摘要
目的:探讨穴位注射治疗痉挛型小儿脑瘫的选穴及配伍规律,为临床治疗和进一步研究提供参考。方法:通过检索中国知网、万方、维普、生物医学数据库以及Pubmed 5个数据库关于穴位注射治疗痉挛型脑瘫的临床文献,按照纳入、排除标准对文献进行筛选,将纳入文献中与治疗选穴相关的资料录入Excel进行整理、归纳、统计,并使用SPSS Modeler 18.0软件中的Apriori关联规则方法对所选穴位进行关联分析。结果:筛选后符合纳入标准的文献共44篇,选穴总频次383,选穴频次前5位依次为足三里(32)、曲池(21)、阳陵泉(21)、解溪(18)、承山(17),阳经穴位最多,占总体选穴频次的75.97%,选穴部位以四肢部(74.94%)及头颈部(19.06%)穴位为主,大多穴位为特定穴(59.27%);配伍关联中,上肢瘫的常用穴位组合有9个(两穴组合7个,三穴组合2个),关联度最强的配伍组合为曲池与合谷、曲池与肩髃、运动区与平衡区;下肢瘫常用穴位组合有12个(两穴组合7个,3穴组合5个),关联度最强的配伍组合为足三里与阳陵泉、足三里与承山、足三里与阳陵泉、解溪。结论:穴位注射治疗痉挛型脑瘫临床应用广泛,优势明显,多选阳经穴、特定穴、拮抗肌群附近及肌肉丰隆处穴位,上肢瘫时多选曲池配伍肩髃、合谷,运动区配平衡区,下肢瘫多选足三里配伍阳陵泉、解溪、承山。
Objective:To explore the acupoint selection and compatibility of acupoint injection in the treatment of spastic cerebral palsy in children,so as to provide reference for clinical treatment and further study.Methods:By searching the clinical literature of acupoint injection in spastic cerebral palsy treated by acupoint injection in five databases of CNKI,Wanfang,Weipu,Biomedical Database and Pubmed,the literature was screened according to the inclusion and exclusion criteria,and the data related to point selection were input into Excel database for collation,induction and statistics,and the Apriori association rules method in SPSS Modeler 18.0 software was used to analyze the association of selected acupoints.Results:A total of 44 literatures met the inclusion criteria after screening.The total frequency of acupoint selection was 383.The first five frequencies of acupoint selection were as follows:Zusanli(ST36,32),Quchi(LI11,21),Yanglingquan(GB34,21),Jiexi(ST41,18),Chengshan(BL57,17).Yang meridian acupoints accounted for 75.97%of the total acupoint selection frequency,the main acupoints were limb(74.94%)and head-neck(19.06%),and most of the acupoints were special acupoints(59.27%).Among the compatibility,there were 9 acupoint combinations(7 combination of 2 acupoints and 3 combination of 3 acupoints),the strongest combination was Quchi(LI11)and Hegu(LI4),Quchi(LI11)and Jianyu(LI15),motor area and balance area,and 12 acupoint combinations(7 combination of 2 acupoints and 5 combination of 3 acupoints)were commonly used in upper limb paralysis.Zusanli(ST36)and Yanglingquan(GB34),Zusanli(ST36)and Chengshan(BL57),Zusanli(st36)and Yanglingquan(GB34),Jiexi(ST41).Conclusion:Acupoint injection is widely used in the treatment of spastic cerebral palsy,with obvious advantages.Yang meridian points,special points,points near antagonistic muscle groups and points with abundant muscles.When the upper limbs are paralyzed,Quchi should be used in combination with shoulder,Hegu and balance area.Zusanli,Yanglingquan,JieXi and Chengshan are more suitable for lower extremity paralysis.
作者
唐玲
张培铭
聂芬芬
曾婷
唐雅妮
李金香
TANG Ling;ZHANG Pei-ming;NIE Fen-fen;ZENG Ting;TANG Ya-ni;LI Jin-xiang(Hunan University of Chinese Medicine,Changsha Hunan 410208,China;The First Hospital of Hunan University of Chinese Medicine,Changsha Hunan 410007,China)
出处
《中医药导报》
2020年第5期77-82,共6页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
重大疑难疾病(小儿脑瘫)中西医临床协作试点项目
湖南省教育厅湖南省研究生科研创新项目(CX20190578)。
关键词
穴位注射
痉挛型脑瘫
选穴配伍
数据挖掘
规律探讨
acupoint injection
spastic cerebral palsy
acupoint selection rule
data mining
regular discussion
