| 摘要: |
| 目的：探讨针刺对全膝关节置换术（TKA）术后患者膝关节功能恢复的腧穴配伍规律。方法：检索万方数据（WANFANG DATA）、维普中文科技期刊数据库（VIP）、中国知网（CNKI）及PubMed数据库中自2014年1月1日至2024年3月1日有关针刺或以针刺为主的促进TKA术后膝关节功能恢复的文献，采用Excel、IBM SPSS Modeler 18.0和SPSS25.0软件进行腧穴的频数分析、关联规则分析和聚类分析。结果：纳入25篇文献，涉及33个腧穴，共计使用频次159次。其中阴陵泉使用频率最高，腧穴所属归经主要为足太阴脾经，五输穴是应用频数最高的特定穴。关联分析有两条规则的支持度>50%，分别为阴陵泉-血海和阴陵泉-阳陵泉。聚类分析得到有效聚类5个，分别为曲池-后溪-尺泽-昆仑、太溪-太冲、悬钟-鹤顶-膈俞、髋骨-承扶和解溪-阿是穴。结论：足三里、梁丘、阳陵泉、阴陵泉和血海是针灸促进TKA术后功能恢复的主要穴位，选取穴位多分布于膝周或是循行至膝的经络，以近部取穴与循经取穴为主。 |
| 关键词: 全膝关节置换术术后 功能恢复 针刺 数据挖掘 选穴规律 |
| DOI： |
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| Acupoint selection for acupuncture in promoting the recovery of knee joint function after total knee arthroplasty: A study based on data mining |
| ZHENG Luyao,ZHANG Bo,YANG Xueqin |
| (Jiangxi University of Traditional Chinese Medicine，Nanchang 330004，Jiangxi，China;The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine，Nanchang 330006，Jiangxi，China) |
| Abstract: |
| Objective: To investigate the acupoint compatibility rules for acupuncture in promoting the recovery of knee joint function after total knee arthroplasty (TKA).Methods: WANFANG DATA，VIP，CNKI，and PubMed databases were searched for articles on acupuncture for promoting the recovery of knee joint function after TKA published from January 1，2014 to March 1，2024.Excel，IBM SPSS Modeler 18.0，and SPSS25.0 were used to perform frequency analysis，association rule analysis，and cluster analysis of acupoints.Results: A total of 25 articles were included，involving 33 acupoints，with a total frequency of use of 159 times.Yinlingquan had the highest frequency of use，and the acupoints mainly belonged to the spleen meridian of Foot-Taiyin; five-Shu points were the specific acupoints with the highest frequency of use.The association analysis obtained two rules with a support degree of >50%，i.e.，Yinlingquan-Xuehai and Yinlingquan-Yanglingquan.The cluster analysis obtained five effective clusters，i.e.，Quchi-Houxi-Chize-Kunlun，Taixi-Taichong，Xuanzhong-Heding-Geshu，Kuangu-Fucheng，and Jiexi-Ashi point.Conclusion: Zusanli，Liangqiu，Yanglingquan，Yinlingquan，and Xuehai are the main acupoints for acupuncture in promoting functional recovery after TKA.The acupoints selected are mainly distributed along the meridians and collaterals around the knees or those following the meridians to reach the knees，with the principles of neighboring point selection and acupoint selection along the meridians. |
| Key words: after total knee arthroplasty functional recovery acupuncture data mining acupoint selection |
