术后胃瘫综合征穴位干预方法及穴位组方规律研究
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国家重点研发计划项目(2019YFC1712100);山东中医药大学科研创新基课题(2018-220315)


A Study on Acupoint Intervention Methods and Acupoint Formula Patterns of Postoperative Gastroparesis Syndrome
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    摘要:

    目的:通过数据挖掘研究临床穴位刺激治疗术后胃瘫综合征干预方法及选穴组方规律。方法:中国期刊全文数据库(CJFD)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)已经公开发表穴位刺激干预治疗术后胃瘫综合征临床中文文献,使用文献计量学方法对近20年穴位刺激治疗术后胃瘫综合征穴位干预方法、选穴组方规律数据的进行统计分析。结果:经统计穴位刺激干预治疗术后胃瘫综合征临床文献70篇,其中干预方法以穴位贴敷居多,文献篇幅占比20%,其次是穴位注射和单纯针刺;使用腧穴37个,使用频率较高的腧穴是足三里(23.08%)、中脘(13.55%)、内关(9.52%);高频经络为足阳明胃经、任脉、足太阴脾经;腧穴所属部位主要分布在下肢部和胸腹部;特定穴的使用更倾向下合穴、五腧穴、交会穴;三穴配伍中足三里、内关、中脘组合支持度最高,四穴配伍足三里、中脘、内关、三阴交较占优势。结论:穴位刺激治疗术后胃瘫综合征干预方法多以穴位贴敷相对简单舒适方法为主,选穴多以下肢部为主,并且选取腧穴及腧穴组方规律有一定规律可循,以期挖掘的数据结果可为临床治疗提供借鉴和参考。

    Abstract:

    To study the intervention methods,acupoint selection rules,and formula patterns of clinical acupoint stimulation for postoperative gastroparesis syndrome through data mining.Methods:The previous clinical Chinese literature on postoperative gastroparesis syndrome treated with acupoint stimulation interventions was retrieved from China journal full text database(CJFD),China science periodical database(CSFD),and Chinese citation database(CCD),and the data on the methods of acupoint stimulation interventions for postoperative gastroparesis syndrome,rules of acupoint selection,and formula patterns in the past 20 years were statistically analyzed by bibliometrics.Results:A total of 70 pieces of clinical literature on acupoint stimulation interventions for treating postoperative gastroparesis syndrome were recorded,of which the majority of intervention methods were acupoint application,accounting for 20% of the literature,followed by acupoint injection and simple acupuncture.37 acupoints were used,with the most frequently used acupoints being the Zusanli(23.08%),Zhongwan(13.55%),and Neiguan(9.52%); the high-frequency meridians were the stomach channel of foot yang brightness,the conception vessel,and the spleen meridian of foot greater yin.The acupoints were mainly located in the lower extremities and chest and abdomen; specific acupoints including the lower sea points,the five acupoints,and the crossing points were often used; among the combination of three acupoints,the Zusanli,Neiguan,and Zhongwan received the highest support,and among the combination of four acupoints,the Zusanli,Zhongwan,Neiguan,and Sanyinjiao were more dominant.Conclusion:The intervention methods of acupoint stimulation for treating postoperative gastroparesis syndrome were mostly based on relatively simple and comfortable methods,such as acupoint application,and the selection of acupoints was mostly based on the lower extremity.In addition,there were certain rules in acupoint selection and acupoint formula pattern,with a view to excavating data results that can provide a reference for clinical treatment.

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刘婷婷,杨蓥萍,杨凯伟,晁毓桥,厉文风,陈少宗.术后胃瘫综合征穴位干预方法及穴位组方规律研究[J].世界中医药,2023,(08).

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  • 收稿日期:2021-07-26
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  • 在线发布日期: 2023-05-17
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