基于数据挖掘方法的针刺得气与疗效的关系分析

发布时间：2018-07-25 12:46

【摘要】：目的:检索建国以来针刺得气临床文献,采用数据挖掘方法,从文献角度探索得气与疗效的关系。方法:建立针刺得气临床文献数据库,运用数据挖掘技术,对文献进行收集、筛选、提取数据、统计分析和关联分析,总结得气与疗效的关系。结果:得气与否与疗效关系的研究中,82.1%(46/56)的研究认为得气与疗效相关,17.9%(10/56)的研究认为得气与疗效不相关;痛经、面瘫文献中,得气与疗效相关的支持度为100%;痛证文献中,72%(18/25)的研究认为得气与疗效相关,28%(7/25)的研究认为得气与疗效不相关。得气特点与疗效关系的研究中,60.7%(65/107)的研究认为传导感与疗效呈正相关;得气感强度与疗效关系的研究有21项,涉及病种分散,其与疗效的关系和病种相关;痛经文献中传导感与疗效呈正相关的研究最多,达58.3%(7/12);面瘫文献中,得气感弱与疗效呈正相关的研究最多,达50%(3/6);痛证文献中,传导感与疗效呈正相关的研究最多,为63%(34/54)。结论:多数文献显示,针刺得气可提高临床疗效,不同得气特点与疗效的关系和病种密切相关。建议对针刺疗效显著的病种开展更多高质量的得气与疗效的关系研究,以便更好地总结得气规律。
[Abstract]:Objective: to search the clinical literature of acupuncture and qi since the founding of PRC, and to explore the relationship between acupuncture qi and curative effect from the point of view of literature by using data mining method. Methods: the clinical literature database of acupuncture was established and the data mining technique was used to collect, screen, extract data, analyze statistics and correlation analysis, and summarize the relationship between Qi and curative effect. Results: in the study of the relationship between qi and curative effect, 82.1% (46 / 56) of the study considered that the relationship between qi and curative effect was 17.9% (10 / 56). In the literature of pain syndromes, 72% (18 / 25) of the studies showed that there were 28% (7 / 25) of the studies that there was no correlation between qi and curative effect. 60.7% (65 / 107) of the studies on the relationship between the characteristics of qi and the curative effect showed that the conduction feeling was positively correlated with the curative effect, the intensity of the feeling of qi was positively correlated with the curative effect, and the relationship between the intensity of the feeling of qi and the curative effect was 21, involving the dispersion of the disease species, and the relationship with the curative effect and the disease type. In the literature of dysmenorrhea, 58.3% (7 / 12) were found to be positively correlated with the efficacy, and 50% (3 / 6) were found to be positively correlated with the efficacy in the literature on facial paralysis, and 63% (34 / 54) were found to have positive correlation between the conduction feeling and the curative effect in the literature on pain syndrome. Conclusion: most literatures show that acupuncture can improve the clinical efficacy, and the relationship between the different characteristics of qi and the curative effect is closely related to the type of disease. It is suggested that more studies should be carried out on the relationship between the quality of qi and the curative effect of acupuncture in order to sum up the law of Qi gain better.
【作者单位】：北京中医药大学;南京医科大学附属淮安第一医院;
【基金】：国家重点基础研究发展(973计划)项目:2012 CB 518506
【分类号】：R246

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