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基于数据挖掘的膏药疗法治疗稳定期慢性阻塞性肺疾病选穴规律分析

[Analysis of acupoint selection of plaster therapy in treatment of stable chronic obstructive pulmonary disease based on data mining].

作者信息

Qing Cao, Qing Miao, Xing Liao, Chang-Zheng Fan, Mao-Rong Fan, Yi-Ling Fan, Qiu-Xiao M A, Ning Wang, Ya-Ni Hao

机构信息

Beijing University of Chinese Medicine Beijing 100029, China Center for Evidence-based Chinese Medicine, Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences Beijing 100700, China.

Xiyuan Hospital, China Academy of Chinese Medical Sciences Beijing 100091, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2020 Nov;45(22):5356-5361. doi: 10.19540/j.cnki.cjcmm.20200803.501.

Abstract

This article analyze acupoint selection and characteristics of plaster therapy for stable chronic obstructive pulmonary di-sease(COPD) by data mining. The CNKI, VIP, CBM, WanFang, PubMed, EMbase, Cochrane Library were retrieved for collecting clinical studies of plaster therapy for stable COPD. After literature screening, a total of 46 systematic reviews were included. Frequency statistics, cluster analysis, and Apriori correlation analysis were used to analyze the pattern and characteristics of plaster therapy for stable COPD. The result showed that the main acupoints for stable COPD were BL13, Dingchuan, CV22, BL23 and BL20. The acupoints used are mainly concentrated on the chest and back. The most frequently used meridian is the bladder meridian. Analysis of the acupoints yielded 27 correlation rules. And cluster analysis grouped the high frequency acupoints into 5 categories. The results of the study showed that the current choice of acupoints is rather concentrated. "Local acupuncture points" and "matching points with front and back" were the main acupoint selection rules. The choice of acupuncture points reflected the traditional Chinese medicine treatment principle of strengthening healthy Qi to eliminate pathogenic factor, treating both manifestation and root cause of disease, and preventing measure taken after the occurrence of disease.

摘要

本文通过数据挖掘分析稳定期慢性阻塞性肺疾病(COPD)贴敷疗法的选穴规律及特点。检索中国知网、维普、中国生物医学文献数据库、万方、PubMed、EMbase、Cochrane图书馆,收集稳定期COPD贴敷疗法的临床研究。经文献筛选,共纳入46篇系统评价。采用频数统计、聚类分析和Apriori关联分析,分析稳定期COPD贴敷疗法的规律及特点。结果显示,稳定期COPD的主要穴位为肺俞、定喘、膻中、肾俞和脾俞。所用穴位主要集中在胸背部。最常用的经络是膀胱经。穴位分析得出27条关联规则。聚类分析将高频穴位分为5类。研究结果表明,目前穴位选择较为集中。“局部穴位”和“前后配穴”是主要的选穴规则。穴位的选择体现了中医扶正祛邪、标本兼治、病后防变的治疗原则。

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