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| Discussion on the rule of acupoint selection for acupuncture treatment of enuresis in children based on data mining |
| LIU Qian1 LI Cong1 LUO Wanxin1 WANG Weigang2 LIU Zhibin1 |
1.College of Acupuncture, Moxibustion and Massage, Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712046, China;
2.Department of Acupuncture and Moxibustion, Affiliated Hospital of Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 717200, China
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Abstract Objective To explore the acupoint selection rule of acupuncture treatment of enuresis in children based on data mining. Methods Clinical research literatures on acupuncture treatment of enuresis in children were retrieved from China National Knowledge Infrastructure, Wanfang Data, and VIP from the inception to September 2022, and the acupoints included in the prescription of the literatures and their use frequency, frequency, channel tropism, distribution position, and specific acupoints were counted. IBM SPSS Modeler 18.0 and IBM SPSS Statistics 19.0 were used respectively to conduct association rules and cluster analysis on acupoint prescriptions. Results A total of 75 literatures were included, including 75 acupuncture prescriptions and 62 acupoints, and the total frequency of acupoints was 464 times. The high frequency acupoints were successively guānyuán, sānyīnjiāo, zhōngjí, shènshù, and zúsānlǐ. The conception vessel and the bladder meridian of foot-taiyang were the channels used more frequently. The acupoints were mainly distributed in the chest, abdomen, lumbosacral back. The front-mu point was the specific point used most frequently. Guānyuán-zhōngjí-sānyīnjiāo was the common acupoint group for acupuncture treatment of enuresis in children. Cluster analysis showed that five clusters were commonly used acupoint groups. Conclusion Acupuncture treatment of children enuresis points pay attention to children’s physiology and pathology, mainly to supplement, on the basis of disease differentiation of syndrome and points to strengthen the curative effect.
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[1] 王仲易，杜可，李晨，等.中医儿科临床诊疗指南·小儿遗尿症（修订）[J].中医儿科杂志，2018，14（1）：4-8.
[2] 沈茜，刘小梅，姚勇，等.中国儿童单症状性夜遗尿疾病管理专家共识[J].临床儿科杂志，2014，32（10）：970-975.
[3] 姚勇.儿童夜尿症发病机制与干预策略[J].中国实用儿科杂志，2017，32（2）：153-158.
[4] Vande Walle J，Rittig S，Bauer S，et al. Practical consensus guidelines for the management of enuresis [J]. Eur J Pediatr，2012，171（6）：971-983.
[5] 马艳立，沈颖，刘小梅.儿童夜间遗尿症诊疗进展[J].中华实用儿科临床杂志，2018，33（17）：1348-1350.
[6] 陆晓丹，张晓丽，冯琦钒.通督温阳法针刺及温肾止遗方联合常规治疗对膀胱虚寒型小儿遗尿患者的临床疗效[J].中成药，2022，44（4）：1358-1360.
[7] 贾云芳，侯仙明，刘淑彦，等.贾春生教授针刺治疗小儿遗尿经验（英文）[J]. World Journal of Acupuncture-Moxibustion，2016，26（4）：68-71.
[8] 张雪琳，王孟雨，高希言.小儿遗尿案[J].中国针灸，2018， 38（5）：503.
[9] 周冰莹，马棣元，唐浚峰，等.针刺治疗儿童遗尿症的系统评价与Meta分析[J].天津中医药，2022，39（5）：622- 628.
[10] 许传亮，宋奇翔，方祖军，等.儿童夜间遗尿症诊治指南[J].中华泌尿外科杂志，2015，36（11）：801-805.
[11] 武晓冬，黄龙祥，赵京生.《经穴名称与定位》（GB/T 12346-2021）标准解读[J].中国针灸，2022，42（5）：579- 582.
[12] 刘存志，沈雪勇.经络腧穴学[M].5版.北京：中国中医药出版社，2021.
[13] 尹晶，陈邦国，张照庆，等.电针关元穴对低顺应性膀胱大鼠逼尿肌收缩性和顺应性的影响[J].湖北中医药大学学报，2018，20（4）：5-10.
[14] 杨静，代秀，吴扬，等.电针“三阴交”对膀胱造瘘术后功能亢进模型大鼠膀胱功能的调节作用[J].中国针灸，2014，34（10）：998-1002.
[15] 王佳琪，刘志顺.针灸治疗脊髓损伤神经原性膀胱功能障碍概况[J].中国针灸，2008，28（10）：779-782.
[16] 郭文，冷军，刘会敏，等.任脉灸治疗脑卒中后尿失禁疗效分析[J].山东中医杂志，2021，40（11）：1240-1244.
[17] 毛君慧，楚佳梅，包烨华，等.基于数据挖掘的灸法治疗遗尿症的现代文献选穴规律研究[J].上海针灸杂志，2018，37（7）：821-826.
[18] 张亚倩，王熙岚，陈佳琪，等.针灸治疗小儿遗尿临床选穴规律分析[J].中国民间疗法，2021，29（10）：69-71.
[19] 胡丹，邓鹏，焦琳，等.热敏灸加腹针疗法联合盆底肌训练法治疗女性压力性尿失禁28例临床观察[J].中医杂志，2017，58（19）：1662-1665.
[20] 魏新春，周云，吴建贤，等.电针膀胱经腧穴联合膀胱治疗仪治疗脊髓损伤后神经源性膀胱的临床疗效观察[J].中国康复，2021，36（7）：396-400.
[21] 屠路亭，李彦彩，鲍超.基于“脑-督脉-膀胱”轴理论探讨“通督温阳”针灸疗法在儿童遗尿症中的应用[J].西部中医药，2021，34（2）：46-49.
[22] 乔嘉.针刺单穴和组穴对癫痫大鼠调节作用的经穴效应特异性研究[D].银川：宁夏医科大学，2020.
[23] 贾连升，蒋丹丹.肌电生物反馈结合电针俞募穴治疗脊髓损伤后神经源性膀胱临床观察[J].实用中医药杂志，2021，37（10）：1756-1758.
[24] 逄静，尹洪娜，夏昆鹏，等.俞募配穴穴位埋线疗法对脊髓损伤后神经源性膀胱患者膀胱功能恢复的影响——附31例临床资料[J].江苏中医药，2021，53（11）：31- 34.
[25] 章羽.针刺足运感区结合温针关元、中极治疗小儿遗尿疗效观察[J].四川中医，2017，35（9）：177-179.
[26] 刘兰群，李惠兰，陈爽，等.电针中极和关元治疗脑卒中后急迫性尿失禁的效果[J].中国康复理论与实践，2020， 26（1）：93-97.
[27] 王琳琳，任志欣，朱敬云，等.电针联合透灸治疗产后压力性尿失禁疗效观察[J].中国针灸，2019，39（6）：599- 603.
[28] 董富.针刺治疗脑小血管病尿失禁的临床疗效观察[D].武汉：湖北中医药大学，2022. |
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