| 摘要: |
| 目的：基于数据挖掘研究头针治疗脑卒中后运动功能障碍的取穴规律。方法：检索自建库至2022年3月30日中国知网（CNKI）、万方数据(WANFANG DATA)、维普中文科技期刊数据库（VIP）及PubMed数据库中有关头针治疗脑卒中后运动功能障碍的临床文献,使用Excel、SPSS Statistics 25.0、SPSS Modeler 18.0及Cytoscape软件进行频次、聚类和关联规则及核心共现网络分析。结果：纳入344篇文献,涉及头针处方110首,穴位95个,频次≥8次的穴位15个,其中使用频次最多的穴位为百会。频次≥5次的处方10首,其中使用频次最多的单穴处方为顶颞前斜线,使用频次最多的多穴处方为顶颞前斜线-顶颞后斜线。涉及5条经脉,其中使用频率最高的为督脉。聚类分析获得3个聚类群,关联规则分析获得4组关联穴位。核心共现网络分析显示,单穴使用频次最多的穴位为百会,两穴关联程度最高的为顶颞前斜线-顶颞后斜线。结论：临床上头针治疗脑卒中后运动功能障碍以辨证施治为原则,遵循通督调神、醒脑开窍等治法,既能充分发挥腧穴协同增效作用,又可改善脑卒中患者的运动功能障碍。 |
| 关键词: 脑卒中 运动功能障碍 头针 数据挖掘 取穴规律 |
| DOI： |
|
|
| Rule of acupoint selection in scalp acupuncture for the treatment of post-stroke dyskinesia：A study based on data mining |
| ZHU Pan,XIONG Dan,XIE Haihua |
| (Xiangtan Medicine & Health Vocational College,Xiangtan 411102,Hunan,China;The Sixth Affiliated Hospital of Shenzhen University,Shenzhen 518052,Guangdong,China) |
| Abstract: |
| Objective：To investigate the rule of acupoint selection in scalp acupuncture for the treatment of post-stroke dyskinesia based on data mining.Methods：CNKI,Wanfang Data,VIP,and PubMed were searched for the articles on scalp acupuncture for the treatment of post-stroke dyskinesia published up to March 30,2022,and Excel,SPSS Statistics 25.0,SPSS Modeler 18.0,and Cytoscape were used to perform frequency analysis,cluster analysis,association rule analysis,and core co-occurrence network analysis.Results：A total of 344 articles were included,involving 110 scalp acupuncture prescriptions and 95 acupoints,among which there were 15 acupoints with a frequency of ≥8,and Baihui were the acupoints with the highest frequency of use.There were 10 prescriptions with a frequency of ≥5,and the anterior oblique parietotemporal line was the single-acupoint prescription with the highest frequency of use,while the anterior oblique parietotemporal line-the posterior oblique parietotemporal line were the multiple-acupoint prescription with the highest frequency of use.A total of 5 meridians were involved,among which the governor vessel had the highest frequency of use.The cluster analysis obtained 3 clusters,and the association rule analysis obtained 4 groups of associated acupoints.The core co-occurrence network analysis showed that Baihui was the most commonly used single acupoint,and the highest degree of association was observed between the anterior oblique parietotemporal line and the posterior oblique parietotemporal line.Conclusion：In clinical practice,syndrome differentiation-based treatment is the principle for scalp acupuncture in the treatment of post-stroke dyskinesia and follows the treatment methods of “dredging the governor vessel and regulating mentality” and “refreshing the brain and opening the orifice”,which can not only exert the synergistic effect of acupoints,but also improve dyskinesia in patients with stroke. |
| Key words: stroke dyskinesia scalp acupuncture data mining acupoint selection |
