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Mi SQ, Zeng WM, Wang SZ, Cheng L, Zhang XD, Zhao JP. [Acupoint selection rules of acupuncture and moxibustion for stroke-related pneumonia]. Zhongguo Zhen Jiu 2022; 42:712-716. [PMID: 35712961 DOI: 10.13703/j.0255-2930.20210404-k0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Using data mining technology, the rules of acupoint selection of acupuncture and moxibustion were explored in treatment of stroke-related pneumonia. The clinical articles of acupuncture and moxibustion in treatment of stroke-related pneumonia were retrieved from CNKI, SinoMed, Wanfang and VIP databases from their inception through to January l 2021, and then, the acupuncture-moxibustion prescription database was set up for stroke-related pneumonia. SPSS Modeler 18.0 Apriori algorithm was adopted to analyze the association rules of acupoints and draw complex network diagrams. SPSS26.0 was used in clustering analysis of acupoints. Finally, a total of 44 articles were included, with 51 acupoint prescriptions and 82 acupoints extracted. The total frequency of acupoints was 340 times. The high-frequency acupoints in treatment with acupuncture and moxibustion for stroke-related pneumonia were Feishu (BL 13), Fenglong (ST 40), Hegu (LI 4), etc. These acupoints were mainly distributed on the limbs and back and mostly from yang meridians. Of these extracted acupoints, the five-shu points, convergent points and back-shu points were selected specially. Regarding acupoint combination, the association of Quchi (LI 11) had the highest support with Hegu (LI 4) and Zusanli (ST 36). The core prescription of acupuncture-moxibustion treatment for stroke-related pneumonia could be composed of Quchi (LI 11), Hegu (LI 4), Zusanli (ST 36), Fenglong (ST 40) and Taichong (LR 3).
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Affiliation(s)
- Shu-Qi Mi
- Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing 100700, China
| | - Wei-Mei Zeng
- Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing 100700, China
| | - Shan-Ze Wang
- Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing 100700, China
| | - Lu Cheng
- Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing 100700, China
| | - Xu-Dong Zhang
- Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing 100700, China
| | - Ji-Ping Zhao
- Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing 100700, China
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Dang PD, Nguyen MH, Mai XK, Pham DD, Dang MD, Nguyen DH, Bui VN, Mai DT, Do NB, Do DT. A Comparison of the National Institutes of Health Stroke Scale and the Gugging Swallowing Screen in Predicting Stroke-Associated Pneumonia. Ther Clin Risk Manag 2020; 16:445-450. [PMID: 32547041 PMCID: PMC7250704 DOI: 10.2147/tcrm.s251658] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Accepted: 05/10/2020] [Indexed: 12/22/2022] Open
Abstract
Background There have been many scales to predict pneumonia in stroke patients, but they are so complex, making it difficult to apply in practice. Therefore, we conducted this study to assess the role of the National Institutes of Health Stroke Scale (NIHSS) and the Gugging Swallowing Screen (GUSS) in predicting stroke-associated pneumonia (SAP). These scales are routinely used in stroke patients. Therefore, their application in predicting SAP risk will be of high value in clinical practice. There has been no previous study evaluating the effectiveness of SAP risk prediction for each of these scales. Aim This study aimed to compare the value of NIHSS and GUSS in SAP prediction and their convenience in clinical practice. Methods It was a cohort study. The receiver operating characteristics (ROC) curves were constructed to assess the sensitivity (Se) and specificity (Sp) of the scales. Area under the curves (AUC) were calculated, and we compared them. Results NIHSS had a medium value of predictor of SAP with AUC 0.764 (95% CI 0.735–0.792), 65.4% Se, 76.5% Sp. GUSS had good value in predicting SAP with AUC 0.858 (95% CI 0.833–0.880), 80.5% Se, 80.1% Sp. Pairwise comparison of ROCs curves demonstrated that the difference between two AUCs was significant (p < 0.01). Performing GUSS required 24.5 ± 6.7 minutes, 2.5 times longer than NIHSS (9.9 ± 2.0 minutes). Conclusion GUSS had a better predictive value of SAP than NIHSS. But NIHSS was more convenient in clinical practice because of its simple instrument and quick performance.
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Affiliation(s)
- Phuc Duc Dang
- Department of Stroke, Military Hospital 103, Hanoi, Vietnam.,Department of Neurology, Vietnam Military Medical University, Hanoi, Vietnam
| | - Minh Hien Nguyen
- Department of Stroke, Military Hospital 103, Hanoi, Vietnam.,Department of Neurology, Vietnam Military Medical University, Hanoi, Vietnam
| | - Xuan Khan Mai
- Respiratory Center, Military Hospital 103, Hanoi, Vietnam.,Department of Tuberculosis and Lung Disease, Vietnam Military Medical University, Hanoi, Vietnam
| | - Dinh Dai Pham
- Department of Stroke, Military Hospital 103, Hanoi, Vietnam.,Department of Neurology, Vietnam Military Medical University, Hanoi, Vietnam
| | - Minh Duc Dang
- Department of Stroke, Military Hospital 103, Hanoi, Vietnam
| | | | - Van Nam Bui
- Department of Stroke, Military Hospital 103, Hanoi, Vietnam
| | - Duy Ton Mai
- Emergency Department, Bach Mai Hospital, Hanoi, Vietnam
| | - Nhu Binh Do
- Division of Military Science, Military Hospital 103, Hanoi, Vietnam.,Department of Infectious Disease, Vietnam Military Medical University, Hanoi, Vietnam
| | - Duc Thuan Do
- Department of Stroke, Military Hospital 103, Hanoi, Vietnam.,Department of Neurology, Vietnam Military Medical University, Hanoi, Vietnam
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