基于数据挖掘的术后疼痛行耳穴贴压选穴规律分析

doi:10.16460/j.issn1008-9969.2021.05.021

摘要/Abstract

摘要： 目的基于数据挖掘技术,探索耳穴贴压干预术后疼痛的常用耳穴,及不同科室患者耳穴贴压干预术后疼痛的选穴规律。方法以“耳穴贴压”“耳穴压豆”“耳穴埋豆”“耳穴埋籽”“耳穴压籽”“耳穴压丸”“王不留行籽”“术后疼痛”“术后镇痛”为主题词进行检索,收集中国生物医学文献服务系统、维普数据库、万方数据库、中国知网、PubMed、EMbase、Web of Science中耳穴贴压干预术后疼痛的文献。采用Excel 2010建立耳穴处方数据库,采用SPSS Modeler 18.0分析耳穴配伍关联规则。结果共纳入文献339篇,包含78个耳穴,耳穴贴压干预术后疼痛最常见的耳穴为神门穴（20.8%）、皮质下穴（14.2%）、交感穴（14.1%）;除此之外,肛肠科患者术后疼痛常用耳穴还有肛门穴、直肠穴,骨科患者术后疼痛常用耳穴还有肝穴、肾穴,普外科患者术后疼痛常用耳穴还有肝穴、大肠穴,妇产科患者术后疼痛常用耳穴还有内分泌穴、子宫穴。结论神门穴、皮质下穴、交感穴是耳穴贴压干预术后疼痛的最常用耳穴,不同科室患者耳穴贴压干预术后疼痛选穴以藏象取穴、按病变部位取穴为主,以按脏腑病机辨证配穴为辅。

关键词: 数据挖掘技术, 耳穴贴压, 术后疼痛, 选穴

Abstract: Objective To explore the common auricular points of auricular plaster therapy(APT) for postoperative pain and the acupoint selection rules for postoperative pain for patients from different departments based on data mining technology. Methods The keywords of ‘auricular point sticking', ‘auricular point pressing beans', ‘auricular point burying beans',‘auricular point burying seeds',‘auricular point pressing seeds',‘auricular point pressing pills',‘Wang Buliuxing seeds',‘postoperative pain',and ‘postoperative analgesia' were retrieved, and the literature of APT in postoperative pain in SinoMed,VIP Database,Wanfang Database, CNKI, PubMed, EMbase, and Web of Science were collected. Excel 2010 was used to establish auricular prescription database and SPSS Modeler 18.0 to analyze auricular compatibility association rules. Results A total of 339 articles were included, including 78 auricular points. The most frequently-used auricular points for postoperative pain were Shenmen(20.8%), Pizhixia (14.2%) and Jiaogan (14.1%). In addition, the common auricular points for postoperative pain in anorectal patients included Gangmen and Zhichang ; that in orthopedic patients Gan and Shen; that in general surgery were Gan and Dachang, and in obstetrics and gynecology Neifenmi and uterus. Conclusion Shenmen, Pizhixia and Jiaogan are the most frequently-used auricular points in APT for postoperative pain. Acupoint selection for postoperative pain in patients from different departments is mainly based on Zangxiang point selection and lesion location, supplemented by syndrome differentiation and acupoint matching according to viscera pathogenesis.

Key words: data mining techniques, auricular point sticking, post-operational pain, point selection

中图分类号:

R248

彭胜, 王玉玲, 张斯清, 孙雨晴. 基于数据挖掘的术后疼痛行耳穴贴压选穴规律分析[J]. 护理学报, 2021, 28(5): 21-25.

PENG Sheng, WANG Yu-ling, ZHANG Si-qing, SUN Yu-qing. Acupoint Selection Rules of Auricular Plaster Therapy for Postoperative Pain Based on Data Mining[J]. Journal of Nursing, 2021, 28(5): 21-25.

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