基于数据挖掘探讨国内外针灸治疗阿尔茨海默病的选穴规律*
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(1. 湖南中医药大学,湖南 长沙 410208;2. 湖南中医药大学第一附属医院,湖南 长沙 410021)

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R246.6

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收稿日期: 2021 - 03- 07 基金项目: 国家自然科学基金面上项目(81973956);湖南省自然科学基金面上项目(2021JJ30524);中医学一流学科基金重点项目(2021ZYX09);湖南省教育厅青年基金(18B256) 第一作者简介: 夏叶婉(1996-),女,在读硕士研究生,研究方向:针灸治疗阿尔茨海默病的实验和临床研究。 通信作者: 章薇,E-mail:507395550@qq.com


Acupoint Selection Rules in Treating Alzheimer's Disease with Acupuncture and Moxibustion in China and Abroad Based on Data Mining
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(1. Hunan University of Chinese Medicine, Changsha 410208, China; 2. The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410021, China)

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    摘要:

    目的 运用数据挖掘技术分析国内外针灸治疗阿尔茨海默病的选穴规律。方法 检索建库至2020年12月31日中国期刊全文数据库(CNKI)、维普中文期刊服务平台(VIP)、万方数据知识服务平台(Wanfang)、Web of Science、Pubmed、Embase、Cochrane Library数据库收录的针灸治疗阿尔茨海默病的相关文献,采用Microsoft Excel 2019建立针灸处方数据库,对腧穴、经脉进行频数统计,并运用IBM SPSS Modeler 18.0软件对腧穴、经脉进行关联规则分析。结果 共纳入182篇文献,包括308个针灸处方、96个腧穴,腧穴使用总频次为1 928次。其中,主要选取的经脉为督脉及足三阳经;腧穴主要分布于头面、下肢和上肢;累计应用频次最高的腧穴为百会、四神聪、足三里;特定穴多使用交会穴;腧穴配伍以大椎→百会最为常见。结论 国内外针灸治疗阿尔茨海默病重视督脉及足三阳经的使用;取穴以近部取穴及远近配穴为主;重视特定穴使用,尤其是交会穴。

    Abstract:

    Objective To analyze the rules of acupoint selection in treatment of Alzheimer's disease with acupuncture and moxibustion in China and abroad based on data mining. Methods The published literature of treating Alzheimer's disease with acupuncture and moxibustion was retrieved from electronic databases from building data to December 31, 2020, including CNKI, VIP, Wanfang, Web of Science, Pubmed, Embase, Cochrane Library. Acupuncture prescription database was established in Microsoft Excel 2019. The frequency of acupoints, meridians were analyzed, and the association rules of acupoints and meridians were analyzed by IBM SPSS Modeler 18.0. Results A total of 182 literatures were included, including 308 acupuncture prescriptions, 96 acupoints, and the total frequency of acupoint use was 1928 times. Among them, the main meridians selected are the DU meridian and the three Yang meridians of the foot, acupoints are mainly distributed on the head, face, lower limbs and upper limbs,the acupoints with the highest cumulative frequency of application are Baihui(DU 20), Sishencong (EX-HN 1), Zusanli (ST 36) crossing points in the specific acupoints were commonly selected; the most frequently used group was Baihui(DU 20) and Dazhui(DU 14). Conclusion Treating Alzheimer's disease by acupuncture and moxibustion in China and abroad was advocated the use of DU meridian and three Yang meridians; Acupoint selection is mainly based on proximal acupoint selection and far and near matching acupoints, pay attention to the use of specific points, especially the intersection points.

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