[1]杨任育,钱自华,袁 晨,等.基于数据挖掘研究穴位贴敷治疗面瘫的选穴规律分析[J].医学信息,2025,38(07):32-37.[doi:10.3969/j.issn.1006-1959.2025.07.005]
 YANG Renyu,QIAN Zihua,YUAN Chen,et al.Analysis of the Acupoint Selection Rule of Acupoint Patching in the Treatment of Facial Paralysis Based on Data Mining Study[J].Journal of Medical Information,2025,38(07):32-37.[doi:10.3969/j.issn.1006-1959.2025.07.005]
点击复制

基于数据挖掘研究穴位贴敷治疗面瘫的选穴规律分析()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年07期
页码:
32-37
栏目:
中医药信息学
出版日期:
2025-04-01

文章信息/Info

Title:
Analysis of the Acupoint Selection Rule of Acupoint Patching in the Treatment of Facial Paralysis Based on Data Mining Study
文章编号:
1006-1959(2025)07-0032-06
作者:
杨任育1钱自华2袁 晨1蔡玉杰1李 颖1
1.安徽中医药大学护理学院,安徽 合肥 230012;2.安徽中医药大学第一附属医院急诊科,安徽 合肥 230601
Author(s):
YANG Renyu1 QIAN Zihua2 YUAN Chen1 CAI Yujie1 LI Ying1
1.College of Nursing, Anhui University of Chinese Medicine, Hefei 230012, Anhui, China;2.Department of Emergency, the First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230601, Anhui, China
关键词:
面瘫穴位贴敷选穴规律数据挖掘
Keywords:
Facial paralysis Acupoint patching Acupoint selection rule Data mining
分类号:
R246.6
DOI:
10.3969/j.issn.1006-1959.2025.07.005
文献标志码:
A
摘要:
目的 基于数据挖掘探讨分析穴位贴敷治疗面瘫的选穴规律,以期为临床实践提供参考。方法 采用主题词和关键词的检索方式,检索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等中英文数据库中穴位贴敷治疗面瘫的文献,利用Excel 2016、IBM SPSS Modeler 18、SPSS 26.0软件对其进行描述性分析、关联规则分析和聚类分析。结果 最终纳入文献62篇,腧穴38个。总频次311次,高频腧穴依次为翳风、颊车、地仓、太阳、下关。共涉及10条经脉,常用经脉为足阳明胃经、手少阳三焦经、足少阳胆经。其中30个腧穴属于特定穴,且主要集中在面部、头颈部。关联分析显示,符合要求的腧穴组合共16组,其中“阳白-四白”置信度最高、“地仓-阳白”支持度最高、“阳白-四白”的增益度最高。聚类分析结果示有5个有效聚类群,其中翳风属重点要穴。结论 通过数据挖掘发现,穴位贴敷治疗面瘫具有局部选穴、循经远端取穴、重用特定穴的选穴特点,可以为临床选穴提供一定的依据;未来可以对面瘫辨证分型及分期选用穴位进行研究。
Abstract:
Objective To explore and analyze the acupoint selection rule of acupoint patching in the treatment of facial paralysis based on data mining, so as to provide reference for clinical practice. Methods The literature of acupoint application in the treatment of facial paralysis in Chinese and English databases such as China National Knowledge Infrastructure (CNKI), VIP Chinese Science and Technology Journal Database (VIP), Wanfang Academic Journal Full-text Database (Wanfang), China Biomedical Literature Database (SinoMed) and PubMed was searched by subject words and keywords. Descriptive analysis, association rule analysis and cluster analysis were performed using Excel 2016, IBM SPSS Modeler 18 and SPSS 26.0 software. Results Finally, 62 literatures and 38 acupoints were included. The total frequency was 311 times, and the high-frequency acupoints were Yifeng, Jiache, Dicang, Taiyang and Xiaguan. A total of 10 meridians were involved, and the commonly used meridians were the stomach meridian of foot-yangming, the sanjiao meridian of hand-shaoyang and the gall bladder channel of foot-shaoyang. Among them, 30 acupoints belong to specific acupoints, and were mainly concentrated in the face, head and neck. Correlation analysis showed that there were 16 groups of acupoint combinations that met the requirements, among which “Yangbai-Sibai” had the highest confidence, “Dicang-Yangbai” had the highest support, and “Yangbai-Sibai” had the highest gain. The results of cluster analysis showed that there were 5 effective clustering groups, among which Yifeng was the key point. Conclusion Through data mining, it is found that acupoint application in the treatment of facial paralysis has the characteristics of local acupoint selection, distal acupoint selection along meridians and reuse of specific acupoints, which can provide a certain basis for clinical acupoint selection. In the future, we can study the acupoint selection of facial paralysis syndrome differentiation and staging.

