Objectives: To explore the rules of acupoint selection in the treatment of neurogenic bladder (NB) with acupuncture and moxibustion by using data mining.
Methods: The clinical research literatures on acupuncture treatment of NB were collected from PubMed, Embase, Cochrane Library, CNKI, Wanfang Database, VIP Database and China Biology Medicine from retrieved to January 1, 2023. The acupoint prescription database was established using Excel 2019. SPSS Modeler 18.0 and SPSS Statistics 26.0 softwares were used to conduct the frequency, meri-dians, locations, specific acupoints analysis and association rules analysis, factor analysis, cluster analysis, etc., to explore the characteristics and rules of acupoint selection in acupuncture and moxibustion treatment of NB.
Results: Totally 313 papers were included, including 110 acupoints with a total frequency of 1 995. The high-frequency acupoints are Zhongji (CV3), Guanyuan (CV4), Sanyinjiao (SP6), etc. The commonly used meridians are the Bladder Meridian of Foot Taiyang and Conception Vessel. The involved acupoints are mostly located in the lumbosacral region and abdomen, and intersection acupoints, mu-front acupoints and back-shu acupoints are the majority in the specific acupoints. The core acupoints group was analyzed, and 17 groups of association rules, 7 factors and 6 effective cluster groups were obtained.
Conclusions: Acupuncture and moxibustion treatment of NB follows the therapeutic principles of toni-fying the kidney, invigorating the spleen, and soothing the liver. The core acupoints group is CV3-CV4-SP6.
目的: 通过数据挖掘技术,探讨针灸治疗神经源性膀胱(NB)的选穴规律。方法: 检索PubMed、Embase、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库建库至2023年1月1日收录的有关针灸治疗NB的临床研究类文献,利用Excel 2019建立其腧穴处方数据库,采用SPSS Modeler 18.0、SPSS Statistics 26.0软件对腧穴进行使用频次、归经、部位、特定穴分析及关联规则分析、因子分析、聚类分析等,分析针灸治疗NB的选穴特点及规律。结果: 共纳入313篇文献,包含110个腧穴,腧穴使用的总频次为1 995次。高频腧穴为中极、关元、三阴交等,常用经脉为足太阳膀胱经与任脉,涉及的腧穴多位于腰骶部和腹部,特定穴中以交会穴、募穴和背俞穴居多。分析得出核心穴组,并得到17组关联规则、7个因子和6个有效聚类群。结论: 针灸治疗NB的选穴遵循补肾、健脾、疏肝的治疗原则,核心穴组为中极-关元-三阴交。.
Keywords: Acupoint selection rules; Acupuncture and moxibustion; Data mining; Neurogenic bladder.