关键词: acupuncture association rule analysis carpal tunnel syndrome cluster analysis data mining descriptive statistics exploratory factor analysis

来  源:   DOI:10.2147/JPR.S452618   PDF(Pubmed)

Abstract:
UNASSIGNED: Carpal tunnel syndrome (CTS) is the most prevalent upper limb compressive neuropathy. A considerable number of clinical trials and meta-analyses have provided evidence supporting the effectiveness of acupuncture in treating CTS. Nevertheless, the ideal choice of acupoints remains ambiguous.
UNASSIGNED: A data mining analysis was conducted with the objective of determining the most effective acupoint combinations and selection for CTS.
UNASSIGNED: A search was conducted across seven Chinese and English electronic bibliographic databases spanning from their inception to March 2023. Selected were clinical trials that evaluated the efficacy of acupuncture therapy for CTS, with or without randomised controlled methods. Data extraction mainly included acupoint prescriptions. Information such as first author, study design and study setting were also extracted. The principal outcomes comprised the clinical manifestations linked to CTS. Statistical descriptions were generated using Excel 2019. The analysis of association rules was conducted using SPSS Modeler 18.0. Using SPSS Statistics 26.0, exploratory factor analysis and cluster analysis were conducted.
UNASSIGNED: 142 trials (including 86 RCTs and 56 non RCTs) were identified, and 193 groups of effective prescriptions involving 68 acupoints were extracted. The most frequently used acupoints were Da-ling (PC7), Nei-guan (PC6), He-gu (LI4), Wai-guan (TE5), and Yang-xi (LI5). The most frequently used meridians were the pericardial meridian and the large intestine meridian. The majority of special acupoints used were Five-shu points and Yuan-source points, with acupoints on the upper limbs being the most frequently used. The core acupoint groups were analyzed and 11 groups of association rules, 8 factors, and 5 effective cluster groups were obtained.
UNASSIGNED: The evidence-based acupoint selection and combinations of acupuncture therapy for carpal tunnel syndrome were provided by the findings of this study.
摘要:
腕管综合征(CTS)是最常见的上肢压迫性神经病。大量的临床试验和荟萃分析提供了支持针灸治疗CTS有效性的证据。然而,理想的穴位选择仍然模棱两可。
进行了数据挖掘分析,目的是确定CTS最有效的穴位组合和选择。
从成立到2023年3月,对七个中英文电子书目数据库进行了搜索。选择的临床试验,评估针灸疗法对CTS的疗效,有或没有随机对照方法。数据提取主要包括穴位处方。信息,如第一作者,还提取了研究设计和研究设置。主要结果包括与CTS相关的临床表现。使用Excel2019生成统计描述。使用SPSSModeler18.0对关联规则进行分析。采用SPSSStatistics26.0,进行探索性因子分析和聚类分析。
确定了142项试验(包括86项随机对照试验和56项非随机对照试验),抽取193组有效处方68个穴位。最常用的穴位是大灵(PC7),内关(PC6),He-gu(LI4),围观(TE5),和杨喜(LI5)。最常用的经络是心包经络和大肠经络。使用的特殊穴位大多数是五舒穴和元源穴,上肢穴位是最常用的。对核心穴位组进行分析,11组关联规则,8个因素,得到5个有效的聚类组。
本研究结果提供了基于证据的穴位选择和针灸治疗腕管综合征的组合。
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