發(fā)布時間：2018-01-18 11:21

  本文關(guān)鍵詞：針灸治療血管性癡呆的文獻計量學(xué)分析和選穴規(guī)律研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 針灸 血管性癡呆 文獻計量學(xué) 選穴規(guī)律

【摘要】：目的:本研究旨在分析針灸治療血管性癡呆(VD)的研究現(xiàn)狀、選穴規(guī)律和不同分析方法下的因子分析結(jié)果以及不同度量標(biāo)準(zhǔn)下的聚類分析結(jié)果的異同。將所得結(jié)果進行對比,以求為此類型的數(shù)據(jù)分析提供一定借鑒。方法:確定檢索詞,搜索中國知網(wǎng)(CNKI)和維普(VIP)等中文數(shù)據(jù)庫中使用針灸治療血管性癡呆的臨床治療型文獻。制定數(shù)據(jù)信息收集表,將數(shù)據(jù)整理并錄入到Excel 2010中。對文獻信息進行計量學(xué)分析,對穴位的使用頻次、歸經(jīng)、分布等情況進行歸類總結(jié)和分析。使用軟件SPSS 21.0對最終確定的39個穴位以不同分析方法進行因子分析并以不同度量標(biāo)準(zhǔn)進行聚類分析。結(jié)果:1.文獻計量學(xué)分析結(jié)果315篇文獻的分析結(jié)果顯示,作者所屬機構(gòu)以高校和醫(yī)院這兩類機構(gòu)為主,發(fā)文量居首位的是醫(yī)院,高達245篇,其次為學(xué)校,54篇。文獻作者分布在全國27個省市中,其中發(fā)文量超過25篇的為廣東、黑龍江、天津,共發(fā)文121篇,占發(fā)文總數(shù)的38.4%。含有基金支持的文章為92篇。發(fā)文量最多的雜志為《針灸臨床雜志》,共發(fā)表34篇,占發(fā)文總數(shù)的10.8%。2.針灸治療VD的選穴規(guī)律分析結(jié)果對文獻中的穴位進行分類整理,發(fā)現(xiàn)以頭面頸項部的穴位使用頻率最高;從各經(jīng)脈穴位使用情況得知,督脈穴位的使用頻次最高;文獻中,特定穴的穴位使用頻次為2610次,占98.64%,其十個分類中,交會穴的使用頻次最高,為760次,居首位。對穴位進行因子分析,第一次獲到14個公因子,剔除無效變量后進行第二次因子分析,最終篩選出12個公因子。聚類分析,得到12個聚類群集,并獲得了 15個關(guān)系密切的穴對。對比聚類分析的12類與因子分析的12個公因子,發(fā)現(xiàn)有7組穴位匹配一致,匹配率達到58.3%。使用七種不同的因子分析方法,都可得到12個公因子,但七種結(jié)果中沒有出現(xiàn)所有公因子都一致的情況,但在同一個公因子中,有半數(shù)以上的分析方法能夠得到相同的穴對。使用聚類分析的八種度量標(biāo)準(zhǔn)對穴位數(shù)據(jù)進行分析,發(fā)現(xiàn)有六種度量標(biāo)準(zhǔn)所得結(jié)果一致,另外兩種所得結(jié)果不一致。結(jié)論:通過對穴位數(shù)據(jù)進行因子分析和聚類分析結(jié)果得出,針灸治療血管性癡呆的選穴仍以辨證施治為原則,遵循著針灸處方的選穴原則和配穴方法。使用以舒筋通絡(luò)、醒腦開竅和行氣活血為主要功效的經(jīng)絡(luò)經(jīng)穴為主。從穴性分析,針灸治療VD選穴以醒腦安神、補腎益脾和升陽開竅為主。
[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.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6;G353.1

【參考文獻】

相關(guān)期刊論文 前10條

1 謝西梅;安軍明;;頭針治療血管性癡呆臨床隨機對照研究[J];四川中醫(yī);2016年10期

2 董菲;于文濤;李強;郭蓮;楊真卿;;基于關(guān)聯(lián)規(guī)則對血管性癡呆方藥組成規(guī)律的文獻研究[J];中西醫(yī)結(jié)合心腦血管病雜志;2016年19期

3 馮宏偉;;中醫(yī)治療腦梗死后血管性癡呆的臨床療效觀察[J];世界最新醫(yī)學(xué)信息文摘;2016年33期

4 李雪巖;劉剛;井哲;盛國濱;孫忠人;;頭項針治療血管性癡呆的臨床療效觀察[J];針灸臨床雜志;2016年03期

5 覃蔚嵐;金香蘭;周麗;楊文津;胡慧;;針灸治療血管性認(rèn)知障礙選穴規(guī)律分析[J];遼寧中醫(yī)藥大學(xué)學(xué)報;2016年04期

6 王飛;;針?biāo)幗Y(jié)合治療血管性癡呆瘀血阻絡(luò)證45例臨床觀察[J];新中醫(yī);2016年03期

7 史哲;;36例血管性癡呆的針刺治療[J];遼寧中醫(yī)藥大學(xué)學(xué)報;2016年02期

8 王少洲;劉國成;盧昌均;;血管性癡呆的絡(luò)病研究概述[J];遼寧中醫(yī)雜志;2015年12期

9 李大奇;張晨;趙冰;張華東;王波;;基于信息挖掘技術(shù)總結(jié)謝海洲治療血管性癡呆的遣方用藥經(jīng)驗[J];中國中醫(yī)基礎(chǔ)醫(yī)學(xué)雜志;2015年11期

10 張件云;;針?biāo)幉⒂寐?lián)合康復(fù)訓(xùn)練治療血管性癡呆36例臨床觀察[J];湖南中醫(yī)雜志;2015年09期

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