,根据纳入标准与排除标准严格筛选后,采用Microsoft Excel以及SPSS Clementine软件中Apriori算法进行信息挖掘与分析。结果 针刺治疗术后肠梗阻选取腧穴使用频次前5位是足三里、天枢、上巨虚、下巨虚、中脘;选取经络使用频次前3位是足阳明胃经、任脉、足太阴脾经;在穴位配伍方面,双穴配伍天枢、足三里组合频率最高,支持度61.67%。三穴配伍时足三里、中脘、天枢或足三里、上巨虚、天枢最为常用,支持度40.00%。结论 针刺治疗术后肠梗阻取穴、组方方面有一定规律可循,本研究可为临床针刺治疗术后肠梗阻取穴及腧穴组方规律提供帮助和借鉴。

    Abstract:

    Objective To use data mining technology to analyze the prescription pattern of acupoint selection for postoperative intestinal obstruction treated by acupuncture in modern literature, so as to provide theoretical reference for acupuncture clinical data. Methods The Chinese Journal full-text Database, Wanfang data Resource system and VIP Journal full-text Database were searched, and the literatures about intestinal obstruction after acupuncture treatment from the establishment of the database to October 2020 were searched. After strict screening according to the inclusion criteria and exclusion criteria, MicrosoftExcel and Apriori algorithm in SPSSClementine software were used for information mining and analysis. Results The top 5 acupoints for intestinal obstruction after acupuncture treatment were Zusanli, Tianshu, Shangjuxu, Xiajuxu and Zhongwan; the top 3 meridians of acupoints were foot Yangming stomach meridian, Ren meridian and foot Taiyin spleen meridian; in terms of acupoint compatibility, the combination of Tianshu and Zusanli had the highest frequency and the degree of support was 61.67%. When the three acupoints are compatible, Zusanli, Zhongwan, Tianshu or Zusanli, Shangjuxu and Tianshu are the most commonly used, and the degree of support is 40.00%. Conclusion There are certain rules to be followed in the selection of points and prescription of acupoints in the treatment of postoperative intestinal obstruction by acupuncture. This study can provide certain data support for the regulation of the selection and prescription of acupoints in the treatment of postoperative intestinal obstruction by acupuncture.

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