基于数据挖掘的眼针疗法临床应用特点研究
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摘要
目的:挖掘眼针疗法在临床应用中的特点,探讨眼针疗法的优势病种及应用规律。方法:以"眼针"为检索词检索中国期刊全文数据库(CNKI)、万方数据库、中国生物医学文献数据库1980年至2017年的眼针临床应用相关文献及《中华眼针》《眼针实践录》和《彭静山眼针疗法研究》的眼针医案。采用数据挖掘技术,进行收集、整理、筛选、录入、审核、数据提取、统计分析。总结眼针疗法的优势病种、针刺方法、行针手法、选穴原则、疗效。结果:眼针疗法临床应用广泛,所收集178篇期刊文献共涉及7个疾病科属42种疾病,以内科疾病应用频次最多(19种),其次是头面躯体痛证(7种)。眼科治疗各科疾病疗效显著,有效率均在91%以上;在纳入的期刊文献中,循经取穴使用146次,看眼取穴使用14次,病位取穴使用153次;进针方法以眶外横刺法为主(81篇),留针时长以15～30min较多,多采用刮动针柄法行针(34篇),总治疗频次以11～20次居多。医案部分涉及疾病53种,内科病种最多(37种),以中风后遗症(34次)和面瘫(11次)最为多见;取穴原则以看眼取穴为主(129篇),进针方法多采用眶外横刺法(102篇),留针时长不一;痊愈率均在90%以上,其余为显效。结论:眼针疗法治疗的疾病广泛且效果显著,特别是对内科中风后遗症和各种急慢性痛证的应用优势突出。
Objective To investigate the features,dominant indications and application regularities of eye acupuncture therapy in clinical practice.Methods We first collected original articles,academic dissertations,conference articles,and case reports from databases of CNKI,Wanfang,and Chinese biomedical literature(CBM)from Jan.1 of 1980 to Dec.31 of 2017,and medical records from medical books of Zhonghua Yan Zhen(Chinese Eye Acupuncture Therapy),Yanzhen Shijian Lu(Records of Application of Eye Acupuncture Therapy),and Peng Jing-shan's Yanzhen Liaofa Yanjiu(Peng Jing-shan's Eye Acupuncture Therapy)by using keyword of"eye acupuncture".Then,we established an"Eye-acupuncture Database"after sorting,screening,typing-in,checking,and extraction of the collected data by SQL server 2005 and 2005 Analysis Services(SASS),followed by analysis of the dominant indications,needling methods,needle manipulations,principles for acupoint selection,and clinical effect.Results Among the 850 articles retrieved,178 were eligible to be subjected to analysis,including 42 disorders/diseases in 7 categories.The eye acupuncture therapy has the highest application frequency for 19 types of disorders/diseases of the internal medicine,such as sequela of apoplexy,hiccup,insomnia,vertigo,hypertension,etc.,followed by head and body pain(7 types:headache,lumbago,sciatica,shoulder pain,etc.),disorders of the ophthalmology and otorhinolaryngology(deafness,squinting eyes,dry eye syndrome,amblyopia,etc.),traumatic injury,gynecopathy,acute pain(biliary colic,renal colic).The effect rate was 95.87%for disorders of the gynecopathy,95.54%for head and body pain,94.53%for traumatic skin injury,92.16%for emergency,91.98%for disorders of the five sense organs,91.43%for problems of the internal medicine,etc.Regarding the principle of acupoint selection,acupoints were chosen mainly according to the meridian running(146 articles),local region of the eye(14 articles)and diseased location(153 articles).A total of 157 articles have a marked description about the needling methods,including horizontal needling(81 articles),intra-orbital straight needling(22 articles),extra-orbital oblique needling(13 articles),etc.The duration of needle retaining was mostly from 15 to 30 minutes,and the handle-scraping was frequently adopted(34 articles),and the overall treatment frequency ranged from 11 to 20 times.In regard to the medical records,a total of 53 types of disorders were involved,including 37 types of the internal medicine such as stroke sequelae(34 articles),facial paralysis(11 articles),etc.The acupoints were selected according to the local region of eye(129 articles),the needle insertion involved horizontal needling(102 articles),and cured rate reported was higher than 90%.Conclusion Eye acupuncture therapy is widely used for a variety of disorders and has a positive effect,particularly for stroke sequelae and various acute and chronic pain problems.
