文章摘要
程洁1,陈霞1,朱毅2*.基于数据挖掘探讨针灸治疗脊髓损伤尿潴留的临床选穴规律[J].南京中医药大学学报,2018,34(1):96-100.
基于数据挖掘探讨针灸治疗脊髓损伤尿潴留的临床选穴规律
Study on Clinical Points Selection Rules of Acupuncture and Moxibustion in the Treatment of Spinal Cord Injury Induced Urinary Retention Based on Data Mining Technology
  
DOI:
中文关键词: 脊髓损伤  尿潴留  针灸  选穴规律  数据挖掘
英文关键词: spinal cord injury  urinary retention  acupuncture and moxibustion  points selection rules  data mining
基金项目:
作者单位
程洁1,陈霞1,朱毅2* 1.南京中医药大学第二临床医学院江苏 南京 
210023
2.海南医学院第二附属医院海南 海口 
570311
 
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中文摘要:
      目的 探析针灸治疗脊髓损伤尿潴留的临床选穴规律。方法 检索中国知网(CNKI)、万方数据学术论文总库、维普网、Pubmed从建库至2016年,以针灸疗法为主的脊髓损伤尿潴留临床文献,进行描述分析、关联分析和聚类分析。结果 针灸治疗脊髓损伤尿潴留以电针为主,常结合其他中西医康复疗法。使用频次高的临床常用穴为关元、中极、次髎、三阴交等16穴。上髎、次髎、中髎、下髎四穴相关性最高。有效腧穴聚类群集为下髎、上髎、中髎、次髎,关元、中极、气海,阴陵泉、足三里、三阴交,肾俞、膀胱俞,水道、曲骨、命门、会阳。结论 针灸治疗(尤其是电针治疗)脊髓损伤尿潴留在临床日益受到重视。临床治疗和选穴思路体现了传统与现代相结合的特点。
英文摘要:
      OBJECTIVE To study the clinical points selection rules of acupuncture and moxibustion in the treatment of spinal cord injury induced urinary retention. METHODS From the data base establishment to 2016, the clinical literatures about spinal cord injury induced urinary retention mainly treated with acupuncture and moxibustion were retrieved in CNKI, WANGFANG, VIP and Pubmed. And descriptive analysis, association rule analysis and clustering analysis were performed on these literatures. RESULTS In the treatment of spinal cord injury induced urinary retention, electroacupuncture (EA) was mainly used, which was usually combined with other comprehensive Chinese and Western rehabilitation therapy. Clinically, the most commonly used points with the highest frequency included 16 points such as Guanyuan (CV 4), Zhongji (CV 3), Ciliao (BL 32) and Sanyinjiao (SP 6). There was a highest correlation among Shangliao (BL 31), Ciliao (BL 32), Zhongliao (BL 33) and Xialiao (BL 34). The effective acupoint clusters included Xialiao (BL 34), Shangliao (BL 31), Zhongliao (BL 33) and Ciliao (BL 32); Guanyuan (CV 4), Zhongji (CV 3) and Qihai (CV 6); Yinlingquan (SP 9), Zhongji (CV 3) and Sanyinjiao (SP 6); Shenshu (BL 23) and Pangguangshu (BL 28); Shuidao (ST 28), Qugu (CV 2), Mingmen (GV 4) and Huiyang (BL 35). CONCLUSION The application of acupuncture and moxibustion treatment (especially EA) for spinal cord injury induced urinary retention is receiving more and more attention in clinic. The clinical treatment and points selection thoughts reflect the characteristics of traditional and modern combination.
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