针灸治疗卒中后认知功能障碍的选穴规律分析
Analysis on acupoint selection rules in acupuncture and moxibustion treatment of post-stroke cognitive dysfunction
- 上海中医药杂志 2021年55卷第9期 页码：16-20
- 作者机构：
1.黑龙江中医药大学第二临床医学院（黑龙江 哈尔滨 150040）
2.黑龙江中医药大学附属第二医院针灸科（黑龙江 哈尔滨 150001）
- 作者简介：
丛婧，女，硕士研究生，主要从事神经系统疾病的中医诊疗与研究工作
王东岩，教授，博士研究生导师；E-mail：1558429536@qq.com
- 基金信息：国家自然科学基金面上项目(81774426);黑龙江省自然科学基金联合引导项目(LH2019H113)
DOI：10.16305/j.1007-1334.2021.2103012
中图分类号：
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丛婧, 王东岩, 李晶怡, 等. 针灸治疗卒中后认知功能障碍的选穴规律分析[J]. 上海中医药杂志, 2021,55(9):16-20.
Jing CONG, Dongyan WANG, Jingyi LI, et al. Analysis on acupoint selection rules in acupuncture and moxibustion treatment of post-stroke cognitive dysfunction[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(9):16-20.
丛婧, 王东岩, 李晶怡, 等. 针灸治疗卒中后认知功能障碍的选穴规律分析[J]. 上海中医药杂志, 2021,55(9):16-20. DOI： 10.16305/j.1007-1334.2021.2103012.
Jing CONG, Dongyan WANG, Jingyi LI, et al. Analysis on acupoint selection rules in acupuncture and moxibustion treatment of post-stroke cognitive dysfunction[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(9):16-20. DOI： 10.16305/j.1007-1334.2021.2103012.
摘要
目的,2,探究针灸治疗卒中后认知功能障碍的选穴规律。,方法,2,检索中国知网（CNKI）、万方数据知识服务平台（WanFang Data）、维普中文期刊服务平台（VIP）中针灸治疗卒中后认知功能障碍的相关文献，文献发表时间为2020年1月至2021年1月。运用Microsoft Office Excel工作表建立数据库，并进行描述性统计分析；采用IBM SPSS Modeler 18.0软件对腧穴进行关联分析；借助IBM SPSS Statistics 25.0软件对腧穴进行系统聚类分析。,结果,2,①共纳入文献16篇，涉及29个针灸处方、62个腧穴，腧穴总计使用频次233次。②使用频次居前5位的腧穴依次为神庭、百会、足三里、颈椎夹脊穴、内关；腧穴选取频次最高的经络为督脉，其余依次为足少阳胆经、足太阳膀胱经、足阳明胃经等。③关联规则分析结果显示，具有强关联性的腧穴组合为神庭与本神，百会、水沟与神庭，水沟、大椎、风府与百会。④聚类分析使用频次最高的20个腧穴，共得到6类腧穴。,结论,2,针灸治疗卒中后认知功能障碍多为督脉取穴，选穴通常以神庭、百会为主，并配合胆经本神、胃经足三里、厥阴经内关等穴，由此起到开窍醒神、健运水湿、清利头目的作用。
Abstract
Objective,2,To explore the acupoint selection rules in acupuncture and moxibustion treatment of post-stroke cognitive dysfunction., Methods,2,The related literatures on acupuncture and moxibustion treatment of post-stroke cognitive dysfunction published from January 2020 to January 2021 were searched and collected from databases including CNKI, Wanfang Data Knowledge Service Platform and VIP Chinese Journal Service Platform. Microsoft Office Excel worksheet was used to establish a database and perform descriptive statistical analysis; IBM SPSS Modeler 18.0 software was used for correlation analysis of acupoints; and IBM SPSS Statistics 25.0 was used for systematic cluster analysis of acupoints.,Results,2,①The included 16 literatures involved 29 acupuncture prescriptions and 62 acupoints with a total use frequency of 233. ②The top 5 acupoints the most frequently used were Shenting (DU 24), Baihui (DU 20), Zusanli (ST 36), Jiaji acupoints of cervical vertebra and Neiguan (PC 6); The meridian with the highest frequency of acupoints selection was Du Meridian, followed by Gallbladder Meridian of Foot Shaoyang, Bladder Meridian of Foot Taiyang and Stomach Meridian of Foot Yangming. ③According to the association rule analysis, the acupoint combinations with strong correlations were Shenting (DU 24) and Benshen (GB 13), Baihui (DU 20), Shuigou (DU 26) and Shenting (DU 24), Shuigou (DU 26), Dazhui (DU 14), Fengfu (DU 16) and Baihui (DU 20). ④A total of 6 clusters of acupoints were obtained by cluster analysis of the 20 acupoints of the highest use frequency.,Conclusion,2,Acupuncture and moxibustion treatment of post-stroke cognitive dysfunction mostly selects acupoints from Du meridian, usually Shenting (DU 24) and Baihui (DU 20) as the main acupoints, together with Benshen (GB 13) from Gallbladder Meridian, Zusanli (ST 36) from Stomach Meridian and Neiguan (PC 6) from Jueyin Meridian to open orifices and revive the mind, strengthen the spleen to transform water and dampness, and clear wind-heat to benefit the head and eyes.
关键词
脑卒中认知功能障碍选穴规律数据挖掘
Keywords
strokecognitive dysfunctionacupoint selection ruledata mining
references
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