中国中医药信息杂志2025，Vol.32Issue(5)：32-38,7.DOI:10.19879/j.cnki.1005-5304.202412081
针刺治疗卒中后吞咽障碍选穴规律及分期针刺处方研究
Study on the Acupoint Selection Law and Staged Acupuncture Prescriptions for Post-stroke Dysphagia Treated with Acupuncture
摘要
Abstract
Objective To explore the acupoint selection law and staged acupuncture prescriptions in the treatment of post-stroke dysphagia using data mining technology.Methods Clinical research literature about acupuncture treatment of post-stroke dysphagia was retrieved from CNKI,Wanfang Data,VIP,SinoMed,PubMed,Embase,Cochrane Library from January 1,2004 to October 1,2024.Prescription information was organized and summarized,and was entered into the database.Descriptive analysis,association rule analysis,complex network analysis and clustering analysis on prescription acupoints were conducted with Excel 2021,SPSS Modeler 18.0 and SPSS 26.0 softwares.Results A total of 306 articles were included,including 328 acupuncture prescriptions involving 118 acupoints,with a cumulative frequency of 1 541 times.The core acupoints were Lianquan,Fengchi,Yuye,Jinjin,Yifeng,Jialianquan,Fengfu and Wangu.The main meridians were Conception Vessel,gallbladder meridian,Governor Vessel and stomach meridian.The distribution was concentrated in the head,face and neck,and the use of intersection acupoints were the most.Association rule analysis showed that Lianquan-Fengchi,Lianquan-Jinjin-Yuye had the highest degree of support for association rules,and the clustering analysis showed 4 categories such as Jialianquan-Baihui-Fengfu.The analysis obtained corresponding acupuncture prescriptions for oral stage,pharyngeal stage and esophageal stage of dysphagia.Conclusion Acupuncture treatment of post-stroke dysphagia is mainly based on local acupoint and acupoint along meridians,mostly using intersection acupoints,combined with distal acupoints,and selecting the corresponding acupoints in different periods,which can improve the clinical efficacy.关键词
针刺/脑卒中/吞咽障碍/数据挖掘/选穴规律/复杂网络Key words
acupuncture/stroke/dysphagia/data mining/acupoint selection law/complex network分类
中医学引用本文复制引用
王钰淞,苏运川,张瑞,何雪,孙嘉鸿,孙满超,蔡国锋..针刺治疗卒中后吞咽障碍选穴规律及分期针刺处方研究[J].中国中医药信息杂志,2025,32(5):32-38,7.基金项目
黑龙江省中医药管理局国医大师学术思想传承科研项目(GY2022-17) （GY2022-17）
