基于数据挖掘探究耳穴治疗儿童注意缺陷多动障碍选穴规律
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R749.94

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Exploration of Acupoint Selection Rules of Auricular Points for Treating Children with Attention Deficit Hyperactivity Disorder Based on Data Mining
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    摘要:

    目的:探究耳穴治疗儿童注意缺陷多动障碍(ADHD) 的选穴规律。方法:以“多动症”“注意缺 陷”“ADHD”“耳穴”“耳针”“耳穴压豆”等为自由词或主题词,检索中国知网数据库(CNKI)、万方学术期 刊全文数据库(WanFang)、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM) 和PubMed数 据库,检索时间为建库以来至2023年9月3日。通过SPSS 27.0、SPSS Modeler 18.0和Cytoscape 3.10软件对文 献数据进行关联规则分析、系统聚类分析等。结果:共纳入33篇文献进行研究,有效耳穴处方共27个,涉及 耳穴20个。以王不留行籽刺激的耳穴贴压法为主要干预方式,多联合其他治疗手段。常用耳穴为皮质下、心、 肾、神门、肝、脑干、脾、交感,主要分布于耳甲区。关联规则分析结果提示心穴与肝穴之间存在较强相关 性。得到3个聚类组合,第一类:皮质下穴-神门穴-肾穴-心穴-肝穴-脾穴;第二类:脑干穴;第三类:交感 穴。结论:治疗儿童ADHD的所用耳穴主要为皮质下、心、肾、神门、肝、脑干、脾、交感,多分布于耳甲 区,诸穴主要从调节脏腑功能等方面起到改善ADHD的作用。耳穴贴压法为主要干预方式,具有操作简便、接 受度高、安全性好等特点。

    Abstract:

    Abstract:Objective:To investigate the auricular point selection rules for children with attention deficit hyperactivity disorder (ADHD). Methods: The China National Knowledge Infrastructure (CNKI) database, WanFang Academic Journal Full Text Database (WanFang), VIP Chinese Science and Technology Journal Database (VIP), China Biomedical Literature Database (CBM), and PubMed database were searched by using free words or theme words such as "attention deficit hyperactivity disorder", "ADHD", "auricular point", "auricular acupuncture", and "auricular point seed-pressing", from the time of database establishment until September 3, 2023. The association rule analysis and systematic clustering analysis were performed on literature data by using SPSS 27.0,SPSS Modeler 18.0,and Cytoscape 3.10 software. Results: A total of 33 articles were included in the study, with a total of 27 effective auricular point prescriptions involving 20 auricular points. The main intervention method was auricular point seed-pressing with the stimulation of Vaccariae Semen seeds, the treatment methods of most studies were combined with other treatment methods. The commonly used auricular points were pizhixia (AT4), xin (CO15), shen (CO10),Shenmen (TF4),gan (CO12),naogan (AT3,4i),pi (CO13),and jiaogan (AH6a),mainly distributed in the concha zone. The results of association rule analysis indicated a strong correlation between heart point and liver point. Three clustering combinations were obtained: the first type is pizhixia point (AT4) - Shenmen point (TF4) - shen point (CO10) - xin point (CO15) - gan point (CO12) - pi point (CO13); the second type is naogan point (AT3,4i); the third type is jiaogan point (AH6a). Conclusion: The auricular point used to treat ADHD children are mainly subcortex (AT4),heart (CO15),shen (CO10),Shenmen (TF4),gan (CO12),naogan (AT3,4i),pi (CO13),and jiaogan (AH6a),mostly distributed in the concha zone. These points mainly improve ADHD by regulating viscera function. The auricular point seed-pressing method is the main intervention method,which has the characteristics of simple operation,high acceptance,and good safety.

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庄桐粧,刘基玲,蔡凯纯,林弘恺,赖东兰.基于数据挖掘探究耳穴治疗儿童注意缺陷多动障碍选穴规律[J].新中医,2024,56(12):141-146

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  • 在线发布日期: 2024-06-28
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