基于R语言及复杂网络分析技术探讨针灸治疗卒中后痉挛性偏瘫的选穴规律

To Explore the Acupoint Selection Patterns in Acupuncture Treatment for Post-Stroke Spastic Hemiplegia Using R Language and Complex Network Analysis Techniques

摘要: 该研究旨在运用R语言和复杂网络分析等数据挖掘方法，探讨针灸治疗卒中后痉挛性偏瘫的临床选穴规律。研究人员系统检索了中英文数据库中自2015年至2025年3月的相关临床文献，共纳入202篇。通过创建数据库，研究使用频率分析、关联规则分析(Apriori算法)、复杂网络共现分析和层次聚类分析等方法，对202条处方中的220个腧穴进行了统计分析。结论认为，针灸治疗本病应以阳经选穴为主，辅以阴经，并根据患者具体情况灵活选方。上肢的核心选穴为手三里、合谷、曲池、肩髃、外关；下肢的核心选穴为三阴交、血海。

Abstract: This study aims to utilize data mining methods such as R language and complex network analysis to explore the clinical acupoint selection patterns in acupuncture treatment for post-stroke spastic hemiplegia. The researchers systematically reviewed relevant clinical literature from both Chinese and English databases spanning from 2015 to March 2025, ultimately including 202 articles. By establishing a database, they conducted statistical analyses on 220 acupoints from 202 prescriptions using frequency analysis, association rule analysis (Apriori algorithm), complex network co-occurrence analysis, and hierarchical clustering analysis. The findings suggest that acupuncture treatment for this condition should primarily focus on selecting acupoints from the Yang meridians, supplemented by the Yin meridians, with flexible prescription adjustments based on individual patient conditions. The core acupoints for the upper limbs are Shousanli (LI10), Hegu (LI4), Quchi (LI11), Jianyu (LI15), and Waiguan (TE5); for the lower limbs, the core acupoints are Sanyinjiao (SP6) and Xuehai (SP10).