| 摘要: |
| 目的：通过数据挖掘探索卒中后痉挛性瘫痪的选穴规律，并确定腧穴之间的最佳组合。方法：检索自2000年1月1日至2024年3月31日公开发表的针刺治疗卒中后痉挛性瘫痪的相关文献，根据已制定的纳入、排除标准进行筛选后，提取相关数据并运用Excel 2021构建针灸处方数据库。应用S卒中后痉挛性瘫痪 Modeler及R语言软件进行关联规则分析和聚类分析。结果：数据挖掘结果显示，曲池（LI 11）、合谷（LI 4）、三阴交（SP 6）、阳陵泉（GB 34）和足三里（ST 36）的使用频率最高；阳经腧穴的使用频率高于阴经腧穴，且手阳明大肠经上的腧穴使用频率为最高；具体腧穴应用比例为18.70%，以五输穴应用最多；取穴频率最多的部位是下肢，合谷（LI 4）联合曲池（LI 11）是使用最多的腧穴组合；聚类分析共得到2个腧穴组。结论：针灸治疗卒中后痉挛性瘫痪的取穴以患肢局部为主，本研究为进一步完善卒中后痉挛性瘫痪的取穴方案及针灸治疗提供了循证基础。 |
| 关键词: 卒中 痉挛性瘫痪 针灸治疗 数据挖掘 选穴规律 |
| DOI： |
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| Rule of acupoint selection for acupuncture in treatment of post-stroke spastic paralysis：A study based on data mining |
| BIAN Mingtong,SUN Xiaowei,CHEN Fuyan |
| (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion/The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine，Tianjin 300193，China) |
| Abstract: |
| Objective：To investigate the rule of acupoint selection in the treatment of post-stroke spastic paralysis based on data mining，as well as the optimal combination of acupoints.Methods：Related databases were searched for articles on acupuncture in the treatment of post-stroke spastic paralysis published from January 1，2000 to March 31，2024，and after screening based on the inclusion and exclusion criteria，related data were extracted and Excel 2021 was used to establish a database of acupuncture prescriptions.SPSS Modeler and R language were used for association rule analysis and cluster analysis.Results：Data mining showed that Quchi （LI 11），Hegu （LI 4），Sanyinjiao （SP 6），Yanglingquan （GB 34），and Zusanli （ST 36）had the highest frequency of use. The acupoints along the Yang meridians had a higher frequency of use than those along the Yin meridians’，and the acupoints of the Large Intestine Channel of Hand-Yangming had the highest frequency of use.Specific acupoints accounted for 18.70%，among which five-Shu points had the highest frequency of use.Most acupoints were selected in the lower limbs，and the combination of Hegu （LI 4）and Quchi （LI 11）had the highest frequency of use.The cluster analysis obtained two combinations of acupoints.Conclusion：For acupuncture in the treatment of post-stroke spastic paralysis，acupoints in the affected limb are mainly selected for treatment，and this study provides an evidence-based reference for further improving acupoint selection regimens and acupuncture treatment for post-stroke spastic paralysis. |
| Key words: stroke spastic paralysis acupuncture data mining acupoint selection |
