针刺治疗肿瘤化疗后顽固性呃逆的选穴规律*

作者：王丽娜1，王月英2，史雅儒1，蒋 璐2，黄 雯2，葛 芳2

单位：1.安徽中医药大学护理学院，安徽 合肥 230012； （2.杭州市中医院，浙江 杭州 310007

引用：引用：王丽娜，王月英，史雅儒，蒋璐，黄雯，葛芳.针刺治疗肿瘤化疗后顽固性呃逆的选穴规律[J].中医药导报,2025,31(11):179-183,203.

DOI：10.13862/j.cn43-1446/r.2025.11.030

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摘要：目的：运用数据挖掘技术探究针刺治疗肿瘤患者化疗后顽固性呃逆的选穴规律。方法：检索中国知网、维普网、万方数据知识服务平台、中国生物医学文献数据库、PubMed、Cochrane Library、Embase、Web of Science建库至2025年1月25日关于针刺治疗化疗后顽固性呃逆的文献。利用Excel 2016建立腧穴处方数据库，运用SPSS Modeler 18.0、SPSS Statistics 26.0软件进行关联规则分析、聚类分析。结果：共纳入文献115篇，提取处方121份，涉及腧穴67个，总频数为664，使用频数前3的腧穴为足三里、内关、中脘。常用经络为任脉、足阳明胃经、手厥阴心包经，特定穴以交会穴为主，且多为下肢腧穴。关联性最高的穴位配伍为足三里-内关；聚类分析得到3个有效聚类群，针刺方法以平补平泻法为主。结论：针刺治疗化疗后顽固性呃逆遵循“法随证立，随症加减”的治则，以局部选穴、远近配穴为主，注重针刺方法及效应，核心穴组为“足三里-内关-中脘-太冲-攒竹”。

关键词：顽固性呃逆；肿瘤；化疗；针刺

Abstract：

Objective: To explore the acupoint selection rules of acupuncture for refractory hiccups in tumor patients after chemotherapy using data mining technology. Methods: Literatures on acupuncture for refractory hiccups after chemotherapy published from the establishment of the databases to January 25, 2025 were retrieved from China National Knowledge Infrastructure (CNKI), VIP Database, Wanfang Data Knowledge Service Platform (Wanfang Data), Wanfang Data Knowledge Service Platform (Wanfang Data), PubMed, Cochrane Library, Embase, and Web of Science. Excel 2016 was used to establish an acupoint prescription database, and SPSS Modeler 18.0 and SPSS Statistics 26.0 software were employed for association rule analysis and cluster analysis. Results: A total of 115 literatures were included, with 121 prescriptions extracted, involving 67 acupoints with a total frequency of 664. The top 3 acupoints with the highest usage frequency were Zusanli (ST 36), Neiguan (PC 6), and Zhongwan (RN 12). The commonly used meridians were the Ren Meridian, Stomach Meridian of Foot-Yangming, and Pericardium Meridian of Hand-Jueyin. Specific acupoints were mainly confluent acupoints, and most of them were lower limb acupoints. The most relevant acupoint compatibility was Zusanli (ST 36)-Neiguan (PC 6). Cluster analysis yielded 3 effective clusters, and the primary acupuncture method was the even reinforcing and even reducing method. Conclusion: Acupuncture for refractory hiccups after chemotherapy follows the therapeutic principle of "treating methods based on syndrome differentiation, with modifications according to syndromes". It mainly adopts local acupoint selection and distant-near acupoint combination, emphasizing acupuncture methods and effects. The core acupoint group is "Zusanli (ST 36)-Neiguan (PC 6)-Zhongwan (RN 12)-Taichong (LR 3)-Cuanzhu (BL 2)".

Key words：refractory hiccups; tumor; chemotherapy; acupuncture; data mining

发布时间：2025-11-30

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