参考文献/References:

[1]冯丽梅,曾婷婷,侯文光,等.穴位贴敷加电针治疗周围性面瘫临床观察[J].针灸推拿医学(英文版),2020,18(6):445-451.[2]王淑兰,张加英,王会,等.针刺结合穴位埋线对周围性面瘫患者面部神经及免疫指标的影响[J].广州中医药大学学报,2020,37(8):1517-1522.[3]张秀琢,王明洁,殷红彪.“斑巴膏”穴位贴敷治疗周围性面瘫急性期的疗效与安全性研究[J].时珍国医国药,2019,30(5):1161-1163.[4]张敬华,惠振,张臻年,等.中药联合针灸治疗周围性面神经麻痹急性期的临床研究[J].辽宁中医杂志,2019,46(10):2176-2178.[5]郑肖,吉海春,闫丽超,等.穴位埋线治疗顽固性面瘫临床研究[J].实用中医药杂志,2022,38(12):2041-2043.[6]何芳,王向荣,孙晶,等.火龙罐综合灸用于急性期周围性面瘫患者的效果观察[J].护理学杂志,2023,38(8):40-43.[7]张华洋.小针刀配合高压氧及营养神经药物治疗顽固性面瘫的效果[J].中国医药导报,2017,14(9):163-166.[8]李铮,唐丽君,杜婷.针刺结合穴位注射维生素B12治疗顽固性周围性面瘫临床观察[J].光明中医,2023,38(16):3163-3165.[9]王福民,孙思涵,银子涵,等.穴位贴敷治疗功能性便秘的选穴用药规律挖掘[J].中国针灸,2021,41(10):1166-1170.[10]张莘,张选平,贾春生,等.基于数据挖掘的穴位贴敷疗法运用特点研究[J].针刺研究,2012,37(5):416-421.[11]中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会.腧穴名称与定位[M].北京:中国标准出版社,2006:152-153.[12]高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2016:45.[13]浦诞玲,裴丽霞,陈璐,等.面瘫病因之内外风辨析[J].按摩与康复医学,2022,13(3):42-43,46.[14]解鸿宇,周超,袁爱红,等.基于数据挖掘探讨经筋理论在针灸治疗周围性面瘫的运用[J].辽宁中医药大学学报,2020,22(3):111-116.[15]邹佳,余俊英,管咏梅,等.中药穴位贴敷的研究现状及问题分析[J].中华中医药杂志,2022,37(9):5471-5475.[16]王明洁,张秀琢,王芳,等.“斑巴膏”穴位贴敷治疗周围性面瘫急性期疗效观察[J].上海针灸杂志,2019,38(8):861-864.[17]杨夷君,郭锡全.马钱子散穴位贴敷治疗周围性面瘫的临床观察[J].广州中医药大学学报,2021,38(9):1906-1911.[18]戚其华,倪姗姗,王友兰,等.中药穴位贴敷加电针治疗周围性面神经麻痹:随机对照研究[J].中国针灸,2013,33(11):965-969.[19]李爱爱.穴位贴敷翳风穴配合电针治疗特发性面神经麻痹的临床研究[D].广州:广州中医药大学,2014.[20]王波,谭春凤,徐琼,等.太阳透地仓、颊车治疗周围性面瘫的临床研究及对面神经传导功能的影响[J].上海针灸杂志,2020,39(11):1385-1390.[21]龚燕,冯伟民.太阳穴双针透刺法治疗难治性面瘫30例[J].浙江中医杂志,2014,49(5):359.[22]熊兰兰.基于数据挖掘的针灸及中药治疗周围性面瘫病的规律分析[D].沈阳:辽宁中医药大学,2021.[23]季卫明.中药塞鼻配合割治放血法治疗周围性面瘫86例分析[J].光明中医,2017,32(22):3214-3215.[24]迟倩慧,尹伟豪,张蕾,等.基于数据挖掘探讨针灸治疗亨特综合征选穴规律[J].山东中医药大学学报,2020,44(3):261-266.[25]杨安石,李国徽,田晓霞,等.基于数据挖掘研究穴位注射治疗周围性面瘫的选穴规律[J].湖南中医杂志,2022,38(4):26-29,44.[26]陈美桐.《灵枢·经脉》篇手少阳三焦经病候因机证治系统研究[D].沈阳:辽宁中医药大学,2022.[27]何元琴,刘家峰,刘浩鑫.基于数据挖掘的针灸治疗原发性三叉神经痛取穴规律研究[J].医学信息,2022,35(18):14-18.[28]虎力,徐平.基于古代文献的任脉交会穴主治症规律研究[J].中华中医药学刊,2016,34(7):1569-1572.[29]张洁怡,马碧茹,陈秀华,等.陈全新教授治疗面瘫的经验[C]//广东省针灸学会.广东省针灸学会第十一次学术研讨会论文汇编.广东省中医院,2010:440-441.[30]钱见见.针刺结合曼吉磁贴穴位贴敷治疗小儿面神经麻痹疗效观察[J].中医外治杂志,2022,31(2):82-83.

