基于数据挖掘技术研究针刺治疗急性胆绞痛选穴规律
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R245.3

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广东省中医药局中医药科研项目(20221408)


Research on the Acupoint Selection Rules of Acupuncture in the Treatment of Acute Biliary Colic Based on Data Mining Technology
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    摘要:

    目的:基于数据挖掘技术研究针刺治疗急性胆绞痛(ABC) 选穴规律。方法:检索自建库开始至 2023年12月31日中国知网(CNKI)、万方数据知识服务平台(Wanfang Data)、中文科技期刊数据库(VIP)、 中国生物医学文献数据库(CBM) 中使用针刺治疗ABC的临床研究文献,将针刺治疗ABC处方进行规范化处 理,录入Excel2019软件中建立数据库,进行穴位频次、穴位归属经络、特定穴、穴位归属部位统计和关联规 则、聚类、复杂网络分析。结果:纳入研究文献42篇,涉及腧穴38个,使用总频次262次。使用频次排前5位 的腧穴是阳陵泉、胆囊、足三里、胆俞、肝俞。常选用足少阳胆经、足太阳膀胱经、足阳明胃经穴位。度值、 介数中心性和接近中心性排名前3位的腧穴均为胆囊、阳陵泉和肝俞。聚类分析得到4个穴位组合。关联分析 得出阳陵泉-日月支持度最高。结论:针刺治疗ABC遵循疏肝利胆、通络止痛原则进行选穴,核心穴组为阳陵 泉、胆囊、足三里、胆俞、肝俞、日月。

    Abstract:

    Abstract: Objective: To study the acupoint selection rules of acupuncture in the treatment of acute biliary colic (ABC) based on data mining technology. Methods: Clinical research literature on the treatment of ABC with acupuncture in China National Knowledge Infrustructure( CNKI),Wanfang Data Knowledge Service Platform( Wanfang), China Science and Technology Journal Database (VIP),and Chinese Biomedical Literature Database (CBM) from the establishment of the database to December 31,2023 were retrieved. The prescriptions of acupuncture treatment for ABC were standardized, entered into Excel 2019 software to establish a database, and then acupoint frequency statistics,meridian attribution statistics of acupoints,statistics of specific acupoints,statistics of acupoint attribution parts,association rule analysis,clustering analysis,and complex network analysis were carried out. Results:A total of 42 research literature were included,involving 38 acupoints,with a total frequency of 262 times of use. The top five acupoints in terms of frequency of use were Yanglingquan (GB34), Dannang (EX-LE6), Zusanli (ST36), Danshu (BL19), and Ganshu (BL18). Acupoints of the Gallbladder Meridian of Foot-Shaoyang, the Bladder Meridian of Foot-Taiyang, and the Stomach Meridian of Foot-Yangming were often selected. The top three acupoints in terms of degree value, betweenness centrality, and closeness centrality were all Dannang (EX-LE6), Yanglingquan (GB34), and Ganshu (BL18). Four acupoint combinations were obtained through clustering analysis. The association analysis showed that the support degree of the combination of Yanglingquan (GB34) and Riyue (GB24) was the highest. Conclusion:The acupoint selection in the treatment of ABC with acupuncture follows the principles of soothing the liver and gallbladder,and dredging the meridians and relieving pain. The core acupoint group consists of Yanglingquan (GB34), Dannang (EX-LE6), Zusanli (ST36), Danshu (BL19), Ganshu (BL18), and Riyue( GB24).

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郑和睦,周文宽,王国书.基于数据挖掘技术研究针刺治疗急性胆绞痛选穴规律[J].新中医,2025,57(9):101-107

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  • 在线发布日期: 2025-05-12
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