针刺治疗卒中后睡眠障碍选穴规律研究
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R743.3

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衢州市科技攻关项目(2022K116)


Study on Acupoint Selection Rules of Using Acupuncture to Treat Post-stroke Sleep Disorders
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    摘要:

    目的:基于数据挖掘研究针刺治疗卒中后睡眠障碍的选穴规律。方法:检索各数据库包括中国知 网(CNKI)、万方数据知识服务平台(Wangfang)、维普中文科技期刊数据库(VIP)、中国生物医学文献服务 系统(SinoMed)、PubMed、Web of science、Embase、Cochrane Library自建库至2023年7月20日所收录的针刺 治疗卒中后睡眠障碍的临床研究文献,采用Excel 2019归纳文献名,作者信息,临床研究样本量,辨证分型, 治疗组及对照组治疗的选穴、穴位归经、穴位位置、有效率等信息,并用IBM SPSS Statistics 25.0,Origin 2021 及IBM SPSS Modeler18.0软件进行选穴的聚类分析及关联规则分析。结果:共纳入文献255篇,涉及针灸处方 255首,共使用穴位140个。经频数分析,获高频穴位26个,其前10位依次为百会、神门、三阴交、四神聪、 内关、安眠、神堂、印堂、申脉、足三里,主要分布在头项部及下肢部;归经则以督脉为主,特定穴以原穴使 用频率最高;高频穴位经聚类分析显示大致可分为五类;关联规则分析结果显示,针刺治疗的核心腧穴组为申 脉-照海-安眠、神门-百会,其关联性最强。结论:针刺治疗卒中后睡眠障碍取穴方面多以督脉及头项部取穴 为主;核心腧穴组为申脉-照海-安眠、神门-百会,提示针刺治疗卒中后睡眠障碍可从阴阳、气血两方面 论治。

    Abstract:

    Abstract:Objective:To study the Acupoint selection rules of using acupuncture to treat post-stroke sleep disorders based on data mining. Methods: The clinical research literature on acupuncture for poststroke sleep disorders included in the databases including CNKI, Wangfang, VIP, SinoMed, PubMed, Web of science,Embase and Cochrane Library from the database establishment day to July 20,2023 were retrieved. Excel 2019 was used to summarize the literature name, author information, sample size of clinical research, syndrome differentiation, Acuppoint selection, Acuppoint channel entry, Acuppoint location, effective rate and other informations of the treatment group and the control group. IBM SPSS Statistics 25.0, Origin 2021 and IBM SPSS Modeler18.0 software were used for cluster analysis and association rule analysis of point selection. Results: A total of 255 literature were included, involving 255 acupuncture prescriptions and 140 Acupoints used. A total of 26 high-frequency Acupoints were obtained by frequency analysis, and the top 10 were Baihui point (DU20), Shenmen point (HT7), Sanyinjiao point (SP6), Sishencong point (EX-HN1), Neiguan point (PC6), Anmian point (EX-HN18), Shentang point (BL44),Yintang point (EX-HN3),Shenmai point (BL62) and Zusanli point (ST36), mainly distributed in the head and neck as well as lower limbs. In terms of channel entry,it was mainly governor vessel,and the specific points were mainly original points. The high-frequency points were roughly divided into five categories by cluster analysis. The results of association rule analysis showed that the core point groups were Shenmai point-Zhaohai point-Anmian point, and Shenmen point-Baihui point, which had the strongest correlation. Conclusion:In using acupuncture to treat post-stroke sleep disorders,Acupoint selection is mainly focused on Acupoints of governor vessel and the head and neck. The core Acupoint groups are Shenmai point-Zhaohai point-Anmian point,and Shenmen point-Baihui point,suggesting that acupuncture can treat post-stroke sleep disorders from yin-yang and qi-blood.

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周明琪,张弘菁.针刺治疗卒中后睡眠障碍选穴规律研究[J].新中医,2024,56(12):116-123

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  • 在线发布日期: 2024-06-28
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