探讨针灸结合其他疗法治疗骨质疏松性椎体压缩性骨折的组穴规律

To Explore the Regularity of Acupoint Combination of Acupuncture and Moxibustion and Other Therapies in the Treatment of Osteoporotic Vertebral Compression Fractures

摘要: 目的：基于R语言探讨针灸结合其他疗法治疗骨质疏松性椎体压缩性骨折的组穴规律，为针灸治疗该病提供选穴依据。方法：检索“知网”、“维普”、“万方”、“中国生物医学文献数据库”中治疗骨质疏松性压缩性骨折的相关文献，并用采用Excel软件进行统计，利用R语言进行频数统计、关联规则分析、聚类分析。结果：共纳入52个处方，共包含穴位39个，选穴频数前10的穴位为：肾俞、腰阳关、命门、足三里、大肠俞、委中、阳陵泉、腰椎夹脊、三阴交、环跳；穴位归经以膀胱经为主，特定穴以背俞穴为主；关联规则分析显示以百会、脾俞、至阳、肝俞、上髎、气海、关元、大椎穴为主的核心组合；层次聚类分析得到4类、15类穴位组合。结论：探讨针灸结合其他疗法治疗骨质疏松性椎体压缩性骨折的临床组穴规律，为临床治疗骨质疏松性椎体压缩性骨折提供选穴思路。

Abstract: Objective: To explore the acupuncture combination therapy regimen for osteoporotic vertebral compression fractures and provide acupoint selection guidelines based on R language. Methods: The relevant literature on the treatment of osteoporotic vertebral compression fractures was searched on “CNKI”, “VIP”, “Wanfang”, and “China Biomedical Literature Database”, and statistical analysis was conducted using Excel software. Frequency statistics, association rule analysis, and clustering analysis were conducted using R language. Results: A total of 52 prescriptions were included, containing 39 acupoints. The top 10 acupoints with the highest frequency of selection were: Shenshu, Yaoyangguan, Mingmen, Zusanli, Dachangshu, Weizhong, Yanglingquan, Yaozhuijiaji, Sanyinjiao, and Huantiao; the main meridians of the acupoints were the Bladder Meridian; the specific points were mainly back shu points; the core combination of association rule analysis was mainly Baihui, Bladder 20, Zhiyang, Shangliao, Qihai, Guanyuan, and Dazhui; the clustering analysis obtained 4 categories and 15 categories of acupoint combinations. Conclusion: This study explores the clinical acupoint combination regimen for the treatment of osteoporotic vertebral compression fractures by R language, providing acupoint selection ideas for clinical treatment of osteoporotic vertebral compression fractures.