基于数据挖掘的刺络放血疗法治疗痤疮规律与特点研究

目的:采用数据挖掘技术对刺络放血治疗痤疮的文献资料进行数据分析,以探讨与总结刺络放血疗法治疗痤疮的规律及特点。方法:针对CNKI、万方、SinoMed、、PubMed等9个数据库中刺络放血疗法治疗痤疮的文献资料进行下载、筛选及所需信息的录入,利用刺络放血数据库平台,运用OLAP技术(联机分析技术)对其进行数据挖掘。结果:纳入刺络放血治疗痤疮的期刊论文230篇,纳入痤疮病例以肺经风热型频次最高,为56次,占24.78%;放血针具以三棱针应用频次最高,为168次,占71.79%;放血部位采用腧穴的研究中涉及足太阳膀胱经及督脉穴位最多,以大椎及背俞穴应用频次最高,采用耳穴的研究则以耳尖及耳背静脉应用频次最高。放血量多描述为少许;治疗组采用配合疗法的研究166项,占72.17%,其中以中药内服、毫针刺法及耳穴贴压应用频次较多;治疗频次以3日1次(每周2次)和2日1次(每周3次)居多,且两者疗程多为10次/疗程,总治疗次数也多为20次。结论:刺络放血治疗痤疮以三棱针点刺大椎及背俞穴最为常用,且均取得较好疗效,但多数研究为配合其它疗法使得疗效更佳。

Analysis of Therapeutic Regularities and Characteristics of Blood-letting Therapy for Acne Patients Based on Data Mining

Objective To analyze the therapeutic regularities and characteristics of blood-letting therapy for acne in the past clinical practice by using data mining.Methods Original papers about acne treated by pricking blood therapy were searched and screened from common databases as Chinese National Knowledge Infrastructure Database(CNKI),WanFang Data,SinoMed,Ovid,ScienceDirect,Socolar,SciFinder,Foreign Medical Journal Full-Text Service(FMJS)and PubMed using keywords of acne+bleeding therapy,acne+blood-letting,acne+pricking blood,followed by establishing a data plateform to conduct a data mining using Online Analytical Processing(OLAP).Results A total of 230 original journal articles about acne treated by pricking blood therapy were collected.The included acne cases with wind-heat pattern were predoment,being 56 in frequency-times and acounting for 24.78%.In the treatment of acne,the therapeutic tool,three-edged needle was often used,being168 in frequency and acounting for 71.79%.The frequently employed acupoints were those of the Governor Vessel and Bladder Meridian,such as Dazhui(GV 14)and back-shu points.When auricular points used for blood-letting,Erjian(EX-HN 6)and the Vena of the auricular back were most frequently selected.In addition to blood-letting,other therapies such as Chinese herbal medicines,filiform needles,and otopoint-pellet pressure were also used in combination,being 166 in items and constituting72.17%.Generally,blood-letting treatment was conducted once every three days(twice a week)or once every two days(three times a week)for about 20 sessions for each acne patient.Conclusion Blood-letting therapy is effective in the treatment of acne.But if used in combination with other therapies,the therapeutic effect would be better.