摘要
目的运用关联规则和复杂系统熵聚类分析耳穴贴压治疗糖尿病合并失眠的选穴规律。方法计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库中有关耳穴贴压治疗糖尿病合并失眠的相关研究,检索时限均为建库至2023年1月。采用Excel 2019建立耳穴处方数据库,并采用中医传承辅助平台进行数据分析。结果最终纳入文献81篇,涉及耳穴27个,糖尿病合并失眠高频证型为心脾两虚、肝郁化火、心胆气虚、痰热内扰。高频耳穴为神门、皮质下、交感等;得到由神门、心、皮质下、交感交叉配伍组成的耳穴组合8组,获取强关联耳穴组合规则14条。提取包含3个耳穴的核心组合15组;演化出耳穴新方5个,包括心、额、颞、肾;心、垂前、睡眠深沉穴、失眠;肝、垂前、脑点、胃、脾;额、内分泌、交感、口;胃、脾、胰胆、肝、肾、胆。结论本次研究发现的配伍规律、核心组合及耳穴新方,可为今后护理人员使用耳穴贴压治疗糖尿病合并失眠的临床选穴提供新的思路与启发。
Objective To analyze the selection pattern of auricular acupressure points based on association rules and entropy clustering of complex systems for the treatment of diabetes mellitus combined with insomnia.Methods The relevant studies on auricular acupressure in the treatment of diabetes mellitus complicated with insomnia were searched by computer from CNKI,Wanfang Database,VIP and China Biomedical Medicine Disc.The search period was from the establishment of the databases to January 2023.Excel 2019 was used to establish the auricular prescription database,and the traditional Chinese medicine inheritance platform was used for data analysis.Results Finally,81 articles were included,involving 27 auricular points.The high frequency syndrome types of diabetes combined with insomnia were heart-spleen deficiency,liver stagnation and fire,heart and gallbladder qi deficiency and phlegm-heat internal disturbance.The high frequency auricular points were shen men,subcortical,sympathetic,etc.Eight groups of auricular point combination were obtained,which were composed of the combination of shen men,heart,subcortical and sympathetic,and 14 rules of strongly associated auricular point combinations were obtained.A total of 15 core groups containing 3 auricular points were extracted.Five new auricular points were developed,including heart,forehead,temporal,kidney;heart,anterior pituitary,deep sleep point,insomnia;liver,anterior pituitary,brain point,stomach,spleen;frontal,endocrine,sympathetic,mouth;stomach,spleen,pancreas and gallbladder,liver,kidney and gallbladder.Conclusions The compatibility rule,core combination and new prescription of auricular points found in this study can provide new ideas and inspiration for nurses to use auricular acupressure in the treatment of diabetes mellitus complicated with insomnia in the future.
作者
朱德政
施慧
王翔
陈丽霞
Zhu Dezheng;Shi Hui;Wang Xiang;Chen Lixia(School of Nursing,Anhui University of Chinese Medicine,Hefei 230012,China)
出处
《中华现代护理杂志》
2023年第33期4544-4549,共6页
Chinese Journal of Modern Nursing
基金
安徽省高等学校省级质量工程基金项目(2021xskc053)。
关键词
糖尿病
耳穴贴压
关联规则
失眠
选穴规律
熵聚类
Diabetes mellitus
Auricular acupressure
Association rules
Insomnia
Acupuncture point selection rules
Entropic clustering
