基于数据挖掘分析针灸治疗非特异性腰痛选穴规律
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Analysis on Acupoints Selection Rules of Acupuncture and Moxibustion for Nonspecific Low Back Pain Based on Data Mining
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    摘要:

    目的:基于数据挖掘分析针灸治疗非特异性腰痛的选穴规律及特点。方法:全面检索中国知 网(CNKI)、万方数据库、维普数据库、医学文献检索服务系统、荷兰《医学文摘》数据库,检索时间2014年 1 月至2024 年2 月,经过筛选及标准化处理针灸处方,进行数据分析,探究核心选穴及特点。应用Excel 2021、SPSS Statistics 27.0对穴位进行频次、频率统计及聚类分析,应用IBM SPSS Modeler 18.0进行关联规则 分析及网络图可视化的分析。结果:共纳入215篇文献,提取有效处方215条,腧穴59个,用穴总频次为 1 577次,使用频率前10位的腧穴依次是委中、肾俞、大肠俞、阿是穴、腰阳关、环跳、腰夹脊、阳陵泉、命 门、承山,共使用1 198次,占总频次75.97%。关联规则显示:肾俞-委中、大肠俞-肾俞、委中-肾俞存在极 强的关联性及共现度。聚类分析得出2组核心聚类:①肾俞、大肠俞、委中、腰阳关、腰夹脊、命门;②阳陵 泉、承山、环跳、昆仑。结论:针灸治疗非特异性腰痛主要遵循局部取穴、循经取穴原则,穴位可考虑选择委 中、肾俞、大肠俞、阿是穴、腰阳关等,核心选穴组为肾俞-委中-大肠俞。

    Abstract:

    Abstract: Objective: To analyze the acupoints selection rules and characteristics of acupuncture and moxibustion for nonspecific low back pain based on data mining. Methods:A comprehensive search of China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP Database,Chinese Biomedical Literature Service System, and Excerpta Medica Database was conducted from January 2014 to February 2024. After screening and normalization of acupuncture and moxibustion prescriptions, data analysis was performed to explore the core acupoints selection and characteristics. Excel 2021 and SPSS Statistics 27.0 were used to analyze the frequency,frequency statistics and cluster of acupoints. IBM SPSS Modeler 18.0 was used to analyze the association rules and network diagram visualization. Results: A total of 215 articles were included, 215 effective prescriptions were extracted, and 59 acupoints were selected. The total frequency of acupoints was 1 577 times. The top 10 acupoints were Weizhong(BL40), Shenshu (BL23), Dachangshu (BL25), Ashi acupoint, Yaoyangguan(GV3), Huantiao (GB30), Yaojiaji, Yanglingquan(GB34), Mingmen (GV4) and Chengshan (BL57), with use frequency of 1 198 times in total and accounting for 75.97% of the total. Association rules showed that there was a strong correlation and co-occurrence among Shenshu(BL23)-Weizhong (BL40),Dachangshu (BL25)-Shenshu (BL23) and Weizhong (BL40)-Shenshu (BL23). Cluster analysis suggested the core clusters in the two groups: ① Shenshu (BL23), Dachangshu(BL25), Weizhong (BL40) , Yaoyangguan (GV3) , Yaojiaji, and Mingmen (GV4) ; ② Yanglingquan (GB34) , Chengshan (BL57), Huantiao (GB30), and Kunlun (BL60). Conclusion: The acupuncture and moxibustion for non-specific low back pain is mainly based on the local acupoints selection and the principles of acupoints selection along the pathway of meridians. Acupoints Weizhong(BL40),Shenshu (BL23),Dachangshu(BL25),Ashi acupoint, Yaoyangguan (GB34), etc. can be selected and the core acupoint selection group is Shenshu (BL23)- Weizhong( BL40)-Dachangshu( BL25).

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戴骊蓝,郎伯旭.基于数据挖掘分析针灸治疗非特异性腰痛选穴规律[J].新中医,2025,57(1):98-103

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  • 在线发布日期: 2025-01-14
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