|
|
Study on the general character of acupuncture points for post-stroke depression based on complex network analysis |
WANG Xue YANG Dongting LIU Wenna ZHANG Jingsha▲ GENG Lianqi |
Department of Acupuncture, Tianjin Binhai New Area Hospital of TCM, Tianjin 300451, China |
|
|
Abstract Objective To analyze the general character of acupuncture points for post-stroke depression by using data mining technology. Methods Chinese keywords were (“acupuncture and moxibustion” or “acupuncture” or “filiform acupuncture” or “electroacupuncture”) and (“stroke” or “apoplexia”) and (“depression” or “depression disease” or “depression syndrome” or “melancholy”). English subject words were MESH words (“acupunture” or “electronic acupunture”) and “post-stroke expression”, which were used to retrieve the literatures published by CNKI, VIP, Wanfang, China biomedical literature database, PubMed as of July 2018 on acupuncture treatment of post-stroke depression. The database was established, SPSS Modeler 18.0 was used for modeling, association rules were analyzed, and Gephi 0.9.1 was used for complex network analysis. Results 647 prescriptions of acupuncture and moxibustion were extracted from 2145 literatures. The main methods of acupoint matching were the method of distance and proximity (484 prescriptions), the method of secondary acupoint matching and the method of lower acupoint matching (522 prescriptions). The top 10 single acupoints were Baihui, Neiguan, Taichong, Sanyinjiao, Sishencong, Yintang, Shenmen, Shenting, Hegu and Zusanli, among which, the head acupoints were the most frequently used and selected, when the support degree was ≥ 30% and the confidence degree was ≥ 75%, Baihui + Yintang was the first acupoint combination. Conclusion With the core of governor meridians, it follows the principles of local acupoint selection, up and down acupoint selection and syndrome differentiation of viscera, with the core idea of adjust mind, we select Baihui, Sishengcong, Yintang, Neiguan, Taichong, Sanyinjiao, Shenting as the core acupoint prescriptions of acupuncture therapy for post-stroke depression.
|
|
|
|
|
[1] 陈爱文,高垣,王观涛,等.早期针刺干预对卒中后抑郁的影响:随机对照研究[J].中国针灸,2018,38(11):1141-1144.
[2] 王少石,周新雨,朱春燕.卒中后抑郁临床实践的中国专家共识[J].中国卒中杂志,2016,11(8):685-693.
[3] 周歆,任路,高媛媛,等.针刺对脑卒中后抑郁症患者抑郁状态改善的Meta分析[J].中华中医药学刊,2018,36(12):2875-2879.
[4] 张田英.针灸治疗脑卒中后抑郁的系统评价[D].成都:成都中医药大学,2017.
[5] 黄龙祥,赵京生,韩钟,等.GB/T12346-2006,腧穴名称与定位[S].2006.
[6] 吴巧凤,张承舜,陈勤,等.采用复杂网络方法研究俞穴配伍的可行性探讨[J].针刺研究,2012,37(3):252-255.
[7] 王媛媛,林枫,江钟立.基于复杂网络分析技术的针灸辨证取穴模式分析[J].中国针灸,2011,31(1):85-88.
[8] 陈波,李明月,赵雪,等.基于文献数据挖掘技术的腧穴配伍规律研究进展[J].辽宁中医杂志,2018,45(3):654-656.
[9] 韩李莎,盛茹雅,鲁海,等.近10年印堂穴临床应用现状[J].针灸临床杂志,2018,34(11):72-75.
[10] 郭郁,许珂,包伍叶,等.针刺对强迫游泳应激大鼠海马c-jun氨基末端激酶信号通路的影响[J].针刺研究,2016, 41(1):18-23.
[11] 常磊,姜会梨,王瑜,等.针刺对慢性束缚应激模型大鼠额叶和海马谷氨酸受体2/4表达的影响[J].中华中医药杂志,2018,33(6):2327-2331.
[12] 宋小娟.针刺不同穴组对抑郁大鼠行为学及HPA轴相关激素影响的比较研究[D].北京:北京中医药大学,2016.
[13] 张静莎.近10年电针治疗卒中后抑郁的研究现状[J].针灸临床杂志,2017,33(2):73-76.
[14] 徐世芬,庄礼兴.电针百会、印堂为主治疗抑郁症疗效观察[J].上海针灸杂志,2010,29(9):569-572.
[15] 董建萍,陈晨,李樱.头部电针透刺对脑卒中抑郁症病人治疗前后脑电图变化的影响[J].针灸临床杂志,2013, 29(12):17-19.
[16] 刘增雪,陆静珏,周一心.关于卒中后抑郁发病机制的研究新进展[J].中国医药导报,2019,16(2):24-28.
[17] 陈心智,王健,王静慧,等.电针健脑安神法治疗中风后抑郁临床研究[J].辽宁中医杂志,2005,32(5):464-465.
[18] 石涛,韩东岳,李铁,等.四神聪穴的现代应用规律总结[J].长春中医药大学学报,2012,28(4):695-696.
[19] 时旭平,田苑,李婷,等.“神”字穴命名规律及其作用刍议[J].江苏中医药,2015,47(6):58-60.
[20] 寇任重,费晓军,蒋钰,等.基于针刺治疗抑郁症临床研究诊疗设计现状探讨针灸临床研究方向[J].中国中西医结合杂志,2018,38(1):113-118. |
|
|
|