我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

基于数据挖掘的针灸治疗神经源性膀胱取穴规律研究*(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2019年02期
页码:
47-54
栏目:
针灸研究
出版日期:
2019-11-15

文章信息/Info

Title:
Acupuncture Treatment Based on Data Mining for the Treatment of Neurogenic Bladder Acupoints
文章编号:
1000-2723(2019)02-0047-08
作者:
黄 宇何 婷漆双进杨 硕莫 倩
(贵州中医药大学,贵州 贵阳 550002)
Author(s):
HUANG Yu HE Ting QI Shuangjin YANG Shuo MO Qian
(College of Acupuncture and Bone Injury, Guizhou University of Traditional Chinese Medicine, GuiYang 550002, China)
关键词:
神经源性膀胱 尿潴留 针刺 选穴特点 规律分析 数据挖掘 文献研究
Keywords:
neurogenic bladder urinary retention acupuncture features of selecting points law analysis data mining literature research
分类号:
R246.9
DOI:
10.19288/j.cnki.issn.1000-2723.2019.02.010
文献标识码:
A
摘要:
目的以数据挖掘为手段分析针灸治疗神经源性膀胱的经穴应用规律特点。方法 参考万方(Wanfang Data,WF)、中国知网(China national knowledge,CNKI)、维普(China Secience and Technology Journal,VIP)、PubMed、Medline、Cochrane Library等数据库并从中摘取2008年1月-2019年3月以来针灸治疗神经源性膀胱的临床研究类文献,以数据挖掘的手段对针灸临床取穴规律特点进行分析。结果 按照纳入排除标准最终纳入82篇文献:(1)常用主穴39个:中极(8.9%)、关元(8.8%)、三阴交(8.0%)、次髎(7.8%),使用频次累及537次;(2)腧穴关联度:中极-关元(56.3%、84%)、次髎-中髎(40.0%、100%)、肾俞-膀胱俞(37.5%、83%)、上髎-下髎(33.8%、93%);(3)腧穴分布:腰骶部(45.3%)、下腹部(30.9%)、四肢(21.0%)、头面部(2.8%);(4)常用经脉:足太阳膀胱经(235,43.8%)、任脉(137,25.5%)、足太阴脾经(69,12.8%);(5)处方多由5~8(51.2%)个腧穴组成;(6)针灸方法以单纯针刺(30.5%)为主。结论 通过数据挖掘技术对近十年临床文献分析,总结出针刺治疗神经源性膀胱以中极、关元、三阴交、次髎最为常用,中极-关元、次髎-中髎、肾俞-膀胱俞、上髎-下髎的关联程度最高,腧穴分布多集中于腰骶部和下腹部,以足太阳膀胱经、足太阴脾经、任脉常见,单纯针刺为主要针灸方法,采用局部(病位)(腰骶部)及远端(四肢)相结合的取穴方式,为针刺治疗神经源性膀胱的临床选经选穴提供相应的循证依据。
Abstract:
Objective To analyze the application rules and characteristics of acupuncture and moxibustion on neurogenic bladder by means of data mining. Methods The reference from Wanfang Data (WF), China national knowledge (CNKI), China Secience and Technology Journal (VIP), PubMed, Medline, Cochrane Library and other databases, clinical studies on acupuncture and moxibustion for neurogenesis of bladder from January 2008 to March 2019 were extracted. By means of data mining, this paper analyzes the characteristics of acupoint selection in clinical acupuncture and moxibustion. Results According to the inclusion and exclusion criteria, 82 articles were finally included: (1) 39 main points were commonly used: CV3 (8.9%), CV4 (8.8%), SP6 (8.0%), BL32 (7.8%), Use frequency involved 537 times; (2) Correlation degree of acupoints: CV3-CV4 (56.3%, 84%)、 BL3-BL33 (40.0%, 100%), BL23- BL28 (37.5%, 83%), BL31-BL34 (33.8%, 93%); (3) Distribution of acupoints: lumbosacral (45.3%), lower abdomen (30.9%), limbs (21.0%), head and face (2.8%); (4) Common meridians: foot solar bladder meridian (235, 43.8%), ren meridian (137, 25.5%), foot taiyin spleen meridian (69, 12.8%); (5) Most prescriptions are composed of 5~8(51.2%) acupoints; (6) Acupuncture and moxibustion methods were mainly simple acupuncture and moxibustion (30.5%). Conclusion Through the data mining technology for nearly a decade of clinical literature analysis, it is concluded that CV3、 CV4、 SP6 and BL32 are the most commonly used acupuncture to treat neurogenic bladder, The correlation degree of CV3-CV4、 BL32-BL33、 BL23-BL28 and BL31-BL34 was the highest. Acupoints are mostly distributed in the lumbosacral region and the lower abdomen, The bladder meridian of foot sun, spleen meridian of foot taiyin and ren meridian are common.Simple acupuncture is the main method of acupuncture and moxibustion.use local (disease) (lumbar di ministry) and the distal (limbs) with the combination of the find, To provide evidence basis for the clinical selection of acupuncture points in the treatment of neurogenic bladder.

