文献类型：期刊文献

中文题名：基于现代文献数据挖掘探析针刺治疗围绝经期失眠的选穴规律

英文题名：Rules of Acupoints Selection in Treatment of Perimenopausal Insomnia by Using Modern Literature Research and Data Mining

作者：尚辉[1];黎彦红[1];冉立成[1];宋亚文[2];王亚军[1]

第一作者：尚辉

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]甘肃中医药大学附属医院,甘肃兰州730000

第一机构：甘肃中医药大学

年份：2023

卷号：39

期号：2

起止页码：60

中文期刊名：针灸临床杂志

外文期刊名：Journal of Clinical Acupuncture and Moxibustion

收录：CSTPCD

基金：国家自然科学基金地区项目,编号:82160936。

语种：中文

中文关键词：围绝经期失眠;针刺;选穴规律;数据挖掘;文献研究

外文关键词：Perimenopausal insomnia;Acupuncture;Laws of acupoints selction;Data mining;Literature research

摘要：目的:基于现代文献数据挖掘探析针刺治疗围绝经期失眠的腧穴应用特点及规律。方法:检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang)、维普中文期刊服务平台(VIP)、中国生物医学文献数据库(SinoMed)、PubMed数据库与Web of Science数据库建库至2021年10月18日所收录的针刺治疗围绝经期失眠的现代临床研究文献,依照纳入、排除标准进行文献筛选后,提取针刺处方等相关信息建立针刺治疗围绝经失眠的选穴数据库,采用数据统计、聚类分析、Apriori关联规则分析等方法分析选穴频次、归经、分布、配伍规律及核心选穴处方。结果:(1)纳入的139篇文献中有效针刺处方199条,涉及腧穴78个,共计使用频次1567次;(2)归经以膀胱经、督脉及经外奇穴为主,常用腧穴主要分布在下肢、头面颈项部;(3)选用腧穴中有58个特定穴,主要包括交会穴、原穴与五输穴;(4)共得出6个有效聚类群及16个关联群,其中神门→百会+三阴交的支持度最高;(5)针刺治疗围绝经期失眠的核心选穴为神门、百会、三阴交、四神聪、太冲、内关、安眠与关元。结论:针刺治疗围绝经期失眠的选穴体现了局部取穴配合远道取穴的思想,重用特定穴,发现选穴体现的宁心安神、通调跷脉与调任通督等治则与本病心神不养、阴阳失衡与脏腑失调等病机相对应,初步得出其选穴规律、特点及核心选穴处方,以期为针刺治疗围绝经失眠的临床应用提供针对性更强的穴位处方。
Objective:To explore the application characteristics and rules of acupoints in treatment of perimenopausal insomnia based on modern literature research and data mining.Methods:Modern clinical studies on acupuncture in treatment of perimenopausal insomnia were retrieved from databases of CNKI,Wanfang,VIP,SinoMed,PubMed and Web of Science from the time of establishment to Octorber 8,2021.After literature screening according to the inclusion and exclusion criteria,acupuncture prescription and other relevant information were extracted to establish a database of selected acupoints for perimenopausal insomnia.The frequency of acupoints selection,meridian selection,distribution,compatibility law and core prescriptions were analyzed by data statistics,systematic clustering and analysis of Apriori association rules.Results:Among the included 139 articles,there were 199 effective acupuncture prescriptions,involving 78 acupoints,with a total frequency of 1,567 times.The acupoints of Bladder meridian,Du meridian and extraordinary points were used,and the commonly used acupoints were mainly distributed in lower extremity,head,face and neck.Among the selected acupoints,there were 58 specific acupoints,which were mainly confluent points,Yuan-source points and five-Shu points.There were 6 effective clustering groups and 16 association groups,among which Shenmen(HT7)→Baihui(DU20)plus Sanyinjiao(SP6)had the highest support degree.The selected core acupoints for perimenopausal insomnia were HT7,DU20,SP6,Sishencong(EX-HN1),Taichong(LR3),Neiguan(PC6),Anmian(EX-HN18)and Guanyuan(RN4).Conclusion:The selection of acupoints for perimenopausal insomnia reflects the idea of local points selection and distant points selection,and specific acupoints are mostly used.It is found that the treatment principle of calming Heart and tranquilizing Shen,dredging and regulating Qiao channel,stimulating and adjusting Du meridian and Ren channel and balancing Zang-Fu organs reflect acupoints selection corresponding to the pathogenesis of malnutrition of Heart-Shen,imbalance of Yin and Yang and disorder of Zang-Fu organs.The law,characteristics and core acupoints selection are preliminarily obtained to provide a more targeted acupoints prescription of acupuncture treatment for perimenopausal insomnia.