ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (5): 437-440.

• 临床研究 • 上一篇    下一篇

基于数据挖掘技术的耳穴治疗儿童多发性抽动症选穴规律研究

  

  • 出版日期:2022-10-25 上线日期:2023-11-24

Study on the rule of selecting auricular acupoints for the treatment of children's multiple tics by data mining technology

  • Published:2022-10-25 Online:2023-11-24

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摘要： 目的 基于数据挖掘总结耳穴治疗儿童多发性抽动症选穴规律研究。方法 检索中国期刊全文数据库(CNKI)、万方数据知识服务平台中耳穴治疗儿童多发性抽动症的文献，建立数据库，通过频数统计、分布、聚类分析、复杂网络分析对数据进行研究。结果 共纳入耳穴33个，累计使用频次295次，其中频次在4次及以上的穴位共16个，累计使用频率达92.2%,将其视为高频穴，位于前16位的分别为肝、神门、心、肾、脾、皮质下、内分泌、缘中、胃、交感、口、肾上腺、脑干、眼、咽喉、肺。耳穴分布多位于耳甲、对耳屏、耳屏。聚类分析包括4类，涉及组合有肺、咽喉；神门、皮质下、肾上腺等。复杂网络分析穴位排名前7的节点为心、肝、脾、肾、神门、皮质下、内分泌，耳穴联系强链接为肝-神门，心-肝。结论 耳穴治疗小儿多发性抽动症主要通过心、肝、神门、脾、肾等穴位起到宁心安神、平肝息风，补肾健脾的作用，并为临床发展新型处方提供参考。

关键词: 多发性抽动症, 耳穴, 选穴规律, 数据挖掘

Abstract: ObjectiveBased on data mining, to summarize the study on the rule of selecting auricular acupoints for the treatment of children with multiple tic syndromes. MethodsSearch the Chinese Journal Full-text Database (CNKI) and Wanfang Data Knowledge Service Platform for the literature on the treatment for children's multiple tic syndrome and establish a database; conduct a research on the data through frequency statistics, distribution, cluster analysis and complex network analysis.ResultsA total of 33 auricular acupoints were included, with a cumulative frequency of 295 times, of which there were 16 acupoints with a frequency of 4 or more times, with a cumulative frequency of 92.2%,and they were regarded as high-frequency acupoints; the first 16 acupoints were liver, Shenmen, heart, kidney, spleen, subcortical, endocrine, marginal, stomach, sympathetic, mouth, adrenal gland, brain stem, eye, throat and lung. The auricular acupoints were mostly located in the concha, antitragus and tragus. Cluster analysis included 4 categories, involving the combination of lung and throat, Shenmen, subcortical and adrenal glands, etc. The top 7 nodes of acupoints in complex network analysis were heart, liver, spleen, kidney, Shenmen, subcortex, and endocrine. The strong links of ear acupoints were liver-Shenmen and heart-liver.ConclusionThe treatment with ear acupoints for children with multiple tics is mainly through such acupoints as the heart, liver, Shenmen, spleen, and kidneys, which soothes the heart and nerves, calms the liver and wind, and invigorate the kidney and spleen, providing a reference for the clinical development of new prescriptions.

Key words:

Tourette syndrome, Ear acupoints, Rule of acupoint selection, Data mining