中国中医药信息杂志2024，Vol.31Issue(3)：42-47,6.DOI:10.19879/j.cnki.1005-5304.202309257
基于数据挖掘探究经皮经颅电刺激治疗卒中后运动障碍刺激参数应用规律
Study on Application Law of Stimulation Parameters of Transcutaneous and Transcranial Electrical Stimulation for Post-Stroke Movement Disorders Based on Data Mining
摘要
Abstract
Objective To explore the application low of stimulation parameters of transcutaneous electrical acupoint stimulation(TEAS)and transcranial direct current stimulation(tDCS)for post-stroke movement disorders based on data mining.Methods The relevant clinical research literature was retrieved from CNKI,Wanfang Data,VIP,CBM,PubMed and Web of Science from January 2000 to May 2023.A database was set up after quality assessment.Frequency analysis,association rules and complex network analysis were used to explore the application law of core acupoints and electrical stimulation parameters.Results A total of 79 articles were included and 128 groups of data were contained.For TEAS,the core acupoints included Waiguan(TE5),Shousanli(LI10),Zusanli(ST36),Hegu(LI4),Neiguan(PC6),Yanglingquan(GB34),etc.,while the most commonly used acupoint combinations of upper limb and lower limb were Shousanli(LI10)-Waiguan(TE5)and Yanglingquan(GB34)-Zusanli(ST36).Among the electrical stimulation parameters of TEAS,the frequencies used vary widely,and 100 Hz was most commonly used,while 2 Hz TEAS was also mainly used for stimulating acupoints located on upper limbs in the treatment of flaccid paralysis.The application of other electrical stimulation parameters was relatively consistent.The bidirectional symmetrical square-wave with 200-250 μs pulse-width was used in majority of studies.The stimulus intensity was mostly determined by patient tolerance.For tDCS,stimulation electrodes were often positioned on the projection of the primary M1,and the safe stimulus intensity was mostly set as 1 to 2 mA.Conclusion In the treatment of post-stroke movement disorders,appropriate acupoints and electrical stimulation parameters of TEAS should be determined on the muscle strength and muscle tension of stroke patients at different stages after stroke,particularly the selection of electric stimulating frequency.关键词
卒中后运动障碍/经皮穴位电刺激/经颅直流电刺激/电刺激参数/数据挖掘Key words
post-stroke movement disorders/transcutaneous electrical acupoint stimulation/transcranial direct current stimulation/electrical stimulation parameters/data mining分类
医药卫生引用本文复制引用
修靖云,马良宵,马凌慧,孙天祎,钱旭,张秦墉,王修琰..基于数据挖掘探究经皮经颅电刺激治疗卒中后运动障碍刺激参数应用规律[J].中国中医药信息杂志,2024,31(3):42-47,6.基金项目
国家重点研发计划(2020YFC2007303) （2020YFC2007303）
国家自然科学基金面上项目(82274655) （82274655）
