| 摘要: |
| 目的：通过数据挖掘技术分析针刺治疗突发性耳聋的选穴规律。方法：检索2013年1月1日至2022年10月20日中国知网（CNKI）和维普中文科技期刊数据库（VIP）中针刺治疗突发性耳聋的临床文献，按纳入和排除标准筛选文献并提取腧穴处方，采用Excel统计腧穴频次，使用IBM SPSS Statistics 23.0、SPSS Modeler 18.0软件进行关联性分析。结果：纳入63篇文献，共计63首穴位处方。使用频次排前5位的穴位依次是听会、翳风、听宫、耳门、中渚；最常选取的经脉为手少阳三焦经、足少阳胆经和手太阳小肠经；使用频率排前3位的特定穴是交会穴、五输穴和八脉交会穴；腧穴分布情况主要以头颈部腧穴为主，其次是下肢与上肢的腧穴。关联性分析结果提示，核心腧穴处方为翳风-外关-听宫-听会-中渚-耳门，核心穴对是翳风-外关-听宫。结论：针刺治疗突发性耳聋以核心穴组为基础，兼顾祛风、活血、补肾及醒脑开窍，临床应结合经络配穴及辨证取穴。 |
| 关键词: 突发性耳聋 针刺疗法 选穴规律 数据挖掘 |
| DOI： |
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| Acupoint selection in acupuncture for the treatment of sudden deafness：A study based on data mining techniques |
| XIE Fang,ZHANG Guoyong,ZHANG Boda |
| (Nanchong Hospital of Traditional Chinese Medicine，Nanchong 637000，Sichuan，China;Affiliated Hospital of North Sichuan Medical College，Nanchong 637000，Sichuan，China) |
| Abstract: |
| Objective：To investigate the rule of acupoint selection in acupuncture for the treatment of sudden deafness based on data mining techniques.Methods：CNKI and VIP were searched for clinical articles on acupuncture for the treatment of sudden deafness published from January 1，2013 to October 20，2022.The articles were screened based on inclusion and exclusion criteria，and acupoint prescriptions were extracted.Excel was used to analyze the frequency of acupoints，and IBM SPSS Statistics 23.0 and SPSS Modeler 18.0 were used to perform association analysis.Results：A total of 63 articles were included，involving 63 acupoint prescriptions.The top 5 acupoints in terms of frequency of use were Tinghui，Yifeng，Tinggong，Ermen，and Zhongzhu；the meridians commonly used were Sanjiao Meridian of Hand-Shaoyang，Gallbladder Meridian of Foot-Shaoyang，and Small Intestine Meridian of Hand-Taiyang；the top 3 specific acupoints in terms of frequency of use were confluent points，five Shu points，and the eight confluent acupoints connecting the eight extra channels；head and neck acupoints were mainly used，followed by the acupoints in the lower and upper limbs.The association analysis showed that the core acupoint prescription was Yifeng-Waiguan-Tinggong-Tinghui-Zhongzhu-Ermen，and the core combination of acupoints was Yifeng-Waiguan-Tinggong.Conclusion：The treatment of sudden deafness by acupuncture is mainly based on core acupoint combinations，giving consideration to dispelling pathogenic wind，activating blood，tonifying the kidney，and restoring consciousness and opening the orifices，and acupoints should be selected based on meridians and syndrome differentiation. |
| Key words: sudden deafness acupuncture therapy acupoint selection data mining |
