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基于潜在结构模型和频繁项集数据挖掘方法的慢性萎缩性胃炎穴位选择规律

[Acupoint selection pattern of chronic atrophic gastritis based on data mining methods of latent structure model and frequency item set].

作者信息

Liu Yu, Gong Houwu, Liu Jiaqing, Zhang Hong

机构信息

College of Acupuncture-Moxibustion and Tuina, Hunan University of CM, Changsha 410208, China.

DHC Software Co. Ltd.

出版信息

Zhongguo Zhen Jiu. 2018 Jun 12;38(6):667-71. doi: 10.13703/j.0255-2930.2018.06.028.

Abstract

OBJECTIVE

To explore the acupoint selection pattern of chronic atrophic gastritis and provide reference for clinical treatment of chronic atrophic gastritis.

METHODS

The literature regarding acupuncture for chronic atrophic gastritis published before September 5th of 2016 was searched in the databases of CNKI, CBM, PubMed, etc. The information of symptoms and acupoint selection was extracted to establish medical database of chronic atrophic gastritis. The data mining methods of latent structure model and frequency item set were applied to analyze the acupoint selection pattern of chronic atrophic gastritis.

RESULTS

A total of 42 papers were collected in preliminary screening, and 32 papers were included, involving 604 medical cases. The data mining indicated 215 symptoms were involved in medical cases, including 16 high-frequency symptoms (stomach pain, stomach distension and hiccup, etc.), and the latent structure model of chronic atrophic gastritis symptoms was established. Fifty-two acupoints were identified, and high-frequency acupoints included Zusanli (ST 36), Zhongwan (CV 12), Neiguan (PC 6) and Weishu (BL 21), etc. Five frequency item sets of symptom-acupoint were identified, including stomach pain+stomach distension+Zusanli (ST 36)+Zhongwan (CV 12), etc. Six frequency item sets of symptom-syndrome-acupoint were identified, including stomach distension+dry mouth+dry defecation+insufficiency of stomach +Sanyinjiao (SP 6).

CONCLUSION

Acupuncture for chronic atrophic gastritis selected Zusanli (ST 36), Zhongwan (CV 12) and Neiguan (PC 6) as main acupoints, and selected other acupoints based on clinical symptoms. This could provide reference for clinical treatment of chronic atrophic gastritis.

摘要

目的

探讨慢性萎缩性胃炎的选穴规律,为慢性萎缩性胃炎的临床治疗提供参考。

方法

检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、PubMed等数据库中2016年9月5日前发表的关于针灸治疗慢性萎缩性胃炎的文献,提取症状及选穴信息,建立慢性萎缩性胃炎医案数据库。应用潜在结构模型和频繁项集数据挖掘方法分析慢性萎缩性胃炎的选穴规律。

结果

初筛共收集42篇文献,纳入32篇,涉及医案604例。数据挖掘显示医案涉及215种症状,其中高频症状16种(胃痛、胃胀、呃逆等),建立了慢性萎缩性胃炎症状潜在结构模型。确定穴位52个,高频穴位包括足三里(ST36)、中脘(CV12)、内关(PC6)、胃俞(BL21)等。确定症状-穴位5个频繁项集,包括胃痛+胃胀+足三里(ST36)+中脘(CV12)等。确定症状-证型-穴位6个频繁项集,包括胃胀+口干+大便干结+胃气虚+三阴交(SP6)。

结论

针灸治疗慢性萎缩性胃炎以足三里(ST36)、中脘(CV12)、内关(PC6)为主穴,并根据临床症状选取其他穴位,可为慢性萎缩性胃炎的临床治疗提供参考。

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