Qin Liang, Jia Chun-Sheng, Wang Jian-Ling, Li Xiao-Feng, Xu Xiao-Kang, Sun Yan-Hui, Zhang Xin, Zhang Xuan-Ping, Zhang Mei-Ling, Kang Su-Gang, Duan Xiao-Dong
Department of Rehabilitation and Physiotherapy, the Affiliated Hospital of Hebei University, Baoding 071000, China.
Zhen Ci Yan Jiu. 2011 Dec;36(6):442-8.
To analyze the regularities and characters of clinical application of red-hot needle therapy in ancient and modern literature of Chinese medicine by using data mining techniques, so as to provide a reference for study on the specificity of efficacy of red-hot needle therapy.
Sample data was collected from some medical books, medical cases, reports of modern journals for calculating frequent item sets by using methods of association rules of data mining. Then, the collected data was extracted, sorted out, and summed up by using our newly developed literature database platform of red-hot needle therapy in order to find out the most suitable indications of this therapy in clinical practice.
A total of 6 categories of clinical conditions treated by red-hot needle therapy were found. Among them, the frequency times (percentages) of red-hot needle application for surgical problems appeared in journals, medical cases and medical books are 287 times (49.83%), 235 times (48.96%), 154 times (41.73%), respectively. The frequency times of red-hot needle application for disorders of internal medicine and dermatology are 276 times and 360 times. Among the 115 categories of clinical conditions or diseases treated by red-hot needle appeared in journals, arthromyodynia and struma are frequently found, with the frequency being 115 and 46 times, separately. The total effective rates of the present therapy from higher to lower are 99.46% for pediatric problems, 98.65% five sensory organs department, 97.32% surgery, 96.66% dermatology, 96.34% gynecology, and 93.95% internal medicine, respectively. Among the 97 types of clinical conditions recorded in the literature on medical cases, aural verruca is more frequently seen apart from arthromyodynia and struma. In medical books, 94 types of clinical conditions treated by red-hot needle therapy are found, including 32 types of problems of internal medicine.
Data mining results show that red-hot needle therapy has been widely used in different clinical departments, and more frequently used in surgery (mainly orthopedic and general surgery), internal medicine (mainly neurology and gastroenterology), dermatology.
运用数据挖掘技术分析中医古今文献中温针疗法的临床应用规律及特点,为研究温针疗法的疗效特异性提供参考。
从部分医学书籍、医案、现代期刊报道中收集样本数据,运用数据挖掘关联规则方法计算频繁项集。然后,利用自主研发的温针疗法文献数据库平台对收集的数据进行提取、整理和汇总,以找出该疗法在临床实践中最适宜的适应证。
共发现温针疗法治疗的6类临床病症。其中,温针在期刊、医案和医学书籍中用于外科病症的频次(百分比)分别为287次(49.83%)、235次(48.96%)、154次(41.73%)。温针用于内科和皮肤科病症的频次分别为276次和360次。期刊中温针治疗的115类临床病症或疾病中,关节肌肉疼痛和甲状腺肿较为常见,频次分别为115次和46次。该疗法的总有效率由高到低依次为儿科病症99.46%、五官科98.65%、外科97.32%、皮肤科96.66%、妇科96.34%、内科93.95%。医案文献记录的97类临床病症中,除关节肌肉疼痛和甲状腺肿外,耳部疣较为常见。医学书籍中发现温针疗法治疗的94类临床病症,其中内科问题有32类。
数据挖掘结果显示,温针疗法已广泛应用于不同临床科室,在外科(主要是骨科和普通外科)、内科(主要是神经内科和胃肠科)、皮肤科应用更为频繁。