基于数据挖掘的耳穴疗法治疗便秘的选穴规律分析

Acupoint selection rules of auricular therapy in treating constipation based on data mining

  • 摘要:
      目的  通过数据挖掘分析耳穴疗法治疗便秘的选穴规律。
      方法  检索建库以来至2020年9月30日中国期刊全文数据库(CNKI)、维普中文科技期刊数据库(VIP)、万方学术期刊全文数据库(Wanfang)、中国生物医学文献数据库(SinoMed)、PubMed数据库收录的耳穴治疗便秘的临床试验研究文献,采用Microsoft Excel 2016建立数据库,应用SPSS 23.0软件对高频耳穴、耳穴组合、耳穴常用科室进行频数统计,运用SPSS Modeler 18.0软件对相关耳穴进行关联规则分析,通过R 4.0.3软件进行耳穴集合可视化分析及耳穴网络分析。
      结果  本研究共纳入562篇文献,包含61个耳穴,其中累计应用频次较高的耳穴为大肠(95.56%)、直肠(75.63%)、脾(66.90%)、三焦(60.67%)、肺(53.56%);耳穴治疗便秘患者的科室以肛肠科、脑病科、骨伤科多见;耳穴配伍以大肠和三焦最为常见;常见的耳穴组合为大肠、直肠、交感。
      结论  耳穴疗法治疗便秘以中医辨证原则为指导,取穴以大肠为基础,并根据不同基础疾病灵活配伍随症选穴。基于数据挖掘探析耳穴疗法治疗便秘的选穴、配伍规律具有可行性,可为临床研究提供参考。

     

    Abstract:
      Objective  To analyze the rules of auricular therapy for constipation by data mining.
      Methods  The literatures in clinical trials involving auricular therapy for treatment of constipation were retrieved from the establishment of the database to September 30, 2020, including China National Knowledge Infrastructure (CNKI), Weipu Chinese science and technology periodical database(VIP), Wanfang full text database of academic journals (Wanfang), Chinese biomedical literature database(SinoMed) and PubMed database. Microsoft Excel 2016 was used to build the database, and SPSS 23.0 software was used for frequency statistics of highfrequency auricular acupoints, auricular acupoints combination and commonly used departments of auricular acupoints. SPSS Modeler 18.0 software was used for association rule analysis of related auricular points, and R 4.0.3 software was used for visualization analysis of auricular point set and auricular point network analysis.
      Results  A total of 562 articles were included, containing 61 auricular acupoints and the auricular points with frequency from high to low were Dachang(95.56%), Zhichang(75.63%), the Spleen(66.90%), Sanjiao(60.67%), the Lung(53.56%). The most common departments for treatment of constipation by auricular therapy included anorectal, encephalopathy and orthopedics departments. Dachang combined with Sanjiao was most commonly used herbal compatibility. The combination of Dachang, Zhichang and Jiaogan was used in high frequency.
      Conclusion  Auricular therapy for constipation is guided by the principle of syndrome differentiation of traditional Chinese medicine, and acupoints are flexibly selected for compatibility according to different basic diseases on the basis of Dachang. It is feasible to analyze the acupoint selection and compatibility rules of auricular acupoint therapy in the treatment of constipation based on data mining, which can provide reference for clinical research.

     

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