参考文献/References

[1] ST?魻HRER M, GOEPEL M, KONDO A, et al. The standardization of terminology in neurogenic lower urinary tract dysfunction:with suggestions for diagnostic procedures. International Continence Society Standardization Committee[J]. Neurourol Urodyn,1999,18(2):139-158.
[2] 那彦群,叶章群,孙颖浩,等. 中国泌尿外科疾病诊断治疗指南(2014版)[M]. 北京:人民卫生出版社,2014:267-311.
[3] ABRAMS P, ANDERSSON KE, BIRDER L, et al. Fourth Intemational Consultation on Incontinence Recommendations of the International Scientific Committee:Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence[J]. Neurourol Urodyn,2010,29(1):213-240.
[4] KRAMER G H, MEYERHOF D P. The Canadian National Calibration Reference Centre for In-Vivo Monitoring:thyroid monitoring. Part V:minimizing placement error in a thyroid monitoring system[J]. Can J Med Radiat Technol,1994,25(4):125-128.
[5] AMARK P, BUSSMAN G, EKSBORG S. Follow-up of long-time etreatment with intravesica1 oxybutynin for neurogenic bladder in chi1dren[J]. Eur Uyol,1998,34(2):148-153.
[6] BUYSE G, WA1DECK K, VERPOORTEN C, et al. Intravesical oxybutynin for neurogenic bladder dysfunction:less systemic side effects due to reduced first pass metabolism[J]. J Urol,1998,160(3Pt1):892-896.
[7] DI S S M, GIANNANTONI A, VESPASIANI G, et al. Intravesical electromotive administration of oxybutynin in patients with detrusor hyperreflexia unresponsive to standard anticholinergic regimens[J]. J Urol,2001,165(2):491-498.
[8] HAFERKAMP A, STAEHLER G, GERNER H J, et al. Dosage escalation of intravesical oxybutynin in the treatment of neurogenic bladder patients[J]. Spinal Cord,2000,38(4):250-254.
[9] PANNEK J, SOMMERFELD H J, BOTEL U, et al. Combined intravesical and oral oxybutynin chloride in adult patients spinal cord injury[J]. Urology,2000,55 (3):358-362.
[10] RIEDL C R, KNOLL M, PLAS E, et al. Intravesical electromotive drug administration technique:preliminary results and side effects[J]. J Urol,1998,159(6):1851-1856 .
[11] 郑洁,刘焕,郭海英,等.近十年来针灸治疗脊髓损伤神经源性膀胱临床研究概况[J].辽宁中医杂志,2013,15(7):203-205.
[12] 唐镜全. 刘志顺主任医师针灸治疗神经源性膀胱的诊疗经验总结[D]. 北京:中国中医科学院,2017.
[13] 侯金羴. 中医综合康复治疗对脊髓损伤后神经源性膀胱尿潴留患者生活质量的影响[D]. 长春:长春中医药大学,2017.
[14] 任亚锋,张博爱,冯晓东,等. 艾灸治疗脊髓损伤后膀胱功能障碍的临床研究[J]. 中国中医基础医学杂志,2013,19(10):1178-1180.
[15] 范筱,汪今朝,刘宇. 针灸治疗脊髓损伤后神经源性膀胱疗效和安全性的Meta分析[J]. 中国中医骨伤科杂志,2017,25(9):35-43.
[16] 张韬. 金匮肾气丸联合腹针治疗肾气虚型神经源性膀胱的临床治疗研究[D]. 北京:北京中医药大学,2013.
[17] 康莉娟. 平消癃清方治疗脾肾亏虚型糖尿病神经源性膀胱的临床疗效观察[D]. 乌鲁木齐:新疆医科大学,2017.
[18] 沈玉国,张婷婷,龚英,等. 宣肺温肾汤联合西药治疗糖尿病神经源性膀胱的临床研究[J]. 陕西中医,2017,38(5):564-566.
[19] 陈一鸣,邱晶晶,黄睿,等. 中医外治法治疗糖尿病神经源性膀胱研究概况[J]. 中国民族民间医药,2017,26(17):28-31.
[20] 张金枝. 温肾健脾方治疗糖尿病神经源性膀胱的临床研究[D]. 济南:山东中医药大学,2012.
[21] 张珂炜. 中药靶药穴位贴敷治疗糖尿病神经源性膀胱的临床观察[J]. 中医临床研究,2016,8(14):90-91.
[22] 沈雪勇. 经络腧穴学[M]. 北京:中国中医药出版社,2008:1-308.
[23] 王善建. 康复训练与矩阵取穴针灸治疗神经源性膀胱临床观察[J]. 四川中医,2016,34(10):171-173.
[24] 候小勤,陈日新. 温针灸八髎穴与针刺治疗脑卒中后尿失禁对照研究[J]. 亚太传统医药,2014,10(16):42-43.
[25] 卜广平. 电针三阴交治疗脊髓损伤性尿潴留12例[J]. 中国针灸,1994(1):5.
[26] 颜永太. 神经源性膀胱综述[J]. 世界最新医学信息文摘,2016,16(11):38-39.
[27] 王丽华,黄伟,李佳,等. 基于数据挖掘的针灸治疗肥胖伴2型糖尿病取穴规律研究[J]. 中华中医药学刊,2018,36(9):2196-2199.

备注/Memo

备注/Memo:
收稿日期: 2019 - 04- 10
* 基金项目: 国家自然科学基金(81660822);贵州中医药大学2017年大学生创新创业训练计划项目;2017年贵州省中医 药、民族医药科学技术研究专项课题项目(QZYY2017-027);第四批全国中医(临床、基础)优秀人才研修项目 (1007-00120120201)
第一作者简介: 黄宇(1995-),女,在读硕士研究生,研究方向:针灸对下泌尿生殖系统与内分泌系统疾病基础与临床研究。
更新日期/Last Update: 2019-11-19