基于数据挖掘技术分析针灸治疗注意力缺陷多动障碍选穴规律
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R749.94

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广东省自然科学基金项目(2023A1515011123)


Analysis of Acupoint Selection Rules in Acupuncture and Moxibustion for Attention Deficit Hyperactivity Disorder Based on Data Mining Techniques
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    摘要:

    目的:通过数据挖掘技术分析针灸治疗注意力缺陷多动障碍(ADHD) 的选穴规律,为临床治疗 ADHD提供选穴思路及科学依据。方法:检索中国知网、维普、万方、中国生物医学文献服务系统(SinoMed) 及PubMed等数据库从建库至2025年2月收录的针灸治疗ADHD的研究文献。通过Excel 2021建立数据库,并 对针灸治疗ADHD的高频腧穴、归经、所属部位进行分析;通过SPSS modeler 18.0及IBM SPSS Statistics 25.0 软件 对腧穴关联规则、腧穴聚类等进行分析。结果:共纳入有效文献67篇,其中涉及腧穴共101个,总应用频 次588次,高频应用腧穴28个。排名前10的腧穴分别为太冲、百会、四神聪、神庭、神门、内关、足三里、 三阴交、大椎、太溪;高频经脉前5依次为督脉、足太阳膀胱经、足阳明胃经、手厥阴心包经、足厥阴肝经; 分析得出3组强关联穴位和5个聚类。结论:针灸治疗ADHD以“抑木扶土,通督调神”为核心,故选穴多集 中于足厥阴肝经、足阳明胃经、督脉、足太阳膀胱经及手厥阴心包经,常用穴位如太冲、三阴交、百会、四神 聪等。头部腧穴在治疗中占比最高,是治神的关键,头针操作方便、痛感轻、易被儿童接受,有利于调气。

    Abstract:

    Abstract: Objective: To analyze acupoint selection rules in acupuncture and moxibustion for attention deficit hyperactivity disorder(ADHD)using data mining techniques, thus providing evidence-based references for clinical acupoint selection. Methods: Literature on acupuncture and moxibustion for ADHD was retrieved from databases including China National Knowledge Infrastructure(CNKI),China Science and Technology Journal Database(VIP), Wanfang Data Knowledge Service Platform,China Biomedical Literature Database(SinoMed),and PubMed from their inception to February 2025. A database was established using Excel 2021 to analyze high-frequency acupoints, meridian tropism, and regional classifications. SPSS Modeler 18.0 and IBM SPSS Statistics 25.0 were employed for association rule analysis and cluster analysis of acupoints. Results: A total of 67 articles meeting the criteria were included, involving 101 acupoints with a total application frequency of 588, of which 28 high-frequency acupoints were identified. The top 10 acupoints were: Taichong(LR3), Baihui(GV20), Sishencong(EX-HN1), Shenting (GV24), Shenmen(HT7), Neiguan(PC6), Zusanli(ST36), Sanyinjiao(SP6), Dazhui(GV14), and Taixi (KI3). The five most frequently used meridians were:governor vessel(GV),foot-Taiyang bladder meridian,foot- Yangming stomach meridian, hand-Jueyin pericardium meridian, and foot-Jueyin liver meridian. Analysis revealed three strong association rules and five acupoint clusters. Conclusion:Acupuncture and moxibustion for ADHD focuses on the theraputic principle of "suppressing the liver and reinforcing the spleen while regulating spirit and dredging meridians." Thus,acupoints are predominantly selected along the foot-Jueyin liver meridian,foot-Yangming stomach meridian,governor vessel(GV),foot-Taiyang bladder meridian,and hand-Jueyin pericardium meridian,with core acupoints including Taichong(LR3),Sanyinjiao(SP6),Baihui(GV20),and Sishencong(EX-HN1),et al. Scalp acupoints constituted the highest proportion of interventions,serving as pivotal sites for spirit-regulation. Their clinical advantages include user-friendly operation,minimal pain,and high acceptability in pediatric populations,facilitating regulation of qi movement.

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邓梓岚,高莹莹,陈贵珍,许晓康,许云祥.基于数据挖掘技术分析针灸治疗注意力缺陷多动障碍选穴规律[J].新中医,2025,57(17):120-126

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  • 在线发布日期: 2025-09-05
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