摘要
目的:基于数据挖掘技术探讨针灸干预术后认知功能障碍(POCD)的取穴规律。方法:检索中国知网(CNKI)、中国学术期刊数据库(万方)、中文科技期刊数据库(维普)、中国生物医学文献数据库(CBM)、PubMed从建库至2022年8月10日收录的针灸干预POCD的相关文献,总结取穴规律。结果:检索得到文献共1 175篇,筛选后最终纳入61篇,含针灸处方63条,涉及腧穴32个,取穴总频次215次。腧穴使用频次排位前10的穴位分别为内关、百会、合谷、足三里、神庭、三阴交、印堂、神门、四神聪、太冲。以督脉、心包经、大肠经、胃经取穴数最多。穴位选取以头部及四肢为主。特定穴以交会穴、络穴(八脉交会穴)和原穴最多。关联分析结果显示,综合支持度最高的穴位为内关、百会、合谷、足三里、三阴交。常用的腧穴组方有三阴交-神门、四神聪-太冲-印堂-神庭、合谷、足三里、内关、百会。结论:针灸干预POCD多从心脑及气血论治,遵循局部取穴、循经取穴的原则,注重特定穴尤其是交会穴的应用。
Objective:To discuss the point selection rules of acupuncture and moxibustion as intervention for postoperative cognitive dysfunction(POCD).Methods:The relevant literatures on acupuncture and moxibustion as intervention in treating POCD were retrieved from China National Knowledge Infrastructure(CNKI),China Science Periodical Database(Wanfang),China Science and Technology Journal Database(VIP),China Biology Medicine disc(CBM)and PubMed from the establishment of database to August 10,2022,and the point selection rules of acupuncture and moxibustion were summarized.Results:A total of 1175 articles were retrieved;61 articles were finally included after screening,including 63 acupuncture and moxibustion prescriptions and involving 32 acupuncture points,and the total times of point selection was 215.The top 10 acupuncture points in the frequency of selection were Neiguan(PC6),Baihui(DU20),Hegu(LI4),Zusanli(ST36),Shenting(DU24),Sanyinjiao(SP6),Yintang(EX-HN3),Shenmen(TF4),Sishencong(EX-HN1)and Taichong(LV3).The number of points selected along the governor vessel,pericardium channel,large intestine channel and stomach channel were the most.The point selection mainly covered the head and limbs.The most specific points cross point,connecting point(the eight confluence points)and yuan-source point.The results of correlation analysis showed that the acupuncture points with the highest comprehensive support were Neiguan(PC6),Baihui(DU20),Hegu(LI4),Zusanli(ST36)and Sanyinjiao(SP6).The commonly used acupuncture points combinations were Sanyinjiao(SP6)-Shenmen(TF4),Sishencong(EX-HN1)-Taichong(LV3)-Yintang(EX-HN3)-Shenting(DU24),Hegu(LI4),Zusanli(ST36),Neiguan(PC6),and Baihui(DU20).Conclusion:Acupuncture and moxibustion as intervention for POCD mostly starts from the treatment of the heart,brain,qi and blood,following the principle of local point selection and point selection along meridian,and paying attention to the application of specific points,especially the confluence points.
作者
胡照
祝震天
冯炯
HU Zhao;ZHU Zhentian;FENG Jiong(Jinhua Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Jinhua Zhejiang 321000,China)
出处
《新中医》
CAS
2024年第4期106-111,共6页
New Chinese Medicine
关键词
术后认知功能障碍
针灸
取穴规律
数据挖掘
Postoperative cognitive dysfunction
Acupuncture and moxibustion
Point selection rules
Data mining
