摘要
Abstract
Objective:The acupoint selection rules of acupuncture in the treatment of postpartum depression was explored by data mining technique,providing more reference for clinical practice.Methods:The relevant literature on treating postpartum depression by acupuncture was collected from Chinese and English databases.An acupoint selecition database of acupuncture prescription for treating postpartum depression was established by Excel.SPSS Modeler software was used to analyze the association rules of high-frequency acupoints,and Cytoscape software was employed to construct a network diagram.SPSS was further utilized for clustering analysis to identify the effective treatment modes and common acupoint selection rules for postpartum depression.Results:A total of 97 articles were included in the study,involving 90 acupoints.The most frequently used acupoints included Sanyinjiao acupoint(SP6),Baihui acupoint(DU20),Taichong acupoint(LR3),Zusanli acupoint(ST36),Neiguan acupoint(PC6)and Shenmen acupoint(HT7).The analysis results revealed that the selected acupoints were mainly concentrated on Du Vessel(督脉),Bladder Meridian,Ren Vessel(任脉),and Spleen Meridian,with acupoints most commonly located in the head and face,lower limbs and upper limbs.Association rule analysis identified the core acupoint combination for treating postpartum depression as Neiguan acupoint-Sanyinjiao acupoint-Baihui acupoint-Zusanli acupoint.Additionally,the clustering analysis categorized the selected acupoints into three groups,of which the main effect of the first acupoint group was tonifying Qi(气)and blood,the second acupoint group was mainly used for soothing liver Qi and calming spirit,and the third acupoint group emphasized nourishing heart and spleen.Conclusion:The rule analysis of acupoints selected for treating postpartum depression indicated that a combination of head acupoints with the upper and lower extremity acupoints based on the theory of syndrome differentiation was the key to improve the curative efficacy.The core acupoint combination of Sanyinjiao acupoint,Baihui acupoint,and Zusanli acupoint showed broad clinical application potential.The treatment protocol should be adjusted according to individual symptoms,with a recommended treatment duration of 6 to 8 weeks,6 times per week,and a single time of needle retention approximately 30 minutes.This result provides a quantifiable basis for the clinical application of acupuncture in the treatment of postpartum depression,and facilitates the development of personalized treatment plans.关键词
针灸/产后抑郁/选穴规律/数据挖掘Key words
Acupuncture and moxibustion/Postpartum depression/Acupoint selection rule/Data mining分类
医药卫生
