基于数据挖掘针灸治疗2型糖尿病选穴规律探析
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摘要
目的:应用现代统计学和数据挖掘技术,探析针灸治疗2型糖尿病的选穴规律。方法:于中国期刊全文数据库(CNKI)收集近10年针灸治疗2型糖尿病的临床文献,利用Excel软件建立2型糖尿病针灸处方数据库,对数据进行描述性分析、关联规则分析和聚类分析。结果:发现针灸治疗2型糖尿病选用腧穴频次最高为足三里,足太阳膀胱经穴位选用最多,常用穴位分布在背部,特定穴中五输穴使用占优势;关联规则分析出穴位间相关性最高的是气海-胃脘下俞-足三里;聚类分析得出7个有效聚类群。结论:总结出针灸治疗2型糖尿病穴位的常用组合规律,为临床针灸治疗2型糖尿病选穴提供借鉴。
Objective: The modern statistical and data mining technology is used to analyze the law of the acupoint selection in the treatment of type 2diabetes with acupuncture and moxibustion. Methods: The clinical literature on the treatment of type2 diabetes with acupuncture and moxibustion in nearly 10 years is collected from China National Knowledge Infrastructure(CNKI).Excel software is applied to establish the database of acupuncture prescriptions for type 2diabetes in order to conduct the descriptive analysis,association rule analysis and clustering analysis on the data. Results: In treatment for type 2diabetes with acupuncture and moxibustion,Zusanlii(ST36) is of highest frequency and most acupoints are selected from the Bladder Meridian of Foot-Taiyang,The commonly used acupoints are located on the backside region. The five-Shu points among the specific points present the advantage in the treatment. The association rule analysis indicates the highest correlation among Qihai(RN6),Weiwanxiashu(EX-B3),Zusanli(ST36). The clustering analysis results in 7effective clusters. Results: And summarizes the common rule of the acupoint combination for type 2diabetes. All of these provide the reference to the treatment of type 2diabetes mellitus with acupuncture and moxibustion.
Objective: The modern statistical and data mining technology is used to analyze the law of the acupoint selection in the treatment of type 2diabetes with acupuncture and moxibustion. Methods: The clinical literature on the treatment of type2 diabetes with acupuncture and moxibustion in nearly 10 years is collected from China National Knowledge Infrastructure(CNKI).Excel software is applied to establish the database of acupuncture prescriptions for type 2diabetes in order to conduct the descriptive analysis,association rule analysis and clustering analysis on the data. Results: In treatment for type 2diabetes with acupuncture and moxibustion,Zusanlii(ST36) is of highest frequency and most acupoints are selected from the Bladder Meridian of Foot-Taiyang,The commonly used acupoints are located on the backside region. The five-Shu points among the specific points present the advantage in the treatment. The association rule analysis indicates the highest correlation among Qihai(RN6),Weiwanxiashu(EX-B3),Zusanli(ST36). The clustering analysis results in 7effective clusters. Results: And summarizes the common rule of the acupoint combination for type 2diabetes. All of these provide the reference to the treatment of type 2diabetes mellitus with acupuncture and moxibustion.
引文
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[2]王海鹏.我国诊断糖尿病疾病经济负担趋势预测研究[D].济南:山东大学,2016
[3]郁新迪,潘斌斌,陶小军,等.降糖药物对血糖波动影响的研究进展[M].医学综述,2013,19(14):2606~2608
[4]卢雯雯,高燕鲁.针灸治疗糖尿病周围神经病变的机制探讨[J].中西医结合心脑血管病杂志,2015,13(3):323
[5]张航飞,邓宏勇,赵玲,等.针灸治疗糖尿病数据挖掘分析[J].上海针灸杂志,2014,33(12):1173~1177
[6]黄凯裕,梁爽,许岳亭,等.基于数据挖掘的针灸治疗失眠选穴规律分析[J].中国针灸,2015,35(9):960~963
[7]曹方,李铁,哈丽娟,等.针刺治疗糖尿病胃轻瘫的临床选穴配伍规律分析[J].中国中西医结合杂志,2016,36(5):549~552
[8]石学敏,王玲玲,梁繁荣.针灸学第2版[M].北京:中国中医药出版社,2007
[9]吴粮葶,李瑛,任玉兰.基于数据挖掘技术探析针灸治疗中风后遗症的经穴特点[J].中国针灸,2013,33(2):126~130
[10]王斌.针刺联合六味地黄丸治疗2型糖尿病脂代谢紊乱的临床疗效及其对胰岛抵抗的影响研究[J].中国全科医学,2016,19(31):3878~3887
[11]许宁,贺业谦,黄根山.针刺联合穴位注射治疗糖尿病60例分析[J].人民军医,2016,59(2):189~190
[12]刘媛.基于中医古籍研究的“消須”理论源流及内涵探讨[D].北京:中国中医科学院,2015
[13]龙泓竹,田文杨,杨小辉.吕仁和教授分期诊治消渴病探源[J].北京中医药大学学报,2016,39(6):508~510