Acupoint Combination Regularities and Application Characteristics of Acupuncture Methods in Treatment of Spastic Cerebral Palsy Based on Data Mining
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摘要:
目的:利用数据挖掘技术分析针刺治疗痉挛型脑瘫的选穴规律及针刺方法应用特点,为临床针刺治疗痉挛型脑瘫提供选穴依据和治疗思路。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库(CBM)、PubMed、EMbase、Web of Science、Cochrane Library建库至2023年6月20日针刺治疗痉挛型脑瘫的临床研究文献,并进行描述性分析、关联规则分析和复杂网络分析。结果:纳入文献185篇,300条处方,219个腧穴,总频次为3 229次。高频腧穴为足三里、百会、三阴交、四神聪、合谷等。特定穴以五腧穴为主;腧穴部位主要分布在头部和上下肢;经脉(包含针刺疗法)使用频次最高的为督脉、足阳明胃经、靳三针疗法等。支持度最高的腧穴组合是三阴交-足三里、四神聪-百会、曲池-合谷,均以局部配穴为主。“社团分析”共得到3个核心社团。临床治疗痉挛型脑瘫以毫针针刺最常见;针刺方法以平补平泻法为主,头部腧穴多采用平刺,体针采用直刺。结论:通过数据挖掘技术分析发现针刺治疗痉挛型脑瘫具有一定的特点,以局部选穴为主,同时配合上下配穴,重视针刺各流派特点,注重针刺方法效应特异性,为临床上针刺治疗痉挛型脑瘫提供参考。
Abstract:
To analyze the acupoint combination regularities and application characteristics of acupuncture methods used in the treatment of spastic cerebral palsy through data mining technology,providing references for acupoint selection and treatment ideas for acupuncture treatment of spastic cerebral palsy.Methods:Clinical research literature on acupuncture treatment of spastic cerebral palsy was retrieved from databases including CNKI,CSPD,CCD,CBM,PubMed,EMbase,Web of Science,and Cochrane Library from their inception until June 20,2023.Descriptive analysis,association rule analysis,and complex network analysis were conducted.Results:A total of 185 articles were included,with 300 prescriptions and 219 acupoints,used a total of 3 229 times.The most frequently used acupoints were Zusanli(ST 36),Baihui(GV 20),Sanyinjiao(SP 6),Sishencong(EX-HN 1),and Hegu(LI 4).Specific points were primarily the five Shu points,with acupoints mainly distributed on the head and limbs.The most frequently used meridians(including acupuncture therapies) were the governor meridian,stomach meridian of foot Yangming,and Jin's Three-Needle therapy.The acupoint combinations with the highest support degree were Sanyinjiao-Zusanli,Sishencong-Baihui,and Quchi(LI 11)-Hegu,all predominantly local acupoint pairings.“Community analysis” identified three core acupoint communities.Clinically,filiform needle acupuncture was most commonly used in the treatment of spastic cerebral palsy,with neutral reinforcement and reduction techniques being the primary method.Acupoints on the head were mainly treated with horizontal insertion,while body acupoints were treated with perpendicular insertion.Conclusion:Data mining reveals distinctive features in acupuncture treatment of spastic cerebral palsy,with a focus on local acupoint selection,complemented by upper and lower point combinations.Emphasis is placed on the characteristics of various acupuncture schools and the specificity of acupuncture methods,providing valuable reference for clinical acupuncture treatment of spastic cerebral palsy.