叶新苗基于经筋理论针刀治疗膝骨关节炎取点规律研究

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Study on Point Selection Patterns of YE Xinmiao's Acupotomy Treatment for Knee Osteoarthritis Based on Sinew Theory

JIN Chaodie1，SUN Zixuan1，KONG Lingzhou1，YE Xiaolin²，ZHANG Jiaxin³

1.RenjiCollge，WenzhouMedicalUniversity，WenzhouZhejiang325035，China；2.ZhejiangChineseMedicalUniversity，Hangzhou Zhejiang310o53，China；3.TheFirst Afiliated HospitalofWenzhouMedical University，Wenzhou Zhejiang3250oo，China Abstract：Objective：To analyze the point selection patterns of Professor YE Xinmiao's acupotomy treatment for knee osteoarthritis （KOA）basedon the sinewtheorythrough data mining.Methods：Casedata ofKOA patients treated byProfessorYE from January 2O2O to January2O25using sinew theory-guidedacupotomywerecollected to establisha prescription database.SPSS Statistics 27 and SPSS Modeler 18.0 were used for frequency statistics of acupotomy points， distributionanalysis，asociation rule mining analysis，and cluster analysis.Results：A total of 235acupotomy prescriptions involving 28 operating points （total frequency：1245）were included.The top five most frequently used points were：lateral head of quadriceps femoris，medial head of quadriceps femoris，tibial tuberosity，medial colateralligament，andpes anserinus tendon.The acupotomy points were predominantlydistributed in theanteriorand medial kneeregions.Asociationruleanalysis showedthe strongestcorelation was tibial tuberosity-inferior patellar border-midpointof patellar ligament. Cluster analysis revealed two effective clusters.Conclusion：Profesor YE's

sinew theory-basedacupotomyfor KOA primarily targets anterior and medial knee regions，reflecting his emphasis on functional integrityofanterior knee extensorapparatus，tensile stresschanges inmedialcollateral ligamentand pes anserinus tendon，and tension degree of popliteal muscle in posterior knee.

Keywords：Kneeosteoarthritis；Acupotomy； Sinew theory；Data mining；Point selection paterns；YE Xinmiao

膝骨关节炎是一种以关节软骨破坏、继发性骨赘形成、软骨下骨硬化或囊性变等为主要特征的慢性退行性疾病，属中医膝痹范畴，其典型表现为关节僵硬、疼痛、活动不利，局部压痛，甚至关节畸变、功能丧失。（剩余6054字）