基于数据挖掘的火针刺法临床应用病种特点研究

目的:运用数据挖掘技术对古今文献中火针刺法应用病种进行分析,以提出火针临床应用的适宜病种,为火针刺法效应特异性的研究评价提供参考。方法:以收集到的医籍、医案、期刊中报道的火针治疗疾病种类为样本数据,主要采用数据挖掘技术中的关联规则方法,计算频繁项集,运用自主研制的火针文献数据库平台,提取并归类总结相关内容信息,进行火针治疗应用病种规律挖掘。结果:期刊、医案、医籍文献中火针治疗共涉及6个疾病科属,外科疾病出现频次最高,分别为287次(占49.83%)、235次(占48.96%)、154次(占41.73%),其次为皮肤科疾病共出现360次,内科疾病共出现276次。期刊文献中涉及火针治疗的115种疾病,以治疗痹症、蛇串疮较多见,分别出现115次和46次;火针治疗疾病总有效率为:儿科99.46%、五官科98.65%、外科97.32%、皮肤科96.66%、妇科96.34%、内科93.95%。医案文献中涉及97种疾病,除痹症、蛇串疮外,疣目较多见。医籍文献中涉及了94种疾病,内科病种最多,为32个。结论:数据挖掘结果表明,火针疗法广泛应用于临床各科疾病中并取得较佳疗效,较多应用于外科(以骨伤科和普通外科为主)、内科(以神经内科、消化内科为主)、皮肤科等疾病中,五官科、妇科、儿科的疾病也会用及。

Research on Characteristics of Different Clinical Conditions Treated by Red-hot Acupuncture Needle Based on Data Mining

Objective To analyze the regularities and characters of clinical application of red-hot needle therapy in ancient and modern literature of Chinese medicine by using data mining techniques,so as to provide a reference for study on the specificity of efficacy of red-hot needle therapy.Methods Sample data was collected from some medical books,medical cases,reports of modern journals for calculating frequent item sets by using methods of association rules of data mining.Then,the collected data was extracted,sorted out,and summed up by using our newly developed literature database platform of red-hot needle therapy in order to find out the most suitable indications of this therapy in clinical practice.Results A total of 6 categories of clinical conditions treated by red-hot needle therapy were found.Among them,the frequency times(percentages) of red-hot needle application for surgical problems appeared in journals,medical cases and medical books are 287 times(49.83%),235 times(48.96%),154 times(41.73%),respectively.The frequency times of red-hot needle application for disorders of internal medicine and dermatology are 276 times and 360 times.Among the 115 categories of clinical conditions or diseases treated by red-hot needle appeared in journals,arthromyodynia and struma are frequently found,with the frequency being 115 and 46 times,separately.The total effective rates of the present therapy from higher to lower are 99.46% for pediatric problems,98.65% five sensory organs department,97.32% surgery,96.66% dermatology,96.34% gynecology,and 93.95% internal medicine,respectively.Among the 97 types of clinical conditions recorded in the literature on medical cases,aural verruca is more frequently seen apart from arthromyodynia and struma.In medical books,94 types of clinical conditions treated by red-hot needle therapy are found,including 32 types of problems of internal medicine.Conclusion Data mining results show that red-hot needle therapy has been widely used in different clinical departments,and more frequently used in surgery(mainly orthopedic and general surgery),internal medicine(mainly neurology and gastroenterology),dermatology.