摘要
目的研究针灸治疗急性踝关节扭伤的选穴规律。方法检索建库至2021年5月于中国知网、万方学术期刊全文数据库、维普中文科技期刊数据库、中国生物医学文献数据库、PubMed中针灸治疗急性踝关节扭伤的临床资料文献,建立急性踝关节扭伤的取穴数据库,并对文献数据进行描述统计、聚类分析及关联规则分析。结果通过检索共纳入临床研究文献123篇,排除重复及不符合纳入标准文献73篇,最后纳入文献50篇。针灸治疗急性踝关节扭伤使用频次高的穴位依次是阿是穴、解溪、昆仑;以足太阳膀胱经的经络选用频次最高;关联规则中关联性最强的穴位组合是解溪-昆仑;聚类分析则将所选用穴位分为4类。结论针灸治疗急性踝关节扭伤以五输穴取穴为主,配合膀胱经及肾经经穴,为临床使用针灸治疗急性踝关节扭伤,或循经精准取穴提供参考依据。
Objective To study the acupoint selection rules of acupuncture and moxibustion in the treatment of acute ankle sprain.Methods The clinical data and literature of acupuncture and moxibustion in the treatment of acute ankle sprain in CNKI,Wanfang academic journal full-text database,VIP Chinese scientific and technological journal database,China biomedical literature database,PubMed from inception to May 2021 were searched.The acupoint selection database of acute ankle sprain was established,and descriptive statistics,cluster analysis and association rule analysis were performed on the literature data.Results A total of 123 clinical research literatures were included through retrieval,73 literatures were excluded from duplication and non-compliance with the inclusion criteria,and finally 50 literatures were included.The acupuncture points with high frequency of acupuncture and moxibustion in the treatment of acute ankle sprain were ashi point,jiěxī,kūnlún.The most frequent selection of channels was the bladder channel of foot taiyang.The acupoint combination with the strongest relevance in the association rules was jiěxī-kūnlún.The selected acupoints were divided into four categories by cluster analysis.Conclusion Acupuncture and moxibustion in treatment of acute ankle sprain is mainly based on five-shu point,combined with bladder channel and kidney channel points.It provides a reference basis for clinical use of acupuncture and moxibustion in the treatment of acute ankle sprain,or precise acupoint selection along the channel.
作者
梁欢
马玉峰
祁印泽
马占华
潘旭月
陈兆军
LIANG Huan;MA Yufeng;QI Yinze;MA Zhanhua;PAN Xuyue;CHEN Zhaojun(Beijing University of Chinese Medicine,Beijing 100010,China;Department of Hand and Foot Surgery,Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《中国医药导报》
CAS
2022年第23期13-17,共5页
China Medical Herald
基金
重大疑难疾病中医临床协作试点项目
北京中医药大学重点攻关项目(2020-JYB-ZDGG-142-3)。
关键词
针灸
取穴规律
数据挖掘
急性踝关节扭伤
Acupuncture and moxibustion
Acupoint selection rules
Data mining
Acute ankle sprain
