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1. 上海中医药大学附属岳阳中西医结合医院检验科
2. 上海市针灸经络研究所
纸质出版日期:2018
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李金金, 谢晨, 赵娜, 等. 穴位埋线治疗失眠的选穴规律探析[J]. 针刺研究, 2018,43(10):670-673.
LI Jin-jin, XIE Chen, ZHAO Na, et al. Regularity of Acupoint Selection in Treatment of Insomnia by Catgut Embedding Therapy[J]. Acupuncture research, 2018, 43(10): 670-673.
李金金, 谢晨, 赵娜, 等. 穴位埋线治疗失眠的选穴规律探析[J]. 针刺研究, 2018,43(10):670-673. DOI: 10.13702/j.1000-0607.170578.
LI Jin-jin, XIE Chen, ZHAO Na, et al. Regularity of Acupoint Selection in Treatment of Insomnia by Catgut Embedding Therapy[J]. Acupuncture research, 2018, 43(10): 670-673. DOI: 10.13702/j.1000-0607.170578.
目的:探析穴位埋线治疗失眠的选穴规律
为临床应用穴位埋线治疗失眠提供依据。方法:以中文期刊全文数据库、维普、万方为资源库
筛选1996年1月至2017年12月有关穴位埋线治疗失眠的文献
最终纳入文献66篇。应用Excel 2016软件进行数据整理与分析
应用SPSS 21.0软件对数据进行描述性分析和聚类分析
应用Clementine 12.0软件对主穴的应用进行关联规则分析。结果:穴位埋线治疗失眠选用频次最高的腧穴为心俞、肾俞、三阴交、脾俞、肝俞。应用频次最高的经脉为膀胱经、胃经。埋线最集中部位为背部和下肢。聚类分析得到的有效聚类为脾俞—三阴交、神门—安眠、丰隆—神庭及气海—厥阴俞。关联规则分析得到:(1)背俞穴之间关联性较强的腧穴为:肝俞—肾俞;肝俞、心俞—肾俞;肝俞、脾俞—肾俞;肝俞、脾俞、心俞—肾俞。(2)常用穴中关联性较强的腧穴为:内关、足三里—三阴交;内关、神门—三阴交。(3)背俞穴与常用穴之间关联性较强的穴位组合为:肝俞、三阴交—肾俞;内关、肾俞—三阴交;足三里、内关、心俞—三阴交;肝俞、心俞、三阴交—肾俞。结论:穴位埋线治疗失眠疗效显著
穴位选取具有一定的规律性。
Objective To analyze the regularity of acupoint selection in the treatment of insomnia by using catgut embedding so as to provide reference and evidence for clinical application.Methods Sixty-six studies about acupoint catgut embedding treatment of insomnia published from 1996 to 2017 were finally selected from the databases of China National Knowledge Infrastructure(CNKI)
Chinese Journal of Science and Technology of VIP(VIP)
and WanFang Database.The Excel 2016 software was used for data processing and analysis
SPSS 21.0 was employed for descriptive and cluster analyses
and the Clementine 12.0 software was employed to analyze the association regularities of the most frequently used acupoints or acupoint recipes.Results The most frequently selected main acupoints for insomnia by using catgut embedment are Xinshu(BL 15)
Shenshu(BL 23)
Sanyinjiao(SP 6)
Pishu(BL 20)
Ganshu(BL 18)
combined with adjuvant acupoints Danshu(BL 19)and Fenglong(ST 40).The most frequently selected channels are the Bladder and Stomach Meridians
and the most frequently involved body positions are the back and lower limbs.Effective clusterings are BL 20—SP 6
Shenmen(HT 7)-Anmian
ST 40-Shenting(GV 24)
Qihai(CV 6)-Jueyinshu(BL 14).Descriptive analysis indicated:(1)The stronger correlation acupoint groups between back-shu points are BL 18—BL 23;BL 18
BL 15—BL 23;BL 18
BL 20
BL 15—BL 23.(2)The stronger correlation acupoint groups between common acupoints are Neiguan(PC 6)
Zusanli(ST 36)—SP 6;PC 6
HT 7 — SP 6.(3)The stronger correlation acupoint groups between common acupoints and back-shu points are BL 18
SP 6—BL 23;PC 6
BL 23 — SP 6;ST 36
PC 6
BL 15 — SP 6;BL 18
BL 15
SP 6 — BL 23.Conclusion Acupoint catgut embedding therapy is effective in the treatment of insomnia
being worthy of further popularization in clinical practice.
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