针灸治疗糖尿病神经源性膀胱的用穴规律
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摘要
目的:通过数据挖掘分析临床上针灸治疗糖尿病神经源性膀胱的用穴特点和规律。方法:收集近15年的临床研究文献,筛选出符合本研究纳入标准的有关针灸治疗糖尿病神经源性膀胱的研究,建立针灸处方数据库,采用数据挖掘技术分析腧穴关联性。结果:纳入29篇文献,针灸处方29首,选穴29个,腧穴中,关元和三阴交的运用频次最多,均为23次,占14.02%,其次为中极运用19次,占11.59%;局部选用腹部穴位的频次最多,为60次,占36.59%;所用腧穴归属6条经络,其中任脉运用频次最高,为56次,占34.78%;特定穴中以交会穴的运用最多,72次,占40.45%。结论:临床上针灸治疗糖尿病神经源性膀胱以选用关元和三阴交最为常见,局部选穴以腹部为主,最常用经脉为任脉,重视交会穴的使用。
Objective: To analyze the characteristics and regularity of acupuncture treatment of diabetic neurogenic bladder by data mining. Methods: The clinical research literature of nearly 15 years was collected, and the research on acupuncture and moxibustion treatment of diabetic neurogenic bladder was conducted according to the inclusion criteria of this study. Acupuncture prescription database was established and data mining technology was used to analyze the correlation of acupoints. Results: A total of 29 articles were recruited, and 29 acupuncture prescriptions and 29 acupoints were selected in these articles, and the most frequently used acupuncture points were Guanyuan and Sanyinjiao, all of which were 23, accounting for 14.02%, followed by 19 times for Zhongji, accounting for 11.59%. The frequency of abdominal acupuncture points is the highest, 60 times, accounting for 36.59%. The acupoints used belonged to 6 meridians, of which the frequency of use of Renmai was the highest, 56 times, accounting for 34.78%. The application number and frequency of confluent acupoints was the highest in all the specific points, 72 times, accounting for 40.45%. Conclusion: Clinically,acupuncture treatment of diabetic neurogenic bladder is the most common choice for Guanyuan and Sanyinjiao.The main selection of acupoints on the local area was the abdomen. The most commonly used meridians was Renmai, and it was focused on the application of Jiaohui acupoints.
Objective: To analyze the characteristics and regularity of acupuncture treatment of diabetic neurogenic bladder by data mining. Methods: The clinical research literature of nearly 15 years was collected, and the research on acupuncture and moxibustion treatment of diabetic neurogenic bladder was conducted according to the inclusion criteria of this study. Acupuncture prescription database was established and data mining technology was used to analyze the correlation of acupoints. Results: A total of 29 articles were recruited, and 29 acupuncture prescriptions and 29 acupoints were selected in these articles, and the most frequently used acupuncture points were Guanyuan and Sanyinjiao, all of which were 23, accounting for 14.02%, followed by 19 times for Zhongji, accounting for 11.59%. The frequency of abdominal acupuncture points is the highest, 60 times, accounting for 36.59%. The acupoints used belonged to 6 meridians, of which the frequency of use of Renmai was the highest, 56 times, accounting for 34.78%. The application number and frequency of confluent acupoints was the highest in all the specific points, 72 times, accounting for 40.45%. Conclusion: Clinically,acupuncture treatment of diabetic neurogenic bladder is the most common choice for Guanyuan and Sanyinjiao.The main selection of acupoints on the local area was the abdomen. The most commonly used meridians was Renmai, and it was focused on the application of Jiaohui acupoints.
引文
[1] LEE W C, WU H P, TAI T Y, et al. Effects of diabetes on female voiding behavior[J].J Urol,2004,172(3):989-992.
[2] DANESHGARI F,LIU G,BIRDER L,et al. Diabetes bladder dysfunction:current translation knowledge[J].J Urol,2006, 176(6 Suppl):380-386.
[3] NAKAMURA J,HAMADA Y,CHAYA S,et al. Transition metals and polyol pathway in the development of diabetes neuropathy in rats[J].Diabetes Metab Res Rev,2002,18(5):395-402.
[4]双卫兵,仝煦楠.糖尿病膀胱研究进展[J].临床外科杂志,2016,24(2):95-97.
[5] GOPINATH C, PONSAERTS P, FRANSEN E, et al.Smooth muscle cell transplantation improve bladder contractile function in streptonzocin-in-duced diabetic rats[J]. Cytotherapy,2013,15(7):869-878.
[6]曾永保,梅志刚,董铮,等.针灸治疗糖尿病膀胱临床研究的Meta分析[J].时珍国医国药,2012,23(1):198-201.
