基于数据挖掘的针刺治疗运动性疲劳选穴规律分析OA

Objective:To address the public health issue of high incidence and cumulative tissue damage caused by exercise-induced fatigue(EIF),this study applied data mining techniques to analyze the randomized controlled trial(RCT)literature on acupuncture treatment for EIF,aiming to systematically summarize acupoint selection rules,meridian affiliations,and compatibility patterns,and provide evidence-based references for optimizing anti-fatigue acupuncture protocols.Methods:Three major Chinese databases(CNKI,VIP,and Wanfang)were searched from their inception to March 1,2025,using the search strategy of"exercise-induced fatigue"AND"acupuncture/moxibustion".An acupuncture prescription database was established using Excel 2019 to record acupoint frequency,body region,meridian affiliation,etc.Association rule mining was performed via the Apriori algorithm in SPSS Modeler 14(support≥10%,confidence≥80%),and cluster analysis of the high-frequency acupoints was conducted using SPSS Statistics 20.Results:A total of 38 eligible RCTs were included,involving 38 acupoints(including compound acupoint groups)with 141 total applications.There were 18 high-frequency acupoints(frequency≥3),accounting for 47.37%of total acupoints and 78.72%of total applications.The top eight high-frequency acupoints(Zusanli ST36,Guanyuan CV4,Sanyinjiao SP6,Qihai CV6,Hegu LI4,Yanglingquan GB34,Shenshu BL23,and Baihui GV20)accounted for 57.45%of total applications,with Zusanli ranking first(21.28%).In terms of meridian distribution,the Foot-Yangming Stomach Meridian was the most frequently used(26.24%),followed by the Ren Meridian(17.02%),covering 13 regular meridians(except the Hand-Shaoyang Sanjiao Meridian)and the Ren/Du meridians.Acupoint selection focused on the lower limbs(56.74%)as the core region,followed by the chest and abdomen(17.02%).Among specific acupoints,the Five-Shu points accounted for the highest proportion(34.04%),followed by Lower-He points(25.53%).Association rule analysis showed that the support for"Guanyuan→Zusanli"was the highest(39.74%),and the lift for"Qihai+Zusanli→Guanyuan"reached 2.53.Cluster analysis classified the 18 high-frequency acupoints into 5 categories,with Zusanli and Guanyuan as the early clustering cores.Conclusion:Acupuncture treatment for EIF primarily targets the Foot-Yangming Stomach Meridian("abundant in qi and blood")supplemented by the Ren Meridian("sea of yin"),with core acupoints including Zusanli,Guanyuan,Sanyinjiao,and Qihai,reflecting the principle of"cultivating the acquired constitution and harmonizing qi and blood".Current limitations include insufficient high-quality evidence and inconsistent diagnostic/treatment standards.Future studies should conduct multicenter large-sample RCTs to establish evidence-based acupuncture prescription systems.