Mi Shu-Qi, Zeng Wei-Mei, Wang Shan-Ze, Cheng Lu, Zhang Xu-Dong, Zhao Ji-Ping
Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing 100700, China.
Zhongguo Zhen Jiu. 2022 Jun 12;42(6):712-6. doi: 10.13703/j.0255-2930.20210404-k0002.
Using data mining technology, the rules of acupoint selection of acupuncture and moxibustion were explored in treatment of stroke-related pneumonia. The clinical articles of acupuncture and moxibustion in treatment of stroke-related pneumonia were retrieved from CNKI, SinoMed, Wanfang and VIP databases from their inception through to January l 2021, and then, the acupuncture-moxibustion prescription database was set up for stroke-related pneumonia. SPSS Modeler 18.0 Apriori algorithm was adopted to analyze the association rules of acupoints and draw complex network diagrams. SPSS26.0 was used in clustering analysis of acupoints. Finally, a total of 44 articles were included, with 51 acupoint prescriptions and 82 acupoints extracted. The total frequency of acupoints was 340 times. The high-frequency acupoints in treatment with acupuncture and moxibustion for stroke-related pneumonia were Feishu (BL 13), Fenglong (ST 40), Hegu (LI 4), etc. These acupoints were mainly distributed on the limbs and back and mostly from meridians. Of these extracted acupoints, the five- points, convergent points and back- points were selected specially. Regarding acupoint combination, the association of Quchi (LI 11) had the highest support with Hegu (LI 4) and Zusanli (ST 36). The core prescription of acupuncture-moxibustion treatment for stroke-related pneumonia could be composed of Quchi (LI 11), Hegu (LI 4), Zusanli (ST 36), Fenglong (ST 40) and Taichong (LR 3).
运用数据挖掘技术,探讨针灸治疗卒中相关性肺炎的选穴规律。通过检索中国知网、中国生物医学文献数据库、万方数据库和维普数据库,获取从建库至2021年1月期间针灸治疗卒中相关性肺炎的临床文献,进而建立卒中相关性肺炎的针灸处方数据库。采用SPSS Modeler 18.0的Apriori算法分析穴位关联规则并绘制复杂网络图,运用SPSS26.0进行穴位聚类分析。最终共纳入44篇文献,提取出51个穴位处方及82个穴位,穴位总频次为340次。针灸治疗卒中相关性肺炎的高频穴位有肺俞(BL 13)、丰隆(ST 40)、合谷(LI 4)等,这些穴位主要分布于四肢及背部,多来源于正经。在这些提取出的穴位中,特别选取了五输穴、交会穴和背俞穴。在穴位配伍方面,曲池(LI 11)与合谷(LI 4)、足三里(ST 36)的关联支持度最高。针灸治疗卒中相关性肺炎的核心处方可由曲池(LI 11)、合谷(LI 4)、足三里(ST 36)、丰隆(ST 40)和太冲(LR 3)组成。