隐结构联合频繁项集行糖尿病周围神经病变患者贴敷选穴研究
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女,硕士在读,学生

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国家自然科学基金青年项目(81603602);安徽中医药大学校级自然科研基金项目(2020zrzd09);安徽中医药大学研究生科技创新基金项目(2020ZC05)


Exploring the rules of acupoint selection in acupoint plaster therapy for diabetic peripheral neuropathy patients based on latent structure model and frequent item set
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    目的 探讨穴位贴敷干预糖尿病周围神经病变的辨证选穴规律,为临床护士穴位贴敷干预提供参考。 方法 检索中国知网、PubMed等中英文数据库建库至2021年2月,关于穴位贴敷干预糖尿病周围神经病变的相关文献,采用Lantern5.0及Weka3.8.5进行隐结构、取穴处方关联规则分析。 结果 最终纳入43篇文献共3 685例患者,涉及122项症状、37个腧穴。高频腧穴有足三里、三阴交等,高频症状包括四肢麻木、四肢疼痛、神疲等。腧穴频繁项集分析显示,足三里→三阴交支持度最高;隐结构模型分析得出主要证型有阴虚血瘀、肝肾亏虚、痰瘀阻络等;挖掘症状-腧穴频繁项集8项,症状-证型-腧穴频繁项集4项。 结论 穴位贴敷干预糖尿病周围神经病变多以足三里、三阴交、阳陵泉、涌泉为主穴,并根据具体证型予以配穴,可作为临床护士辨证选穴参考。

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    Objective To explore the rules of acupoint selection in acupoint plaster therapy for diabetic peripheral neuropathy (DPN) patients, and to provide reference for nurses′ practice of acupoint plaster therapy. Methods The China Knowledge Network, PubMed and other databases were searched for literature related to acupoint plaster therapy for DPN from database inception to February 2021, and Lantern 5.0 and Weka 3.8.5 were used to perform latent structure analysis and data mining to determine the acupoint-prescription association rules. Results A total of 43 publications were included, involving 3,685 patients, 122 symptoms and 37 acupoints.The most commonly used acupoints were Zusanli, Sanyinjiao, etc., and the most prevalent symptoms were limb numbness, limb pain, fatigue, etc.The results of data mining showed that the highly supported association rule of acupoints was Zusanli-Sanyinjiao. Latent structure model showed that the main syndrome patterns were Yin-deficiency and blood-stasis, liver-and-kidney-deficiency, phlegm and blood stasis, etc.The frequent item set identified 8 rules for symptoms-acupoints and 4 rules for symptoms-syndrome pattern-acupoints. Conclusion Zusanli, Sanyinjiao, Yanglingquan and Yongquan are the main acupoints for acupoint plaster therapy in DPN patients, and specific acupoints could be added according to the syndrome pattern.

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郭苗苗,施慧,李儒婷,彭剑飞,陈丽霞.隐结构联合频繁项集行糖尿病周围神经病变患者贴敷选穴研究[J].护理学杂志,2022,37(17):54-59

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  • 收稿日期:2022-04-10
  • 最后修改日期:2022-06-20
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  • 在线发布日期: 2023-08-29