摘要
目的:运用数据挖掘技术分析针灸治疗阻塞性睡眠呼吸暂停低通气综合征的选穴规律。方法:计算机检索2000年1月至2021年12月中国知网期刊全文数据库(CNKI)、中国生物医学文献服务系统(SinoMed)、维普数据库(VIP)、万方数据知识服务平台(WanFang)、Embase、Cochrane、Web of Science、PubMed中针灸治疗阻塞性睡眠呼吸暂停低通气综合征的相关临床随机对照研究文献,建立处方数据库,用Microsoft Excel 2019进行腧穴频数、定位统计处理,SPSS Modeler 18.0进行腧穴关联规则分析,Cytoscape 3.7.2对高频腧穴网络可视化处理,SPSS Statistics 20.0进行腧穴组间聚类分析。结果:共纳入文献30篇,获得针灸处方44条,涉及腧穴53个,总使用频数349。针灸治疗阻塞性睡眠呼吸暂停低通气综合征的处方中,丰隆、足三里、廉泉为常用腧穴,足阳明胃经、任脉、足太阴脾经为常选经脉,选穴多位于四肢部位,特定穴多选用五输穴、原穴,腧穴配伍多用“合谷-印堂”或“廉泉-膻中”两穴组合相配。腧穴组间聚类分析可大致分为5类。结论:针灸治疗阻塞性睡眠呼吸暂停低通气综合征的核心处方优先为廉泉、膻中、旁廉泉、丰隆,可为临床诊疗提供一定参考。
Objective:To analyze the rules of acupoint selection for acupuncture in the treatment of obstructive sleep apnea hypopnea syndrome(OSAHS)by using data mining technology.Method:The computer retrieved the relevant clinical randomized controlled research literature from January 2000 to December 2021,of CNKI,SinoMed,VIP,WanFang,Embase,Cochrane,Web of Science,and PubMed for acupuncture treatment of OSAHS,and established a prescription database.Microsoft Excel 2019 was used for acupuncture frequency and localization statistics,SPSS Modeler 18.0 for acupuncture association rule analysis,Cytoscape 3.7.2 performs network visualization of high-frequency acupoints,and SPSS Statistics 20.0 for acupoint clustering analysis between acupuncture groups.Results:A total of 30 articles were included,44 acupuncture prescriptions were obtained,53 acupuncture points were involved,and the total frequency of use was 349 times.In the prescription of acupuncture treatment OSAHS,Fenglong(ST 40),Zusanli(ST 36)and Lianquan(RN 23)are commonly used acupuncture points.Zuyangming Stomach Meridian,Ren Pulse,Foottaiyin Spleen Meridian are commonly selected meridians.The selected acupuncture points are mostly located in the limbs,and the specific acupuncture points are mostly selected with five infusion points and original acupuncture points.The compatibility of acupuncture points is mostly matched with the combination of"Hegu(LI 4)-Yintang(EX-HN 3)"or"Lianquan(RN 23)-Danzhong(RN 17)".Cluster analysis between acestic groups can be roughly divided into five categories.Conclusion:The core prescriptions for acupuncture treatment OSAHS are preferentially given to Lianquan(RN 23),Danzhong(RN 17),Panglianquan and Fonglong(ST 40),which can provide a certain reference for clinical diagnosis and treatment.
作者
沈琳博
冯硕
曾慧
张雪婷
付渊博
SHEN Linbo;FENG Shuo;ZENG Hui;ZHANG Xueting;FU Yuanbo(Beijing University of Chinese Medicine,Beijing 100081,China;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Beijing Institute of Traditional Chinese Medicine,Beijing 100700,China)
出处
《中医药导报》
2022年第11期153-158,共6页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
北京市医院管理中心重点医学专业发展计划(ZYLX202140)。
关键词
阻塞性睡眠呼吸暂停低通气综合征
针灸
选穴规律
数据挖掘
obstructive sleep apnea hypopnea syndrome(OSAHS)
acupuncture
acupoint selection rule
data mining
