|
|
Exploration on acupoint selection rules of acupuncture in treating sudden deafness based on data mining |
MENG Yan1 BAI Peng1 WANG Xinru2 MA Li2 QI Xiaohan1 CHENG Jiangyan3 |
1.Department of Acupuncture and Moxibustion, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China;
3.Department of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China |
|
|
Abstract Objective To analyze the clinical characteristics and rules of points selection of acupuncture in treating sudden deafness based on data mining. Methods The clinical research literatures on sudden deafness collected by CNKI, Wanfang and VIP data platforms from October 2009 to October 2019 were retrieved and extracted by professional retrieval mode, the data was collected and the acupoint selection database was established by traditional Chinese medicine inheritance support system (V2.5), and statistical analysis was conducted by rule analysis, improved mutual information method, complex system entropy clustering and other methods. Results One hundred and seventy nine literatures were included, which involved 180 prescriptions and 65 acupoints. The total frequency was 1052 times. The high frequency acupoints were tīnggōng (81.7%), tīnghuì (74.4%), yìfēng (74.4%), ěrmén (69.4%), zhōngzhǔ (36.1%) and so on. The top three meridians with the highest frequency were Shaoyang channel of hand, Shaoyang channel of foot and governor channel. By setting the support level to 36 and the confidence level to 0.8, 25 pairs of commonly used acupoint combinations and 37 combination rules were gotten. By setting the support degree as 27 or 36, the corresponding network diagram of acupoints could be obtained respectively. The degree of correlation was eight and penalty was two, and four new prescriptions were concluded. Conclusion Acupuncture treatment of sudden deafness has considerable rules in selecting acupoint and compatibility, which can provide ideas for clinical treatment of the disease.
|
|
|
|
|
[1] 王娱,赵华.针灸治疗突发性耳聋的临床研究近况[J].新疆中医药,2019,37(2):164-167.
[2] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会.突发性聋的诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志,2015,50(6):443-447.
[3] Stachler RJ,Chandrasekhar SS,Archer SM,et al. Clinical practice guideline:sudden hearing loss [J]. Otolaryngol Head Neck Surg,2012,146(3 Suppl):S1-S35.
[4] Ban JH,Jin SM. A clinical analysis of psychogenic sudden deafness [J]. Otolaryngol Head Neck Surg,2006,134(6):970-974.
[5] 张晓彤,许珉,段茂利,等.突发性耳聋临床流行病学分析[J].中华耳科学杂志,2009,7(2):152-156.
[6] 涂晓敏,兰艳丽.巴曲酶联合前列地尔治疗极重度突发性聋的临床疗效观察[J].中国医院药学杂志,2017,37(19):1959-1960,1964.
[7] 中国突发性聋多中心临床研究协作组.中国突发性聋分型治疗的多中心临床研究[J].中华耳鼻咽喉头颈外科杂志,2013,48(5):355-361.
[8] 丘丽华,王玲.针灸治疗突发性耳聋研究进展[J].世界中医药,2011,6(5):428-430.
[9] 陈雅雯,陈琳,魏清琳.突发性耳聋针灸治疗概况[J].中医临床研究,2018,10(27):122-124.
[10] 查必祥,曹江鹏,袁爱红,等.针灸治疗突发性耳聋的Meta分析[J].中医药临床杂志,2019,31(9):1646-1652.
[11] 国家质量监督检验检疫总局,国家标准化管理委员会.GB/T 12346-2006腧穴名称与定位[S].北京:中国标准出版社,2006:1-60.
[12] 郭霭春.黄帝内经素问白话解[M].北京:中国中医药出版社,2014:271.
[13] 巴艳东,徐永和.突发性耳聋的中医病因病机探析[J].内蒙古中医药,2015,34(10):147-148.
[14] 侯志鹏,包永欣,相永梅,等.深刺耳前2穴结合耳尖刺血治疗突发性耳聋临床观察[J].中国中医急症,2017, 26(8):1460-1462.
[15] 周尚渝,强宝全.强宝全针刺治疗感音神经性耳聋验案[J].山西中医,2018,34(5):9-10.
[16] 石学敏.石学敏临证实验录[M].北京:人民卫生出版社,2012:454-457.
[17] 田代华.灵枢经[M].北京:人民卫生出版社,2005:11-40.
[18] 张萍萍,高维滨,鞠丹.电项针为主治疗特发性突聋的临床观察[J].针灸临床杂志,2012,28(2):44-45.
[19] 郭霭春.难经集注白话解[M].北京:中国中医药出版社,2012:82.
[20] 王晔博,李红奇,胡雨桐,等.高玉瑃教授重视督脉学术思想的经验[J].天津中医药大学学报,2018,37(1):6-9.
[21] 王清任.医林改错[M].沈阳:辽宁科学技术出版社,1997:4.
[22] 洪田.耳鸣诊治新进展[M].北京:人民卫生出版社,2004:152-158. |
|
|
|