摘要
目的:采用数据挖掘技术分析针灸治疗脑卒中后尿失禁(PSUI)的临床选穴规律。方法:通过检索中英文数据库,收集有关针灸治疗PSUI的临床文献,建立针灸处方数据库,应用古今医案云平台(V2.3.5)进行统计分析、关联分析和社团分析,探讨针灸治疗PSUI的腧穴应用特点及其规律。结果:纳入文献108篇,涉及针灸处方98首,运用穴位统计功能得出腧穴79个。PSUI与关元、中极、气海、三阴交等穴位的相关程度较强。使用频次≥19次的腧穴有13个,使用频次排在前5位的分别是关元、中极、次髎、肾俞、三阴交。关元、中极、气海、三阴交为针灸治疗PSUI的核心腧穴处方。相互关系最强的穴对是关元-中极。干预措施常用针刺、电针和温针灸。经络以任脉、膀胱经、脾经为主;腧穴部位以背腰臀部、胸腹部和下肢部为主;特定穴以交会穴、募穴为主。结论:针灸治疗PSUI的腧穴和干预措施具有显著的规律性,其遵循近部取穴为主,辨证选穴为辅,佐以远部选穴和对症选穴的选穴原则;阴病治阴;腧穴以特定穴为主,注重俞募配穴;腧穴部位具有显著的神经节段性效应规律;干预措施以针刺为主,电针和温针灸为辅。以上规律可进一步指导临床实践。
Objective: To analyze the clinical point selection rules of acupuncture and moxibustion in treating post-stroke urinary incontinence(PSUI) based on data mining. Methods:By searching the Chinese and English databases,clinical literature on acupuncture and moxibustion in the treatment of PSUI were collected to establish database of acupuncture and moxibustion prescriptions. Ancient and Modern Medical Record Cloud Platform(V2.3.5) was used for statistical analysis, association analysis and community analysis. This paper discussed the characteristics and rules of point application in the treatment of PSUI by acupuncture and moxibustion. Results:A total of 108 literature were enrolled,involving 98 acupuncture and moxibustion prescriptions, 79 points were obtained by the function of point statistics. PSUI had a strong correlation with Guanyuan point(RN 4),Zhongji point(RN 3),Qihai point(RN 6),Sanyinjiao point(SP6) and other points. There were 13 points used more than or equal to 19 times, and the top five were Guanyuan point,Zhongji point,Ciliao point(BL 32),Shenshu point(BL 23),and Sanyinjiao point. Guanyuan point,Zhongji point,Qihai point and Sanyinjiao point were the core point prescriptions in the treatment of PSUI by acupuncture and moxibustion. The point pair with the strongest correlation was Guanyuan point and Zhongji point. The common intervention measures were acupuncture, electroacupuncture and warming-needle moxibustion. The main meridians were conception vessel,bladder meridian and spleen meridian;the points were mainly at the back,waist and buttocks,chest and abdomen and lower limbs;the specific points were mainly crossing point and alarm point. Conclusion: The treatment of PSUI by acupuncture and moxibustion has significant regularity in points and intervention measures. It follows the principle of selecting points mainly from the near,supplemented by selecting points based on syndrome differentiation,as well as selecting points from the far and symptomatic point selection. Yin diseases are treated through the yin;specific points are the main;special attention should be paid to the combination of back-shu points and front-mu points. The points have significant regularity in ganglionic effects;the intervention measures are mainly acupuncture, followed by electroacupuncture and warming-needle moxibustion. The above rules can further guide clinical practice.
作者
路运萍
颜晓
周悦
张潇斌
夏庆昌
马玉侠
LU Yunping;YAN Xiao;ZHOU Yue;ZHANG Xiaobin;XIA Qingchang;MA Yuxia
出处
《新中医》
CAS
2022年第18期121-127,共7页
New Chinese Medicine
基金
山东省中医药高层次人员培训项目专项(鲁卫中医药科教字[2021]6号)
齐鲁卫生与健康领军人才项目(鲁卫人才字[2020]3号)。
关键词
脑卒中
尿失禁
古今医案云平台
针灸
数据挖掘
选穴规律
Stroke
Urinary incontinence
Ancient and Modern Medical Record Cloud Platform
Acupuncture and moxibustion
Data mining
Point selection rules
