1994年至2023年针灸干预脑卒中后吞咽障碍的文献计量分析OA北大核心CSTPCD
Effect of acupuncture and moxibustion on post-stroke dysphagia from 1994 to 2023:a bibliometric analysis
目的 分析针灸干预脑卒中后吞咽障碍(PSD)的研究现状、热点及发展趋势. 方法 检索中国知网、维普、万方数据库1994年至2023年12月31日收录的关于针灸干预PSD的文献,采用VOSviewer和CiteSpace生成图谱进行可视化分析. 结果 本研究共纳入1 816篇文献,发文量逐年增加,于2021年达到峰值(180篇).纳入的文献中共有274名核心作者,其中程红亮、周鸿飞、冯卫星为发文量靠前的作者.天津中医药大学第一附属医院为最高产的单位,研究机构之间的联系比较分散.高频关键词为吞咽功能障碍、脑卒中、针灸疗法以及康复疗法,其中舌三针、电针、项针、头针为较常运用的针刺方法.此外,针刺联合康复训练、电刺激等方法干预PSD以及针灸干预PSD的临床选穴规律亦为研究热点.评估针灸干预PSD的疗效时逐渐由关注有效率到侧重于运用电视荧光吞咽检查、洼田饮水试验、标准吞咽功能评价量表、表面肌电图等指标评估吞咽功能及吞咽障碍严重程度. 结论 针灸干预PSD的研究发展迅速.研究热点主要包括具体针灸疗法以及针灸联合其他康复疗法的选择、针灸干预PSD的结局指标及选穴规律,未来应加强跨机构、跨地域的学术交流与合作,着重关注针灸改善PSD患者吞咽功能的客观评价指标以及针灸联合现代康复疗法的优化组合,从而更好地指导临床实践.
Objective To explore the current research situation,hotspots and development trend in the field of acupuncture and mox-ibustion intervention for post-stroke dysphagia(PSD). Methods The literature on acupuncture and moxibustion intervention for PSD was retrieved from CNKI,VIP and Wan-fang database from 1994 to December 31st,2023,and analyzed with VOSviewer and CiteSpace. Results A total of 1 816 articles were included,and the number of publications increased year by year,reaching a peak in 2021 with 180 articles.There were 274 core authors included in the literature,among which Cheng Hongliang,Zhou Hongfei and Feng Weixing were the authors with the highest publication volume.The First Affiliated Hos-pital of Tianjin University of Chinese Medicine was the most productive institution,and the connections between institutions were relatively scattered.The high-frequency keywords were swallowing dysfunction,stroke,acu-puncture and moxibustion therapy,as well as rehabilitation therapy,among which tongue triple acupuncture,elec-troacupuncture,nape acupuncture and scalp acupuncture were the most commonly used methods.In addition,acupuncture combined with rehabilitation training,electrical stimulation,or other methods for PSD and acupoint selection rules were also research hotspots.When evaluating the efficacy of acupuncture intervention for PSD,the focus gradually shifted from the effective rate to the use of videofluorographic swallowing study,water swal-lowing test,standardized swallowing assessment,surface electromyography and other indicators to evaluate the swallowing function and the severity of dysphagia. Conclusion Research on acupuncture and moxibustion interventions for PSD has developed rapidly,with hotspots in-cluding the selection of specific acupuncture and moxibustion techniques,the combination of acupuncture and moxibustion with other rehabilitation therapies,outcome indicators for acupuncture and moxibustion interven-tions in PSD,and the rules of acupoint selection.In the future,it is essential to strengthen academic exchanges and collaborations across institutions and regions.Greater emphasis should be placed on objective evaluation in-dicators of acupuncture and moxibustion therapies for improving the swallowing function in PSD patients,as well as on optimizing combinations of acupuncture and moxibustion with modern rehabilitation approaches,so as to better guide clinical practice.
徐芳园;胡培佳;叶宇;戴帆;程红亮
安徽中医药大学第一临床医学院,安徽 合肥市 230031安徽中医药大学第二附属医院,安徽 合肥市 230061安徽中医药大学第二临床医学院,安徽 合肥市 230031
临床医学
针灸脑卒中后吞咽障碍文献计量学
acupuncture and moxibustionpost-stroke dysphagiabibliometrics
《中国康复理论与实践》 2024 (011)
1299-1310 / 12
1.安徽省临床医学研究转化专项(No.202304295107020123);2.安徽省卫生健康委科研重点项目(No.AHWJ2021a020) Anhui Clinical Medical Research Translational Project(No.202304295107020123)and Key Project of Anhui Provincial Health Commission Research(No.AHWJ2021a020)
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