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| 针灸治疗中风后构音障碍的取穴规律及刺灸方法 |
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张艳梅1,2, 黄艳1,2, 彭拥军3, 李璟1,2, 纪军1,2, 王文佳1,2, 顾侃1,2, 马晓芃1,2, 崔云华1,2, 吴焕淦1,2
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1.上海中医药大学附属岳阳中西医结合医院, 上海 200437;2.上海市针灸经络研究所, 上海 200030;3.南京中医药大学附属医院, 南京 210029
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| 摘要: |
| [目的] 分析针灸治疗中风后构音障碍的临床文献，以探讨针灸治疗该病的取穴规律及刺灸方法。[方法] 检索中国知网、万方数据库、维普网、中国生物医学数据库、Pubmed、Web of Science自建库至2024年7月收录的针灸治疗中风后构音障碍的临床随机对照试验的文献，应用Excel2016建立针灸处方数据库，运用SPSS 25.0进行频次分析、聚类分析，Cytoscape进行关联规则分析。[结果] 本研究共纳入相关临床研究文献93篇，涉及治疗该病的腧穴总数有89个，取穴总频次为652次。分析得出使用频次前五的腧穴依次为风池（56次）、金津（56次）、玉液（56次）、廉泉（42次）、百会（32次）。督脉为常用经脉，腧穴使用频次和个数均高于其他经脉。在特定穴中，络穴使用频次最高（35次），其中通里使用次数最多（17次）。关联规则显示金津-玉液的支持度最高，其次为金津-玉液-风池。聚类分析得出4个有效聚类群。刺灸方法以毫针针刺为主，其次为三棱针点刺放血。[结论] 针刺治疗中风后构音障碍以近部取穴为主，针刺舌咽及头颈附近穴位配合督脉穴位能够有效改善构音障碍。 |
| 关键词: 中风 构音障碍 针灸 数据挖掘 |
| DOI：10.11656/j.issn.1673-9043.2026.02.12 |
| 分类号:R245;R255.2 |
| 基金项目:国家自然科学基金项目（82374565，82174484）；国家中医药领军人才“岐黄学者”。 |
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| An exploration of acupoint selection patterns and acupuncture-moxibustion methods for post-stroke dysarthria |
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ZHANG Yanmei1,2, HUANG Yan1,2, PENG Yongjun3, LI Jing1,2, JI Jun1,2, WANG Wenjia1,2, GU Kan1,2, MA Xiaopeng1,2, CUI Yunhua1,2, WU Huangan1,2
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1.Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China;2.Shanghai Research Institute of Acupuncture and Meridians, Shanghai 200030, China;3.The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China
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| Abstract: |
| [Objective] To analyze clinical literature on acupuncture for post-stroke dysarthria，exploring the patterns of acupoint selection and the acupuncture-moxibustion techniques applied in its treatment. [Methods] A search was conducted for randomised controlled trials（RCTs）on acupuncture treatment for post-stroke dysarthria published from the inception of the databases up to July 2024. Databases searched included CNKI，Wanfang Data， VIP，CBM，PubMed，and Web of Science. An acupuncture prescription database was established using Excel 2016. Frequency analysis and cluster analysis were performed using SPSS 25.0，and association rule analysis was conducted using Cytoscape. [Results] This study included a total of 93 relevant clinical research articles. The treatment involved a total of 89 acupoints，with a cumulative frequency of application of 652 times. The five most frequently used acupoints were Fengchi（GB20，56 times），Jinjin（EX-HN12，56 times），Yuye（EX-HN13，56 times），Lianquan（CV23，42 times），and Baihui（GV20，32 times）. The Governor Vessel（Du Meridian）was the most commonly used meridian，with both the frequency and number of acupoints used exceeding those of other meridians. Among the specific categories of acupoints，Luo-Connecting points were used most frequently（35 times）， with Tongli（HT5）being the most commonly used Luo point（17 times）. Association rule analysis indicated that the pairing of Jinjin（EX-HN12）and Yuye（EX-HN13）had the highest support，followed by the combination of Jinjin， Yuye，and Fengchi（GB20）. Cluster analysis yielded four valid clusters. In terms of techniques，filiform needle acupuncture was the primary method，followed by three-edged needle pricking for bloodletting. [Conclusion] Acupuncture treatment for post- stroke dysarthria primarily focuses on selecting local acupoints near the affected area. A combination of needling acupoints around the tongue，pharynx，head，and neck with points on the Governor Vessel proves effective in ameliorating dysarthria symptoms. |
| Key words: stroke dysarthria acupuncture data mining |