[7]任玉兰,赵凌,陈勤,等.数据挖掘技术在经穴选用及其特异性研究中的应用[J].中医杂志,2010,51(1):47-51.
[8]周研,李刚琴,袁长津,等.糖尿病神经源性膀胱中医药研究进展[J].中医药导报,2010,16(3):98-100.
[9]康莉娟,虞梅.糖尿病神经源性膀胱中医药研究进展[J].新疆中医药,2016,34(5):114-116.
[10]耿立芳,崔丽,朱忠强.健脾补肾针灸法治疗早期糖尿病肾病的理论探讨[J].针灸临床杂志,2013,29(12):41-42.
[11]梁莹.隔姜灸关元穴治疗心脏介入术后尿潴留的疗效观察[J].广西中医药,2013,36(3):30-31.
[12]邬金玲,郭永红,周静,等.针灸治疗糖尿病神经原性膀胱38例[J].中国中医药信息杂志,2004,11(9):819.
[13]查天兰,姚萍,李红.穴位中频电刺激配合手法治疗卒中后尿潴留60例疗效观察[J].按摩与康复医学,2011,10(2):70.
[14]刘海芳,薛原,宗倩倩,等.艾灸治疗糖尿病周围神经病变等临床观察[J].光明中医,2013,28(1):111-112.
[15]杨延萍.丹红注射液联合α-硫辛酸治疗糖尿病周围神经病变[J].中国实用医刊,2011,38(20):102-103.
[16]王冰梅,杜丽坤,韩美子.马建教授辨治消渴病思路探析[J].中医药学报,2012,40(3):121-122.
[17]谢秀俊,熊俊,陈日新.基于数据挖掘灸法治疗功能性消化不良的临床证据[J].时珍国医国药,2014,25(5):1244-1247.
[2] DANESHGARI F,LIU G,BIRDER L,et al. Diabetes bladder dysfunction:current translation knowledge[J].J Urol,2006, 176(6 Suppl):380-386.
[3] NAKAMURA J,HAMADA Y,CHAYA S,et al. Transition metals and polyol pathway in the development of diabetes neuropathy in rats[J].Diabetes Metab Res Rev,2002,18(5):395-402.
[4]双卫兵,仝煦楠.糖尿病膀胱研究进展[J].临床外科杂志,2016,24(2):95-97.
[5] GOPINATH C, PONSAERTS P, FRANSEN E, et al.Smooth muscle cell transplantation improve bladder contractile function in streptonzocin-in-duced diabetic rats[J]. Cytotherapy,2013,15(7):869-878.
[6]曾永保,梅志刚,董铮,等.针灸治疗糖尿病膀胱临床研究的Meta分析[J].时珍国医国药,2012,23(1):198-201.
[7]任玉兰,赵凌,陈勤,等.数据挖掘技术在经穴选用及其特异性研究中的应用[J].中医杂志,2010,51(1):47-51.
[8]周研,李刚琴,袁长津,等.糖尿病神经源性膀胱中医药研究进展[J].中医药导报,2010,16(3):98-100.
[9]康莉娟,虞梅.糖尿病神经源性膀胱中医药研究进展[J].新疆中医药,2016,34(5):114-116.
[10]耿立芳,崔丽,朱忠强.健脾补肾针灸法治疗早期糖尿病肾病的理论探讨[J].针灸临床杂志,2013,29(12):41-42.
[11]梁莹.隔姜灸关元穴治疗心脏介入术后尿潴留的疗效观察[J].广西中医药,2013,36(3):30-31.
[12]邬金玲,郭永红,周静,等.针灸治疗糖尿病神经原性膀胱38例[J].中国中医药信息杂志,2004,11(9):819.
[13]查天兰,姚萍,李红.穴位中频电刺激配合手法治疗卒中后尿潴留60例疗效观察[J].按摩与康复医学,2011,10(2):70.
[14]刘海芳,薛原,宗倩倩,等.艾灸治疗糖尿病周围神经病变等临床观察[J].光明中医,2013,28(1):111-112.
[15]杨延萍.丹红注射液联合α-硫辛酸治疗糖尿病周围神经病变[J].中国实用医刊,2011,38(20):102-103.
[16]王冰梅,杜丽坤,韩美子.马建教授辨治消渴病思路探析[J].中医药学报,2012,40(3):121-122.
[17]谢秀俊,熊俊,陈日新.基于数据挖掘灸法治疗功能性消化不良的临床证据[J].时珍国医国药,2014,25(5):1244-1247.