Jiang Ze-Fei, Jia Hong-Bin, Yue Guang-Qing, Shen Peng-Fei
Clinical Department of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of TCM, Tianjin 300380, China; National Clinical Research Center for Acupuncture and Moxibustion of Chinese Medicine, Tianjin 300380.
Zhongguo Zhen Jiu. 2022 Apr 12;42(4):465-70. doi: 10.13703/j.0255-2930.20210616-k0003.
To analyze the acupoint selection rules of acupuncture for pseudobulbar palsy dysphagia using data mining technology.
The literature of acupuncture for pseudobulbar palsy dysphagia published from January 1, 1990 to May 1, 2021 was retrieved from CNKI, SinoMed, Wanfang, VIP, and PubMed databases. Acupuncture prescription database was established. The frequency of acupoint selection was analyzed by Microsoft Excel 2016; Apriori algorithm was used to analyze the association rules and draw the high-frequency acupoint co-occurrence network diagram; SPSS21.0 was used to perform clustering analysis.
A total of 87 literature was included, involving 89 acupuncture prescriptions and 71 acupoints. Fengchi (GB 20) was the most frequently-used acupoint; the commonly-selected meridians were gallbladder meridian, conception vessel, governor vessel and stomach meridian; the acupoints located at the neck were the most frequently-used acupoints; the crossing points were commonly selected among the special acupoints. The most commonly-used acupoint combination was Jinjin (EX-HN 12) plus Yuye (EX-HN 13).
The modern acupuncture for pseudobulbar palsy dysphagia usually selects local acupoints, especially the neck acupoints such as Fengchi (GB 20) and Lianquan (CV 23). The acupoints in the front and back are concurrently selected with needles towards the disease location.
运用数据挖掘技术分析针刺治疗假性延髓麻痹吞咽困难的选穴规律。
检索中国知网、中国生物医学文献数据库、万方数据库、维普数据库及PubMed数据库中1990年1月1日至2021年5月1日发表的针刺治疗假性延髓麻痹吞咽困难的文献，建立针刺处方数据库。运用Microsoft Excel 2016分析选穴频次；采用Apriori算法分析关联规则并绘制高频穴位共现网络图；运用SPSS21.0进行聚类分析。
共纳入87篇文献，涉及89个针刺处方、71个穴位。风池（GB 20）为最常用穴位；常用经络为胆经、任脉、督脉和胃经；颈部穴位为最常用穴位；特定穴位中交会穴常用。最常用的穴位组合为金津（EX-HN 12）加玉液（EX-HN 13）。
现代针刺治疗假性延髓麻痹吞咽困难多选取局部穴位，尤其是风池（GB 20）、廉泉（CV 23）等颈部穴位。前后穴位同时选取，针向病所。
