| 引用本文:王琳1,王子欣1,苏莉2,史俍元2.基于数据挖掘论近15年针刺治疗脑卒中后认知障碍临床选穴规律[J].世界中医药,2022,(03):. |
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| 基于数据挖掘论近15年针刺治疗脑卒中后认知障碍临床选穴规律 |
| Regularity of Acupoint Selection in Treatment of Post-Stroke Cognitive Impairment（PSCI） with Acupuncture in Last 15 Years Based on Data Mining |
| 投稿时间：2021-07-20 |
| DOI：10.3969/j.issn.1673-7202.2022.03.021 |
| 中文关键词: 针刺 脑卒中后认知障碍 穴位 经络 康复训练 脏腑气机 聚类分析 临床疗效 |
| English Keywords:Acupuncture Post-stroke cognitive impairment Acupoints Meridians and collaterals Rehabilitation training Zang-fu organs and qi movement Cluster analysis Clinical efficacy |
| 基金项目:2017-2018年度山东省中医药科技发展计划项目（2017-334） |
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| 中文摘要: |
| 目的：探究针刺治疗脑卒中后认知障碍的选穴原理及其规律。方法：通过检索2005年1月1日至2020年12月1日中国期刊全文数据库、中国学术期刊数据库、 中文科技期刊数据库发表的以针刺治疗为主的脑卒中后认知障碍相关临床试验研究，运用SPSS 22.0、SPSS Modeler 18.0进行描述性分析、关联分析和集聚分析。结果：共计纳入针刺处方120个，涉及81个穴位，出现频次967次。1）针刺治疗脑卒中后认知障碍使用频率最高的腧穴为百会、神庭、四神聪、三阴交、足三里；2）关联规则分析表明支持度最高的穴位组合百会-神庭支持度为50.83%，置信度为50.83%；3）将所有使用频率≥10的聚类穴进行分类可分为6类；4）所选取的穴位归属经脉频次最高为督脉，其次为足三阳经；5）所选择的特定穴以交会穴最多，五输穴、原穴、络穴、背俞穴也均被广泛应用；6）针刺法结合康复训练、西药、电针仪、中药为常见的联合治疗方法。结论：近15年针刺治疗脑卒中后认知功能障碍选穴以督脉穴位（如百会）为主，辨证取穴，重视配伍调节脏腑气机的穴位，临床治疗时可利用数据挖掘得出的相互关联性规则和集聚性分析的结果合理地取穴配伍以提高疗效。 |
| English Summary: |
| To investigate the principle and regularity of acupoint selection in the treatment of post-stroke cognitive impairment (PSCI) with acupuncture.Methods:CKNI，WanFang Data，and VIP were searched for clinical studies of acupuncture in the treatment of PSCI published from January 1，2005，to December 1，2020.SPSS 22.0 and SPSS Modeler 18.0 were used for descriptive analysis，association analysis，and cluster analysis.Results:A total of 120 acupuncture prescriptions were included，involving 81 acupoints，with a frequency of 967.1) In terms of frequency，the top acupoints were Baihui (GV 20)，Shenting (GV 24)，Sishencong (EX-HN 1)，Sanyinjiao (SP 6)，and Zusanli (ST 36).2) Association rule analysis showed that Baihui (GV 20)-Shenting (GV 24) was the highest in the support degree (50.83%) with a confidence degree of 50.83%.3) The acupoints were classified into six categories according to the frequency≥10.4) In terms of meridian tropism of the selected acupoints，the top meridian was the governor vessel，followed by the three yang meridians of the foot.5) In terms of specific points，confluence points were most selected，and five transport points，source points，connecting points，and back transport points were also widely applied.6) In the treatment，acupuncture was commonly combined with rehabilitation training，western medicine，electro-acupuncture，and Chinese medicine.Conclusion:In the past 15 years，acupuncture treatment of PSCI was mainly applied to the acupoints on the governor vessel，such as Baihui (GV 20)，based on syndrome differentiation，and the acupoints regulating zang-fu organs and qi movement after compatibility were highlighted.In clinical treatment，the correlation regularity obtained by data mining and the results of cluster analysis can be used to select acupoints reasonably to improve the curative efficacy. |
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