针灸治疗血管性痴呆的文献计量学分析和选穴规律研究

发布时间：2018-01-18 11:21

本文关键词：针灸治疗血管性痴呆的文献计量学分析和选穴规律研究　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本研究旨在分析针灸治疗血管性痴呆(VD)的研究现状、选穴规律和不同分析方法下的因子分析结果以及不同度量标准下的聚类分析结果的异同。将所得结果进行对比,以求为此类型的数据分析提供一定借鉴。方法:确定检索词,搜索中国知网(CNKI)和维普(VIP)等中文数据库中使用针灸治疗血管性痴呆的临床治疗型文献。制定数据信息收集表,将数据整理并录入到Excel 2010中。对文献信息进行计量学分析,对穴位的使用频次、归经、分布等情况进行归类总结和分析。使用软件SPSS 21.0对最终确定的39个穴位以不同分析方法进行因子分析并以不同度量标准进行聚类分析。结果:1.文献计量学分析结果315篇文献的分析结果显示,作者所属机构以高校和医院这两类机构为主,发文量居首位的是医院,高达245篇,其次为学校,54篇。文献作者分布在全国27个省市中,其中发文量超过25篇的为广东、黑龙江、天津,共发文121篇,占发文总数的38.4%。含有基金支持的文章为92篇。发文量最多的杂志为《针灸临床杂志》,共发表34篇,占发文总数的10.8%。2.针灸治疗VD的选穴规律分析结果对文献中的穴位进行分类整理,发现以头面颈项部的穴位使用频率最高;从各经脉穴位使用情况得知,督脉穴位的使用频次最高;文献中,特定穴的穴位使用频次为2610次,占98.64%,其十个分类中,交会穴的使用频次最高,为760次,居首位。对穴位进行因子分析,第一次获到14个公因子,剔除无效变量后进行第二次因子分析,最终筛选出12个公因子。聚类分析,得到12个聚类群集,并获得了 15个关系密切的穴对。对比聚类分析的12类与因子分析的12个公因子,发现有7组穴位匹配一致,匹配率达到58.3%。使用七种不同的因子分析方法,都可得到12个公因子,但七种结果中没有出现所有公因子都一致的情况,但在同一个公因子中,有半数以上的分析方法能够得到相同的穴对。使用聚类分析的八种度量标准对穴位数据进行分析,发现有六种度量标准所得结果一致,另外两种所得结果不一致。结论:通过对穴位数据进行因子分析和聚类分析结果得出,针灸治疗血管性痴呆的选穴仍以辨证施治为原则,遵循着针灸处方的选穴原则和配穴方法。使用以舒筋通络、醒脑开窍和行气活血为主要功效的经络经穴为主。从穴性分析,针灸治疗VD选穴以醒脑安神、补肾益脾和升阳开窍为主。
[Abstract]:Objective: the purpose of this study was to analyze the current situation of acupuncture and moxibustion in the treatment of vascular dementia. The differences and similarities of the results of point selection and factor analysis under different analytical methods and the results of cluster analysis under different metrics were compared. In order to provide a certain reference for this type of data analysis. To search the clinical therapeutic literature on acupuncture and moxibustion for vascular dementia in Chinese databases such as CNKI and VIP.The data and information collection table was established. The data were collected and inputted into Excel 2010. The bibliometric analysis of the literature and information was carried out. The frequency of acupoints was used and the meridian was returned to the meridian. Using software SPSS 21. 0 to analyze the 39 acupoints determined by different analysis methods and cluster analysis with different metrics. Results:. 1. The results of literature metrology analysis showed 315 articles. The author belongs to the institutions of higher education and hospitals, the first is the hospital, up to 245, followed by 54 schools. The author is distributed in 27 provinces and cities. Among them, more than 25 articles were sent to Guangdong, Heilongjiang, Tianjin, a total of 121. The total number of articles issued was 38.4%. The number of articles supported by the Fund was 92. The most published magazine was the Journal of Clinical Acupuncture and moxibustion, with 34 articles published. The results of point selection analysis on acupuncture and moxibustion treatment for VD showed that the acupoints in the literature were classified and sorted, and the highest frequency of acupoints was found in the head and neck. According to the usage of each meridian acupoint, the frequency of use of du pulse acupoint is the highest. In the literature, the frequency of acupoint use was 2610 times, accounting for 98.64 times. Among the ten classifications, the frequency of use of rendezvous acupoints was the highest, 760 times, ranking first. Factor analysis of acupoints was carried out. For the first time, 14 common factors were obtained. After eliminating invalid variables, the second factor analysis was carried out. Finally, 12 common factors were screened out, and 12 clusters were obtained by cluster analysis. In addition, 15 closely related acupoint pairs were obtained. 12 types of cluster analysis and 12 common factors of factor analysis were compared. It was found that there were 7 groups of matching points. The matching rate is 58.3. Using seven different factor analysis methods, 12 common factors can be obtained, but not all common factors are consistent, but in the same common factor. More than half of the analysis methods can get the same point pairs. Using the eight measurement standards of cluster analysis to analyze the data of acupoints, it is found that there are six kinds of measurement standards to get the same results. Conclusion: the results of factor analysis and cluster analysis show that acupuncture and moxibustion treatment of vascular dementia is still based on the principle of syndrome differentiation and treatment. Follow the principle of acupuncture and moxibustion prescription point selection and the method of point matching. Using the main efficacy of Shujin Tongluo, Xingnao Kaiqiao and Qi Huoxue as the main effect of meridian meridian meridian acupoints. From the point analysis, acupuncture treatment of VD points in order to calm the mind. Tonify the kidney and invigorate the spleen and lift the yang to open the orifices.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6;G353.1

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