应用WEKA数据挖掘软件对针刺治疗类风湿关节炎刺激参数分析

发布时间：2018-01-30 12:13

本文关键词： 类风湿关节炎针刺刺激参数怀卡托智能分析环境　出处：《辽宁中医杂志》2017年12期 　论文类型：期刊论文

【摘要】：目的:通过文献检索总结临床中针刺治疗类风湿关节炎(RA)的常用手针和电针刺激参数,为针刺治疗RA刺激参数的选择提供文献依据。方法:检索CNKI、VIP、WF、Pubmed、Cochrane Library数据库,确定纳入排除标准,筛选合格的文献,用Endnote X7进行文献管理,EXCEL提取相关针刺刺激参数数据,通过频数分析法、WEKA软件中关联规则分析法对针刺治疗RA的文献进行分析总结。结果:(1)临床治疗类风湿关节炎以手针最常用。(2)手针文献基于频数分析:最常用的刺激参数分别为:0.30 mm×40 mm针灸针、常规穴位直刺、进针深度1~1.5寸、平补平泻手法、间隔10min行针1次、留针30 min、1次/d,共观察30 d。基于关联规则分析:平补平泻法、留针30 min和1次/d最常联合使用,其中以留针时间30 min和1次/d关联性最强。(3)电针文献基于频数分析,最常用的刺激参数分别为:G6805系列电针仪、疏密波、频率60 Hz、以病人耐受为度、留针30 min、1次/d,共观察30 d。基于关联规则分析:电针治疗RA一般采取每日治疗一次,强度以患者耐受为度,持续治疗30 d。结论:手针治疗RA推荐的刺激参数为0.30 mm×40 mm针灸针、常规穴位直刺、进针深度1~1.5寸、平补平泻手法、间隔10 min行针1次、留针30 min、1次/d,连续治疗30 d。电针治疗RA推荐的刺激参数为G6805系列电针仪、疏密波、频率60 Hz、以病人耐受为度、留针30 min、1次/d,连续治疗30 d。
[Abstract]:Objective: to summarize the parameters of hand acupuncture and electroacupuncture stimulation in the treatment of rheumatoid arthritis (RA) by literature retrieval. Methods: to search the database of CNKI VIPWFMEM Cochrane Library for acupuncture treatment of RA stimulation parameters. Endnote X7 was used to extract the data of acupuncture stimulation parameters by Endnote X7, and the frequency analysis method was used. The literature on acupuncture treatment of RA was analyzed and summarized by association rule analysis in WEKA software. Results the clinical treatment of rheumatoid arthritis with hand acupuncture was the most commonly used. Based on frequency analysis of hand acupuncture literature: the most commonly used stimulation parameters were 0.30mm 脳 40mm acupuncture needles respectively. The normal acupoints were punctured directly and the depth of the needle was 1: 1. 5 inches. The acupuncture was performed once every 10 minutes, and the needle was kept for 30 mins / d. After 30 days of observation, the association rule analysis: the method of flat tonifying and reducing, the most common combination of retention needle 30 min and once per day. Based on frequency analysis, the most commonly used stimulation parameters were: 1: G6805 series electroacupuncture apparatus, density wave. The frequency was 60 Hz, the patient tolerance was taken as the degree, the needle was kept for 30 mins / d, and observed for 30 days. Based on association rule analysis, electroacupuncture treatment for RA was generally treated once a day. Conclusion: the recommended stimulation parameter of hand acupuncture for RA is 0.30mm 脳 40mm acupuncture needle, and the routine acupoint is straight prick. The depth of the needle was 1: 1. 5 inch, and the technique of flat reinforcing and reducing was used. The needle was given once every 10 min, and the needle was kept for 30 minutes and once a day. The stimulation parameters recommended by electroacupuncture therapy for RA were G6805 series electroacupuncture instrument with density wave and frequency of 60 Hz. The patient tolerance was taken as the degree of tolerance, and the needle was kept for 30 mins / a / d. Continuous treatment for 30 days.
【作者单位】：天津中医药大学实验针灸学研究中心;湖南中医药高等专科学校;天津市南开医院针灸科;
【基金】：国家自然科学基金重点项目(81330088);国家自然科学基金青年项目(81603677)
【分类号】：R246.1;TP311.13
【正文快照】： 类风湿关节炎(rheumatoid arthritis,RA)是一种慢性炎性疾病,可侵犯滑膜,导致关节损伤、骨质破环,并会因关节痛楚及磨损而失去部分活动能力。属中医“痹证”范畴,与“骨痹”“历节病”“白虎历节”“\*痹”等相似[1-2]。调查显示,RA在北欧和北美的患病率为0.5%~1.1%,在南欧为0

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