| 裴晓丹,邵雪英,常立阳,等.基于数据挖掘的足部推拿治疗失眠的腧穴、反射区规律分析[J].浙江中医药大学学报,2025,49(2):249-257. |
| 基于数据挖掘的足部推拿治疗失眠的腧穴、反射区规律分析 |
| Analysis of Acupoint and Reflection Area Rules of Foot Massage in the Treatment of Insomnia Based on Data Mining |
| DOI：10.16466/j.issn1005-5509.2025.02.019 |
| 中文关键词: 失眠 足部推拿 数据挖掘 数据分析 选穴规律 选区规律 中医护理 文献研究 |
| 英文关键词: insomnia foot point massage data mining data analysis law of selecting acupoints law of selecting reflection area traditional Chinese medicine nursing articles research |
| 基金项目:浙江省中医药科技计划项目(2024ZL119) |
|
| 摘要点击次数: 80 |
| 全文下载次数: 79 |
| 中文摘要: |
| [目的] 利用数据挖掘技术分析足部推拿治疗失眠的腧穴、反射区应用及配伍规律，为失眠患者足部推拿治疗提供循证依据。[方法] 计算机检索The Cochrane Library、Web of Science、Embase、PubMed、中国知网、万方、维普、中国生物医学文献等数据库中有关足部推拿治疗失眠的文献，检索时限为建库至2025年1月1日。使用Excel 2016软件建立足部推拿治疗失眠的数据库，并利用SPSS 25.0软件对腧穴和反射区进行频次统计，通过SPSS Modeler 18.0的Apriori模块进行关联规则分析，描述各腧穴、反射区及其之间的配伍关联规则，利用Cytoscape 3.9.1和Origin 2022软件实现关联规则及聚类分析的可视化。[结果] 最终纳入有效文献124篇，包括单独足反射区推拿治疗35篇，单独足穴推拿治疗42篇，联合区、穴推拿治疗47篇。足部推拿最常用的足反射区依次为大脑、腹腔神经丛、肾、心等，足穴以涌泉、失眠穴、太溪等最常见，其中足穴归经以足少阴肾经和足厥阴肝经为主；特定穴以五输穴最常见。配伍规律分析显示，多穴和(或)多区配伍治疗效果更佳。对124篇足部推拿治疗失眠的文献进行分析提示，足部推拿治疗失眠支持度最高的配伍为大脑-腹腔神经丛，与35篇单独足反射区推拿治疗失眠的文献分析结果一致。42篇单独足穴推拿治疗失眠的文献分析结果提示，支持度最高足穴配伍为涌泉-太溪。[结论] 中西医结合理论指导足部推拿治疗失眠更具推荐价值，以涌泉、太溪、失眠穴、大脑、腹腔神经丛、肾、心等多穴、区配伍治疗效果更佳。 |
| 英文摘要: |
| [Objective] To analyze the application and compatibility rules of acupoints and reflex areas in foot massage for the treatment of insomnia through data mining technology， thereby providing an evidence-based basis for the clinical treatment of foot massage in patients with insomnia. [Methods] The literatures associated with the treatment of insomnia through foot massage were retrieved by computer from The Cochrane Library， Web of Science， Embase， PubMed， China National Knowledge Infrastructure， Wanfang， VIP， Chinese Biomedical Literature and other databases. The search period was set until January 1，2025. Excel 2016 software was employed to establish the database for the treatment of insomnia with foot massage， and SPSS 25.0 software was utilized to calculate the frequency of acupoints and reflection areas in the database. Association rules were analyzed by the Apriori module of SPSS Modeler 18.0 software. The association rules of acupoints， reflection areas and their compatibility were described. The association rules were visualized by using Cytoscape 3.9.1 and cluster analysis was visualized with Origin 2022， respectively. [Results] Finally，124 effective literatures were incorporated including 35 for massage treatment of the foot reflex area alone，42 for massage treatment of the foot point alone， and 47 for massage treatment of the combined area and point. The most frequently utilized foot reflex areas of foot massage were the brain， the abdominal nerve plexus， the kidney， the heart， etc.， and the foot points were Yongquan， insomnia points， Taixi， etc.， among which the foot points were mainly characterized by the foot Shaoyin kidney channel and the foot Jueyin liver channel. The five transport points were the most prevalent specific points. The statistical results indicated that the effect of multi-point and/or multi-zone compatibility treatment was superior. Compatibility analysis revealed that the efficacy of multi-point and/or multi-zone compatibility treatments was superior. Analysis result of 124 articles on insomnia treatment through foot massage demonstrated that the most supportive compatibitily for the treatment of insomnia by foot massage was brain-abdominal nerve plexus， which was consistent with the analysis results of 35 literatures on the treatment of insomnia by foot reflex area massage alone. Furthermore， an analysis of 42 articles on insomnia treatment through massage of foot acupoints indicated that Yongquan-Taixi was the most supportive foot acupoint combination. [Conclusion] The combination of Chinese and western medicine theories for guiding foot massage in the treatment of insomnia is highly recommended. Selecting points such as Yongquan， Taixi， insomnia points， brain， abdominal nerve plexus， kidney， heart， and others for the compatibility treatment effect of these areas is better. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |