[关键词]
[摘要]
【目的】基于数据挖掘技术探讨针灸治疗粘连期肩周炎的选穴规律。【方法】通过计算机检索中国知网期刊全文数据库 (CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、中国生物医学数据库(CBM)、美国生物医 学信息检索系统(PubMed)、荷兰医学文摘(Embase)、国际循证医学图书馆(Cochrane Library)等各大数据库。检索各数据库 从建库以来至2024 年2 月收录的有关针灸治疗粘连期肩周炎的临床研究类文献,经过文献数据处理后,使用数据挖掘技术 进行分析,总结腧穴配伍规律。【结果】共纳入85 篇文献,处方128 条,包含腧穴76 个,选穴总频次为847 次。使用频次超 过9 次的高频腧穴有肩髃、阿是穴、肩髎、肩贞、肩前等18 个;高频使用经脉为手三阳经;特定穴使用共44 个,共344 次, 以五输穴中的合穴最多;聚类分析总结出五个大的有效腧穴群,关联分析显示肩髃、肩贞、肩髎、肩前、阿是穴之间连接 较强。【结论】针灸治疗粘连期肩周炎以肩部附近穴位为主,尤其重视手三阳经腧穴的使用,辅以远部取穴和辨证分型选穴。
[Key word]
[Abstract]
Objective To investigate the rules of acupoint selection in acupuncture for the treatment of scapulohumeral periarthritis at the adhesive stage using data mining technology. Methods Clinical research literature on acupuncture for scapulohumeral periarthritis at the adhesive stage,published from the inception of databases to February 2024,was retrieved from databases including the China National Knowledge Infrastructure (CNKI),Wanfang Academic Journal Full-text Database(Wanfang),Chongqing VIP Chinese Science and Technology Periodical Database(VIP),Chinese Biomedical Database(CBM),PubMed,Embase,and the Cochrane Library. Following data processing of the literature,data mining technology was employed to analyze and summarize the compatibility rules of acupoints. Results A total of 85 articles were included,yielding 128 prescriptions involving 76 acupoints with a total application frequency of 847. Eighteen high-frequency acupoints(used more than 9 times)were identified,including Jianyu(LI15),Ashi,Jianliao(TE14),Jianzhen (LU1),and Jianqian(EXUE12). The predominantly used meridians were the three yang meridians of the hand. A total of 44 specific acupoints were utilized 344 times,with He-Sea points among the five transport points being the most frequent. Cluster analysis revealed five main effective acupoint groups,and association analysis indicated strong connections among Jianyu,Jianzhen,Jianliao,Jianqian,and Ashi points. Conclusion Acupuncture treatment for scapulohumeral periarthritis at the adhesive stage primarily focuses on acupoints near the shoulder, especially those on the three yang meridians of the hand,supplemented by distal acupoint selection and acupoint selection based on syndrome differentiation.
[中图分类号]
R246.9
[基金项目]
国家自然科学基金资助项目(编号:81973816);广州市科技创新发展专项基础与应用基础项目(编号:202102080347)