针灸治疗耳鸣的现状及文献质量评价*

目的利用数据挖掘技术探究近30年来针灸治疗耳鸣的临床文献，进行相关性分析。方法 检索维普数据网（VIP）、中国知网（CNKI）1989～2018年间涉及针灸治疗耳鸣的临床文献，筛选纳入符合标准的临床文献采用Microsoft Excel、SPSS Clementine 软件中Apriori算法等进行信息挖掘。结果 经统计发现纳入的175篇文献中，虽然结果显示针灸治疗耳鸣的主穴主要为听会、翳风、听宫，但是只有54.15%的支持度；Jadad分析统计高质量文献仅有13篇（7.43%）；有明确诊断标准的文献103篇（58.86％）；明确提出疗效判定标准的文献63篇（36％）；随机对照文献117篇（66.86%）。结论 近30年来针灸治疗耳鸣的取穴、组方有一定规律可循，但由于高质量文献数量较少，不能完全客观、透明的反映临床研究，所以只能一定程度上说明针灸治疗耳鸣采用听会、翳风、听宫较多。故临床需要设计更为严谨的试验方案，为今后临床治疗与试验研究提供科学指导。

The Current Situation of Acupuncture and Moxibustion Treatment of Tinnitusand the Evaluation of Literature Quality

Objective To explore the clinical literature of acupuncture and moxibustion for tinnitus in the past 30 years by using data mining technology and analyze the correlation. Methods To search the clinical literature of acupuncture treatment tinnitus in VIP and CNKI from 1989 to 2018, and to select the clinical research literature that meets the standard, to mine the information by Microsoft Excel and Apriori algorithm in SPSS Clementine. Results Of the 175 articles included in the statistics, although the main points of acupuncture treatment for tinnitus were hearing, Yifeng and hearing palace, only 54.15% of them were supported; only 13(7.42%) were high-quality articles by Jadad analysis and statistics; 103(58.86%) were articles with clear diagnosis criteria; 63(36%) were articles with clear efficacy criteria; and random control articles. 117(66.86%) were presented. Conclusion In the past 30 years, there are some rules to follow in acupoint selection and composition of acupuncture and moxibustion for tinnitus treatment, but due to the small number of high-quality literature, it can not completely reflect the clinical research objectively and transparently, so it can only be explained to a certain extent that there are many acupuncture and moxibustion for tinnitus treatment, such as hearing, Yifeng and hearing palace. Therefore, the clinical needs to design a more rigorous experimental program, which provides scientific guidance for clinical treatment and experimental research in the future.