目的: 通过数据挖掘分析运用耳穴疗法治疗慢性疲劳综合征的选穴组合以及规律。方法: 搜索中文知网数据库系统、维普全文期刊数据库、万方期刊全文数据库相关的耳穴治疗慢性疲劳综合征的医学临床研究文献,提取相关耳穴组合处方,创立统计学数据库,对耳穴常用的治疗手段、高频耳穴、耳穴的组合配伍进行频数统计、关联规则分析和聚类分析。结果: 收集了127篇文献,相关腧穴28个,共提取出了105个耳穴处方。耳穴治疗慢性疲劳综合征高频使用的办法是耳穴贴压(81.9%);经常使用的穴位分别是心、肾、脾、肝和皮质下;重点耳穴组合是心、肾、肝、脾、交感和皮质下。结论: 耳穴疗法治疗慢性疲劳综合征主要办法是耳穴贴压,中医辨证指导,依据不同的疲劳症状表现,选取穴位大部分以心、肾、脾、交感和肝,皮质下为主体,佐以辅穴,分析耳穴对慢性疲劳综合征的选穴组合及配伍规律拥有可操作性,为临床医学研究提供了参考。
Objective: To analyze the combination and regularity of acupoint selection in the treatment of chronic fatigue syndrome by auricular therapy through data mining. Methods: In the China National Knowledge Infrastructure, VIP Chinese Science and Technology Periodicals Full-Text Database, Wanfang Journal Full-text Database, the medical clinical research literature on the treatment of chronic fatigue syndrome with auricular points was searched, and the relevant auricular point combination prescriptions were extracted to create a statistical database. Frequency statistics, association rule analysis and cluster analysis were performed on the commonly used treatment methods of auricular points, high-frequency auricular points, and auricular point combinations. Results: A tota of 127 articles and 28 related acupoints had been included, and a total of 105 auricular acupoint prescriptions had been extracted. The high-frequency use of auricular points in the treatment of chronic fatigue syndrome was auricular point sticking (81.9%); the commonly used acupoints were heart, kidney, spleen, liver and subcortical. The key auricular point combinations were heart, kidney, liver, spleen, sympathetic and subcortical. Conclusion: The main method of auricular therapy for chronic fatigue syndrome is auricular point sticking and TCM syndrome differentiation guidance. According to different fatigue symptoms, most of the acupoints are selected to be heart, kidney, spleen, sympathetic and liver, subcortical as the main body, supplemented by auxiliary acupoints. It is operable to analyze the combination and compatibility of auricular points for chronic fatigue syndrome, which provides a reference for clinical medical research.
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