基于数据挖掘揿针治疗中风后失眠经络取穴规律分析

Analysis of Meridian Selection Rules for Intradermal Acupuncture Treatment of Post-Stroke Insomnia Based on Data Mining

摘要: 目的：运用数据挖掘方法对揿针治疗中风后失眠的选穴规律进行分析，为临床治疗提供参考。方法：应用计算机检索中国知网、万方、维普、PubMed和Embase数据库截止2024年9月24日的文献，筛选纳入后运用EXCEL表格统计，并用SPSS 26.0进行腧穴及归经出现频次和频率的统计分析。结果：共有34篇符合纳入标准；耳穴共出现16个，前五位分别为神门(17.29%)、心(15.03%)、皮质下(14.28%)、交感(10.52%)、脾(8.27%)；十四经穴加经外奇穴共23个，前五位为神门(13.92%)、三阴交(10.12%)、心俞(7.59%)、申脉(7.59%)、照海(7.59%)；经穴归经10条经络，前五位为足太阳膀胱经(27.84%)、手少阴心经(13.92%)、足少阴肾经(11.36%)、足太阴脾经(10.12%)、督脉(8.86%)。结论：通过数据挖掘分析揭示了揿针治疗中风后失眠的取穴特点、用穴归经，为临床优化治疗方案、提高疗效提供了参考和启示。

Abstract: Objective: The method of data mining was used to analyze the rule of acupoint selection in intradermal Acupuncture treatment of post-stroke insomnia so as to provide references for clinical treatment. Methods: The literature collected from CNKI, Wanfang, VIP, PubMed, and Embase databases up to September 24, 2024 were searched by computer. The frequency of acupoints and meridian distribution were analyzed by EXCEL and SPSS 26.0. Results: A total of 34 articles met the inclusion criteria; There were 16 auricular points, and the top five were Shenmen (17.29%), Heart (15.03%), Subcortex (14.28%), Sympathesis (10.52%), and Spleen (8.27%); There were 23 acupoints of meridians acupoints plus the extraordinary acupoints, the top five were Shenmen (13.92%), Sanyinjiao (10.12%), Xinshu (7.59%), Shenmai (7.59%), and Zhaohai (7.59%); Meridian acupoints distribute to 10 meridians, the top five were bladder meridian (27.84%), heart meridian (13.92%), kidney meridian (11.36%), spleen meridian (10.12%), and Du meridian (8.86%). Conclusion: Through data mining analysis, the characteristics of acupoint selection and meridian distribution in intradermal acupuncture treatment of post-stroke insomnia were revealed, which provided a reference and enlightenment for the clinical optimization of the treatment plan and improvement of curative effect.