相似文献/References:

[1]赵庚雷,张 凡,彭顺林.彭顺林教授采用利咽合剂联合穴位贴敷 治疗慢性咽炎病案1例[J].医学信息,2018,31(05):190.[doi:10.3969/j.issn.1006-1959.2018.05.072]
[2]陶 源,王立颖,张 娇,等.中药穴位贴敷调治脾胃虚弱型慢性胃炎的疗效观察[J].医学信息,2019,32(20):156.[doi:10.3969/j.issn.1006-1959.2019.20.049]
 TAO Yuan,WANG Li-ying,ZHANG Jiao,et al.Therapeutic Effect of Acupoint Application of Traditional Chinese Medicine on Chronic Spleen and Stomach Deficiency Chronic Gastritis[J].Journal of Medical Information,2019,32(07):156.[doi:10.3969/j.issn.1006-1959.2019.20.049]
[3]尹艳芬.穴位贴敷及穴位注射联合低频脉冲治疗肺癌患者化疗所致呕吐的临床观察[J].医学信息,2019,32(23):82.[doi:10.3969/j.issn.1006-1959.2019.23.022]
 YIN Yan-fen.Clinical Observation on Treatment of Vomiting Caused by Chemotherapy in Patients with Lung Cancer Treated by Acupoint Application and Acupoint Injection Combined with Low Frequency Pulse[J].Journal of Medical Information,2019,32(07):82.[doi:10.3969/j.issn.1006-1959.2019.23.022]
[4]苏 晶,丁 劲,葸英博,等.天枢穴穴位贴敷治疗骨科患者卧床相关便秘疗效的Meta分析[J].医学信息,2021,34(18):106.[doi:10.3969/j.issn.1006-1959.2021.18.027]
 SU Jing,DING Jin,XI Ying-bo,et al.Meta-analysis of Therapeutic Effects of Tianshu Acupoint Application on Orthopedic Patientswith Bed-related Constipation[J].Journal of Medical Information,2021,34(07):106.[doi:10.3969/j.issn.1006-1959.2021.18.027]
[5]王小丽,魏钰钰,肖霞萍,等.穴位贴敷对腹腔镜术后胃肠功能恢复效果的Meta分析[J].医学信息,2022,35(13):103.[doi:10.3969/j.issn.1006-1959.2022.13.023]
 WANG Xiao-li,WEI Yu-yu,XIAO Xia-ping,et al.Meta-analysis of Acupoint Application on Gastrointestinal Function Recovery After Laparoscopic Surgery[J].Journal of Medical Information,2022,35(07):103.[doi:10.3969/j.issn.1006-1959.2022.13.023]
[6]严 莲,黄 卫,宋玲毅,等.中药贴敷在胸腰椎术后腹胀及便秘应用研究的Meta分析[J].医学信息,2022,35(21):34.[doi:10.3969/j.issn.1006-1959.2022.21.007]
 YAN Lian,HUANG Wei,SONG Ling-yi,et al.Meta Analysis of Application of Chinese Herbal Paste in Abdominal Distension and Constipation After Thoracolumbar Surgery[J].Journal of Medical Information,2022,35(07):34.[doi:10.3969/j.issn.1006-1959.2022.21.007]
[7]史春燕,黄 燕,杨 爽,等.穴位贴敷治疗慢阻肺的效果评价方法[J].医学信息,2022,35(21):174.[doi:10.3969/j.issn.1006-1959.2022.21.047]
 SHI Chun-yan,HUANG Yan,YANG Shuang,et al.Effect Evaluation Method of Acupoint Application in Treating Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2022,35(07):174.[doi:10.3969/j.issn.1006-1959.2022.21.047]
[8]王天英.穴位贴敷联合阶段性护理对慢性盆腔炎患者康复状况及临床症状的影响[J].医学信息,2023,36(05):165.[doi:10.3969/j.issn.1006-1959.2023.05.034]
 WANG Tian-ying.Effect of Acupoint Application Combined with Staged Nursing on Rehabilitation and Clinical Symptoms of Patients with Chronic Pelvic Inflammatory Disease[J].Journal of Medical Information,2023,36(07):165.[doi:10.3969/j.issn.1006-1959.2023.05.034]
[9]何艳珍.针对性护理在热奄包联合穴位贴敷治疗妇科腹腔镜术后腹痛腹胀中的应用效果[J].医学信息,2023,36(17):161.[doi:10.3969/j.issn.1006-1959.2023.17.034]
 HE Yan-zhen.Application Effect of Targeted Nursing in Patient with Abdominal Pain and Abdominal Distension After Gynecological Laparoscopic Surgery Treated with Hot Package and Acupoint Patching[J].Journal of Medical Information,2023,36(07):161.[doi:10.3969/j.issn.1006-1959.2023.17.034]
[10]陈俊芬,肖欢智,陆廷飞,等.黄芪建中汤联合中药穴位贴敷治疗脾胃虚寒型慢性胃炎Meta分析[J].医学信息,2023,36(19):46.[doi:10.3969/j.issn.1006-1959.2023.19.010]
 CHEN Jun-fen,XIAO Huan-zhi,LU Ting-fei,et al.Meta-analysis of Huangqi Jianzhong Decoction Combined with Acupoint Application of Traditional Chinese Medicine in the Treatment of Chronic Gastritis of Spleen-stomach Deficiency-cold Type[J].Journal of Medical Information,2023,36(07):46.[doi:10.3969/j.issn.1006-1959.2023.19.010]

更新日期/Last Update: 1900-01-01