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1. 山东中医药大学针灸推拿学院
2. 北京中医药大学东直门医院中医内科学教育部和北京市重点实验室
3. 山东省中医药研究院脉学研究所
4. 山东中医药大学第二附属医院针灸科
纸质出版日期:2023
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陆晋贤, 宋全枚, 张学成, 等. 针灸治疗变应性鼻炎选穴规律探析与疗效评价[J]. 针刺研究, 2023,48(1):44-52.
LU Jin-xian, SONG Quan-mei, ZHANG Xue-cheng, et al. Analysis of acupoints selection rules and efficacy evaluation of acupuncture and moxibustion for allergic rhinitis[J]. Acupuncture research, 2023, 48(1): 44-52.
陆晋贤, 宋全枚, 张学成, 等. 针灸治疗变应性鼻炎选穴规律探析与疗效评价[J]. 针刺研究, 2023,48(1):44-52. DOI: 10.13702/j.1000-0607.20221110.
LU Jin-xian, SONG Quan-mei, ZHANG Xue-cheng, et al. Analysis of acupoints selection rules and efficacy evaluation of acupuncture and moxibustion for allergic rhinitis[J]. Acupuncture research, 2023, 48(1): 44-52. DOI: 10.13702/j.1000-0607.20221110.
目的:运用数据挖掘技术探析针灸治疗变应性鼻炎(AR)的选穴规律并对比不同取穴方式的疗效。方法:检索近20年针灸治疗AR的相关文献,根据纳入、排除标准筛选文献并建立AR数据库。分别统计高频腧穴与特定穴信息,对比不同取穴方式的疗效,应用SPSS26.0软件进行因子分析、聚类分析及QUEST决策树模型识别。结果:共纳入289篇文献,收录384条针灸处方。涉及腧穴99个,总频次为2 430次,迎香、印堂与合谷为频次排前3位的腧穴。经脉以足太阳膀胱经、手阳明大肠经和督脉为主,交会穴是应用频次最高的特定穴。单穴、局部选穴及循经配伍治疗AR总有效率均较高,迎香是最主要的单穴处方。因子分析提取出9个腧穴配伍单元公因子,聚类分析得到2类腧穴配伍关联聚类处方,以迎香为因变量的决策树模拟出3条精简选穴决策路径。结论:针灸治疗AR以局部选穴与循经配伍为主,注重祛邪和扶正相结合的选穴原则,并提倡配穴方式的多样化,因子分析、聚类分析与QUEST决策树的联合应用为AR的临床选穴提供了3种方向,助力转化医学的枢纽作用。
Objective To explore the rules of acupoints selection of acupuncture and moxibustion in the treatment of allergic rhinitis(AR) by using data mining technology
as well as to compare the efficacy of different acupoints selection methods. Methods Papers about acupuncture and moxibustion for treating AR published from January 2002 to August 2022 was retrieved from Chinese and English databases including CNKI
Wanfang
VIP
SinoMed and PubMed by using keywords of “acupuncture”
“moxibustion” and “allergic rhinitis”. According to the inclusion and exclusion criteria
the collected literature was screened to establish the AR database. Frequency statistic analysis was conducted for detecting high-frequency acupoints and specific acupoints frequency
and the curative effects of different acupoints selection methods were compared. SPSS26.0 software was used for factor analysis
cluster analysis and QUEST decision tree model identification. Results A total of 289 papers were included
with 384 acupuncture prescriptions extracted. A total of 99 acupoints were involved with the application frequency of 2 430 times. Among them
the application frequency of Yingxiang(LI20) is the highest(296 times
12.18%)
followed by Yintang(GV24
+
) and Hegu(LI4)
etc. The main invloved meridians are the Bladder Meridian of Foot-Taiyang
the Large Intestine Meridian of Hand-Yangming and the Governor Vessel. The involved specific acupoints with the highest frequency of application is the crossing acupoints. Nine common factors of acupoints combinations units were extracted by factor analysis
and two cluster prescriptions of acupoints combinations correlation were obtained by cluster analysis. Three decision paths of simplified acupoints selection were simulated by the decision tree
with LI20 as the dependent variable. Conclusion In the treatment of AR with acupuncture and moxibustion
the regularities and characteristics of acupoints selection are as follows: 1) often selecting local acupoints and acupoint combinations along meridians
2) focusing on combination of dispelling pathogenic factors with strengthening vital energy
3) advocating diversification of acupoint matching methods. The combination of factor analysis
cluster analysis and QUEST decision tree application provides three directions for clinical acupoints selection of AR.
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