基于数据挖掘技术探讨针刺治疗糖尿病心脏自主神经病变的选穴规律

打开文本图片集

关键词：糖尿病心脏自主神经病变；针刺；数据挖掘；选穴规律；心俞；内关；脾俞；足三里中图分类号：R246.9 文献标志码：A 文章编号：1007-3213（2025）07-1719-07DOI：10.13359/j.cnki.gzxbtcm.2025.07.024

Exploration of Acupoint Selection Patterns in the Treatment of Diabetic Cardiac Autonomic Neuropathy Using Data Mining Techniques

YAN Mengru'，YANG Xiaoxue'，HU Xueqi'，WANG Hongli'，LIN Sicong'HUANG Haomin'，CHU Shufang²

Fourth Schoolof Clinical Medicine Guangzhou Universityof Chinese Medicine，Shenzhen 518033 Guangdong，China; 2.Shenzhen Hospital of Traditional Chinese Medicine，Shenzhen 518O33 Guangdong，China）

Abstract：Objective To investigate the acupoint selection paterns for treating diabetic cardiac autonomic neuropathy（DCAN） using data mining techniques，providing evidence for clinical practice.Methods Literature on acupuncture treatment for DCAN was retrieved from CNKI，Wanfang，VIP，and PubMed.The publication dates of the included literature ranged from the inception of each database to April 2O24.Descriptive analysis， association rule analysis，and cluster analysis were performedon acupoint prescriptions，with the selection patterns of meridians and acupoints were summarized.Results A total of 27 articles were included，involving 18 acupoints.The top 10 high-frequency acupoints were Neiguan（PC6）， Xinshu（BL15），Pishu（BL20），Zusanli （ST36），Sanyinjiao（SP6），Shenmen（HT7），Taixi（KI3），Lingtai（GV10），Shendao（GV11），and Shenshu （BL23）.The primary meridians selected were the bladder meridian offoot-taiyang and the pericardium meridian of hand-jueyin.Specific acupoint categories predominantly included back-shu pointsand five transport points. Association rule and cluster analyses identified core acupoint combinations centered on Xinshu，Neiguan，Pishu， and Zusanli.Conclusion The core acupoint combination fortreating DCAN with acupuncture comprises Xinshu， Neiguan，Pishu，and Zusanli.

Keywords：diabetic cardiac autonomic neuropathy（DCAN）；acupuncture；data mining；acupoint selection patterns；Xinshu；Neiguan；Pishu；Zusanli

糖尿病心脏自主神经病变（DCAN）是排除其他病因后，已诊断的糖尿病患者出现心血管自主控制的损害。（剩余8844字）