针灸治疗混合性尿失禁的用穴规律分析

目的〓分析针灸治疗混合性尿失禁的用经、用穴及腧穴组方规律。方法 通过电子检索中国知网、维普医学资源数据、万方数据库、中国生物医学文献数据库、PubMed中关于针灸治疗混合性尿失禁的文献，建立数据库并用数据挖掘软件进行腧穴关联分析。结果 针灸治疗混合性尿失禁常选穴位有会阳、三阴交、足三里、中髎、次髎；常选经脉为膀胱经、脾经、胃经；常选部位为腰骶部；特定穴中以交会穴的运用最多；相关性较高的腧穴有足三里-三阴交，会阳-三阴交；刺激方法以电针为主。结论 针灸治疗混合性尿失禁取穴取经有规律，疗效肯定，为临床治疗用经选穴提供一定的参考依据。

Exploration of the Law about the Use of the Acupionts in the Treatment ofMixed Urinary Incontinence with Acupuncture

Objective To analyze the law of using meridians, using acupoints and matching acupoints in acupuncture treatment of mixed urinary incontinence. Methods The published literature of treating mixed urinary incontinence with acupuncture and moxibustion was retrieved from electronic databases, including CNKI, VIP, WF, CBM, PubMed.Database was established, and the association rules of acupoints were explored by data mining software. Results The most commonly used acupuncture points for mixed urinary incontinence were Huiyang, Sanyinjiao, Zusanli, Zhongliiao, and Ciliao; the most involved meridians were the bladder meridian, the spleen meridian, and the stomach meridian; the main acupoints were distributed in the lumbosacral region; the most frequently used specific acupoints was crossing points; association rule analysis showed that the acupoint group with high support were Zusanli-Sanyinjiao, Huiyang-Sanyinjiao;electroacupuncture was the main intervention method. Conclusion Acupuncture and moxibustion treatment of mixed urinary incontinence has regular acupoint selection and definite curative effect, which provides certain reference for clinical treatment of acupoint selection.