摘要
目的:探讨穴位贴敷疗法效应特异性规律与特点,以更好地指导临床决策。方法:采用现代计算机与数据挖掘技术,建立穴位贴敷数据库,对近60年来穴位贴敷相关文献进行收集、整理、筛选、录入、审核、提取数据、统计分析,总结穴位贴敷在临床治疗的优势病种和应用规律。结果:从数据挖掘结果可以看出,穴位贴敷疗法在临床各科疾病均有使用。其中以内科疾病最多,涉及病种占疾病种类总数的35.92%(51/142),并以哮喘、咳嗽、腹痛为多;其次为儿科,涉及病种占病种总数的21.13%(30/142),并以小儿咳嗽、小儿哮喘、小儿泄泻为多;外科涉及病种占总数的19.01%(27/142),并以腰腿痛为最多;五官科涉及病种占总数的9.86%(14/142),并以鼻渊最多;妇科涉及病种占总数的7.04%(10/142),以经行腹痛为最多;皮肤科涉及病种占总数的7.04%(10/142),有蛇串疮等。贴敷用药多选用复方中药剂;药物制作以膏剂和糊剂为主;助渗剂使用较少;选穴以近部选穴为主;在临床各科疗效中以皮肤科痊愈率最高,其次为外科、妇科、儿科、内科、五官科,各科总有效率均在90%以上。结论:穴位贴敷疗法应用于临床各科的142种疾病。优势病种为内科的哮喘、咳嗽、腹痛、面瘫、便秘;儿科的小儿咳嗽、小儿哮喘、小儿泄泻;外科的腰腿痛;五官科的鼻渊;妇科的经行腹痛。
Objective To analyze the basic characteristics of effects of acupoint application therapy in order to guide clinical decision better. Methods A database on acupoint application therapy was established first by collection, sorting, screening, recording, collation, data extraction, and statistical analyses of the related literature published in recent 60 years, and using modern computer system. Then, its predominant indications and application rules in clinical practice were analyzed＇using da- ta mining techniques. Results Outcomes of data mining showed that the acupoint application therapy was extensively utilized in the treatment of a variety of diseases or clinical conditions （142 in total） in different clinical departments, particularly in the inter- nal medicine which contains 51 types of clinical conditions or diseases （accounting for 35. 92 % ）. Among them, the top 3 are asth- ma, cough, and abdominal pain, with the appearance frequency being 161, 79 and 45 times （ = articles） in the domestic journals, respectively. The second one is the paediatric department, containing 30 kinds of diseases or clinical conditions （accounting for 21. 13 %）. Among them, cough （106 articles）, asthma （104 articles） and diarrhoea （82 articles） are frequently seen. The sur- gery department takes the third place, involving 27 disorders （accounting for 19.01% ）, with lumbago-leg pain being the most （31 articles）. In the departments of ophthalmology and otorhinolaryngology, 14 types of disorders （accounting for 9.86 %） have beenreported, with nasosinusitis being the most （56 papers）. This therapy has also been used to treat 10 types of gynecopathy （7.04 % ） and 10 kinds of dermopathy （7.04 % ）, with dysmenorrhea （37 articles） and shingles （6 articles） being the most. For acupoint application, complex prescriptions of Chinese herbal medicines in the forms of paste and cataplasm are frequently adop- ted, but with fewer application of enhancer of cutaneous penetration. Regarding the utilized acupoint, local points are often cho- sen. In the light of the collected papers, the highest effective rate is for dermopathy, followed by surgical problems, gynecopa- thy, paediatric conditions, and disorders of the internal medicine, ophthalmology and otorhinolaryngology. Conclusion Acu- point application therapy has been used for 142 kinds of disorders of different clinical departments, with the dominant indications being asthma, cough, abdominal pain, facial paralysis and constipation in the internal medicine, cough, asthma and diarrhoea in the paediatrics, lumbago-leg pain in the surgery, nasosinusitis in the otorhinolaryngology, and dysmenorrhea of gynecopathy.
出处
《针刺研究》
CAS
CSCD
北大核心
2012年第5期416-421,共6页
Acupuncture Research
基金
国家自然科学基金(No.81072883
No.81173342)
关键词
穴位贴敷数据库
数据挖掘
临床病症
文献研究
Acupoint application
Database
Data mining
Clinical indications
Literature research