Objective To investigate the features,dominant indications and application regularities of eye acupuncture therapy in clinical practice.Methods We first collected original articles,academic dissertations,conference articles,and case reports from databases of CNKI,Wanfang,and Chinese biomedical literature(CBM)from Jan.1 of 1980 to Dec.31 of 2017,and medical records from medical books of Zhonghua Yan Zhen(Chinese Eye Acupuncture Therapy),Yanzhen Shijian Lu(Records of Application of Eye Acupuncture Therapy),and Peng Jing-shan's Yanzhen Liaofa Yanjiu(Peng Jing-shan's Eye Acupuncture Therapy)by using keyword of"eye acupuncture".Then,we established an"Eye-acupuncture Database"after sorting,screening,typing-in,checking,and extraction of the collected data by SQL server 2005 and 2005 Analysis Services(SASS),followed by analysis of the dominant indications,needling methods,needle manipulations,principles for acupoint selection,and clinical effect.Results Among the 850 articles retrieved,178 were eligible to be subjected to analysis,including 42 disorders/diseases in 7 categories.The eye acupuncture therapy has the highest application frequency for 19 types of disorders/diseases of the internal medicine,such as sequela of apoplexy,hiccup,insomnia,vertigo,hypertension,etc.,followed by head and body pain(7 types:headache,lumbago,sciatica,shoulder pain,etc.),disorders of the ophthalmology and otorhinolaryngology(deafness,squinting eyes,dry eye syndrome,amblyopia,etc.),traumatic injury,gynecopathy,acute pain(biliary colic,renal colic).The effect rate was 95.87%for disorders of the gynecopathy,95.54%for head and body pain,94.53%for traumatic skin injury,92.16%for emergency,91.98%for disorders of the five sense organs,91.43%for problems of the internal medicine,etc.Regarding the principle of acupoint selection,acupoints were chosen mainly according to the meridian running(146 articles),local region of the eye(14 articles)and diseased location(153 articles).A total of 157 articles have a marked description about the needling methods,including horizontal needling(81 articles),intra-orbital straight needling(22 articles),extra-orbital oblique needling(13 articles),etc.The duration of needle retaining was mostly from 15 to 30 minutes,and the handle-scraping was frequently adopted(34 articles),and the overall treatment frequency ranged from 11 to 20 times.In regard to the medical records,a total of 53 types of disorders were involved,including 37 types of the internal medicine such as stroke sequelae(34 articles),facial paralysis(11 articles),etc.The acupoints were selected according to the local region of eye(129 articles),the needle insertion involved horizontal needling(102 articles),and cured rate reported was higher than 90%.Conclusion Eye acupuncture therapy is widely used for a variety of disorders and has a positive effect,particularly for stroke sequelae and various acute and chronic pain problems.
引文
[1]贾春生,马铁明.微针系统诊疗学[M].2版,北京:中国中医药出版社,2016.
[2]田维柱.中华眼针[M].2版,北京:中国中医药出版社,2011.
[3]丁庆刚,高金良.眼针疗法近20年临床研究概况[J].中国中医药现代远程教育,2015,13(15):147-149.
[4]刘妍彤,吕晓东,刘勇明,等.眼针疗法治疗慢性复杂性疾病临床疗效的Meta分析[J].中医药导报,2017,23(18):93-97.
[5]秦微,王彩霞.眼针疗法近5年研究进展[J].中国中医药信息杂志,2011,18(5):105-107.
[6]杨智杰,李忠仁.眼针的应用及机理[J].上海针灸杂志,2007,26(9):46-48.
[7]海英.眼针治疗中风病疗效的中医学机理探析[J].中华中医药学刊,2014,32(10):2453-2456.
[8]周鸿飞,王健,王鹏琴,等.眼针疗法之穴区与脏腑相关性[J].实用中医内科杂志,2011,25(11):9-13.
[9]覃亮,贾春生,王建岭,等.基于数据挖掘的火针刺法临床应用病种特点研究[J].针刺研究,2011,36(6):442-448.
[10]许晓康,贾春生,王建岭,等.基于数据挖掘技术的穴位注射疗法效应特点研究[J].针刺研究,2012,37(2):155-160.
[11]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.
[12]张选平,贾春生,王建岭,等.穴位埋线疗法的优势病种及应用规律[J].中国针灸,2012,32(10):947-951.
[13]杜玉茱,贾春生,王建岭,等.基于数据挖掘的刺络放血疗法治疗痤疮规律与特点研究[J].针刺研究,2015,40(3):251-257.
[14]檀占娜,贾春生,王建岭,等.基于数据挖掘的灸法临床应用病种的特点研究[J].针刺研究,2014,39(6):500-503.
[15]杨青青,贾春生,王建岭,等.基于数据挖掘的毫针复式针刺补泻手法临床应用特点研究[J].针刺研究,2016,41(2):175-179.
[16]李俊蕾,贾春生,王建岭,等.基于数据挖掘的毫针单式针刺补泻手法临床应用特点分析[J].针刺研究,2015,40(6):497-503.
[17]鲍娜,王琼,贾叶娟,等.基于数据挖掘技术探讨耳穴疗法的刺激方法及取穴规律[J].针刺研究,2017,42(4):372-376.
[18]王琼,邢海娇,鲍娜,等.基于数据挖掘的头针疗法临床应用特点研究[J].针刺研究,2018,43(3):199-203.
[19]高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2013.
[20]秦微,王彩霞.1979~2009年眼针文献统计分析[J].医学信息,2010,23(12):4706-4707.
[21]侯本赤,田维柱.眼针治疗脑卒中瘫痪的临床应用与研究[J].中国临床康复,2004,8(13):2518-2519.
[22]李玉格,高沁怡,王霜,等.脑血流显像对眼针治疗脑梗塞的疗效评价[J].同位素,2008,21(3):140-144.
[23]王天铎,海英.眼针镇痛效果临床研究概况[J].实用中医内科杂志,2015,29(7):182-183.
[24]林强,胡玉莲,韩崇伟,等.眼针治疗由输尿管结石引起的肾、输尿管绞痛90例疗效观察[J].上海针灸杂志,2007,26(9):12-13.
[25]鞠庆波,王鹏琴.眼针疗法治疗顽固性呃逆32例[J].现代中西医结合杂志,2005,14(22):2980.
[26]黄凯军,梁燕珍.眼针治疗控制哮喘发作的观察[J].临床肺科杂志,2001,6(2):48-49.
[27]杨桐,王鹏琴.基于经络腧穴及解剖探讨眼针穴区特异性[J].湖南中医杂志,2014,30(4):99-101.
[28]胡玉莲,林强,厉岩,等.眼针治疗原发性痛经疗效观察[J].上海针灸杂志,2011,30(6):370-371.
[2]田维柱.中华眼针[M].2版,北京:中国中医药出版社,2011.
[3]丁庆刚,高金良.眼针疗法近20年临床研究概况[J].中国中医药现代远程教育,2015,13(15):147-149.
[4]刘妍彤,吕晓东,刘勇明,等.眼针疗法治疗慢性复杂性疾病临床疗效的Meta分析[J].中医药导报,2017,23(18):93-97.
[5]秦微,王彩霞.眼针疗法近5年研究进展[J].中国中医药信息杂志,2011,18(5):105-107.
[6]杨智杰,李忠仁.眼针的应用及机理[J].上海针灸杂志,2007,26(9):46-48.
[7]海英.眼针治疗中风病疗效的中医学机理探析[J].中华中医药学刊,2014,32(10):2453-2456.
[8]周鸿飞,王健,王鹏琴,等.眼针疗法之穴区与脏腑相关性[J].实用中医内科杂志,2011,25(11):9-13.
[9]覃亮,贾春生,王建岭,等.基于数据挖掘的火针刺法临床应用病种特点研究[J].针刺研究,2011,36(6):442-448.
[10]许晓康,贾春生,王建岭,等.基于数据挖掘技术的穴位注射疗法效应特点研究[J].针刺研究,2012,37(2):155-160.
[11]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.
[12]张选平,贾春生,王建岭,等.穴位埋线疗法的优势病种及应用规律[J].中国针灸,2012,32(10):947-951.
[13]杜玉茱,贾春生,王建岭,等.基于数据挖掘的刺络放血疗法治疗痤疮规律与特点研究[J].针刺研究,2015,40(3):251-257.
[14]檀占娜,贾春生,王建岭,等.基于数据挖掘的灸法临床应用病种的特点研究[J].针刺研究,2014,39(6):500-503.
[15]杨青青,贾春生,王建岭,等.基于数据挖掘的毫针复式针刺补泻手法临床应用特点研究[J].针刺研究,2016,41(2):175-179.
[16]李俊蕾,贾春生,王建岭,等.基于数据挖掘的毫针单式针刺补泻手法临床应用特点分析[J].针刺研究,2015,40(6):497-503.
[17]鲍娜,王琼,贾叶娟,等.基于数据挖掘技术探讨耳穴疗法的刺激方法及取穴规律[J].针刺研究,2017,42(4):372-376.
[18]王琼,邢海娇,鲍娜,等.基于数据挖掘的头针疗法临床应用特点研究[J].针刺研究,2018,43(3):199-203.
[19]高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2013.
[20]秦微,王彩霞.1979~2009年眼针文献统计分析[J].医学信息,2010,23(12):4706-4707.
[21]侯本赤,田维柱.眼针治疗脑卒中瘫痪的临床应用与研究[J].中国临床康复,2004,8(13):2518-2519.
[22]李玉格,高沁怡,王霜,等.脑血流显像对眼针治疗脑梗塞的疗效评价[J].同位素,2008,21(3):140-144.
[23]王天铎,海英.眼针镇痛效果临床研究概况[J].实用中医内科杂志,2015,29(7):182-183.
[24]林强,胡玉莲,韩崇伟,等.眼针治疗由输尿管结石引起的肾、输尿管绞痛90例疗效观察[J].上海针灸杂志,2007,26(9):12-13.
[25]鞠庆波,王鹏琴.眼针疗法治疗顽固性呃逆32例[J].现代中西医结合杂志,2005,14(22):2980.
[26]黄凯军,梁燕珍.眼针治疗控制哮喘发作的观察[J].临床肺科杂志,2001,6(2):48-49.
[27]杨桐,王鹏琴.基于经络腧穴及解剖探讨眼针穴区特异性[J].湖南中医杂志,2014,30(4):99-101.
[28]胡玉莲,林强,厉岩,等.眼针治疗原发性痛经疗效观察[J].上海针灸杂志,2011,30(6):370-371.