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基于数据挖掘的耳针临床应用规律

[Rule of Clinical Application of Auricular Acupuncture Based on Data Mining].

作者信息

Bao Na, Wang Qiong, Sun Yan-Hui, Shi Jing, Li Xiao-Feng, Xu Jing, Xing Hai-Jiao, Zhang Xuan-Ping, Zhang Xin, Du Yu-Zhu, Li Jun-Lei, Yang Qing-Qing, Feng Xin-Xin, Jia Chun-Sheng, Wang Jian-Ling

机构信息

Acupuncture Clinical Teaching and Reasearch Section, Hebei Medical University, Shijiazhuang 050091, China.

College of Acu-moxibustion and Tuina, Hebei University of Chinese Medicine, Shijiazhuang 050200.

出版信息

Zhen Ci Yan Jiu. 2017 Feb 25;42(1):90-4.

PMID:29072006
Abstract

OBJECTIVE

To explore the rule of clinical application of auricular acupuncture therapy by data mining in order to guide clinical practice.

METHODS

The data base about single auricular acupuncture therapy for different clinical diseases was established by collection, sorting, screening, recording, collation, data extraction, statistic analysis on data samples from journals, academic theses dissertations published in near 60 years. The application rules of auricular therapy including its predominant diseases, stimulus modality, therapeutic effect, and angle of needling were summarized by data mining technique.

RESULTS

Auricular acupuncture therapy has been widely and mostly used in the internal medicine department, accounting for 48.56%. Of stimulus modalities, auricular point paste and pressure is applied with the highest frequency, accounting for 64%. The highest effective rate is found in the surgery department diseases(81.41%). Pressure is the most effective stimulus in the internal medi-cine department, and bloodletting combined with paste and pressure in the surgery department, auricular point injection in the gynecology and pediatrics departments, bloodletting in the ophthalmology and otorhinolaryngology department, and auricular point incision in the dermatology department. Auricular point injection has remarkable effect. Bloodletting combined with paste and pressure has nearly the same effect as bloodletting in the same medical department except dematology department. Otherwise, angle of needling is rarely studied.

CONCLUSIONS

Auricular therapy is widely used and has remarkable effect in treating diseases by using different stimulus modalities. Whereas the angle of needling is rarely studied and future investigation is needed.

摘要

目的

通过数据挖掘探索耳针疗法的临床应用规律,以指导临床实践。

方法

通过收集、整理、筛选、记录、核对、数据提取、统计分析近60年发表的期刊、学术论文中关于单耳针疗法治疗不同临床疾病的数据样本,建立相关数据库。采用数据挖掘技术总结耳针疗法的应用规律,包括优势病种、刺激方式、治疗效果及针刺角度等。

结果

耳针疗法在内科应用最为广泛,占48.56%。在刺激方式中,耳穴贴压应用频率最高,占64%。外科疾病的有效率最高(81.41%)。在内科,按压是最有效的刺激方式;在外科,放血结合贴压和按压效果最佳;在妇产科和儿科,耳穴注射效果显著;在眼科和耳鼻喉科,放血效果较好;在皮肤科,耳穴切开效果较好。耳穴注射效果显著。除皮肤科外,放血结合贴压和按压在同一科室的效果与单纯放血相近。此外,针刺角度研究较少。

结论

耳针疗法应用广泛,采用不同刺激方式治疗疾病效果显著。然而针刺角度研究较少,有待进一步研究。

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