中西医治疗阻塞性睡眠呼吸暂停综合征文献计量学分析
1. 上海中医药大学, 科技人文研究院, 上海 201203
2. 上海中医药大学, 图书馆, 上海 201203
3. 上海市中西医结合医院, 脑病科, 上海 200082
4. 上海中医药大学, 针灸推拿学院, 上海 201203
| 摘 要： | 目的：采用文献计量学方法探索中西医治疗阻塞性睡眠呼吸暂停（OSA）领域近36年的研究情况，了解研究方向和热点。方法：选取阻塞性睡眠呼吸暂停手术、持续正压通气（CPAP）、中医药治疗相关主题词构建关键集，对CNKI、万方、维普、SinoMed数据库分别进行主题检索，利用Vosviewer1.6.1等软件对出版年、期刊、作者、机构、方向和新兴热点进行文献计量和可视化分析。结果：手术、CPAP、中医药治疗OSA关文献分别为3511篇、1970篇、721篇。36年以来相关文献发文量整体呈上升趋势，手术治疗研究规模明显高于CPAP和中医药治疗。自2017年手术与CPAP治疗文献开始进入衰退期，中医药研究热点进入上升期。在发表期刊方面，手术治疗研究主体以医院为主，发文差距不大较为均衡，形成规模的小团队明显较多，不同团队间也会通过相互合作形成更大的作者合作团队；而CPAP治疗文献国内作者和机构研究团队间的合作较少。中医药治疗OSA文献没有形成优势期刊或是明显高产作者，发文特点以中医药大学为主，研究热点也相对分散。结论：近年来手术治疗OSA开始进入瓶颈期，国外非常重视手术治疗OSA随访、回顾性研究、前瞻性研究、随机对照试验、系统评价等循证研究，目前我国缺乏大样本多中心的循证研究，尤其是基于儿童特殊生长规律，缺乏对腺样体、扁桃体肥大患儿手术切除和中医药、针灸推拿治疗OSA的随访研究。 |
| 关 键 词： | 阻塞性睡眠呼吸暂停; OSA; OSAHS; 中医药; 手术; 持续正压通气 |
| DOI： | 10.57237/j.mrf.2022.01.006 |
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收稿日期: 2022-11-07
接受日期: 2023-01-09
在线出版日期: 2023-01-12
Bibliometric Analysis of Traditional Chinese Medicine and Western Medicine in the Treatment of Obstructive Sleep Apnea Syndrome
1. Institute of Science, Technology and Humanties, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
2. Library, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
3. Encephalopathy Department, Shanghai TCM-integrated Hospital, Shanghai 200082, China
4. College of Acupuncture and Massage, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
| Abstract: | Object: To study the research situation and direction and hot spots of Chinese and western medicine in the field of obstructive sleep apnea (OSA) in the past 36 years by bibliometrics. Methods: The paper selected the key words related to surgery streatment, continuous positive pressure ventilation (CPAP) and traditional Chinese medicine treatment to obstructive sleep apnea. The CNKI, Wanfang, VIP and sinomed databases were subject searched respectively. The publication year, journals, authors, institutions, directions and emerging hotspots were measured and visualized by vosviewer 1.6.1. Results: Over the past 36 years, the number of relevant documents has riseen, and the research scale of surgical treatment is significantly higher than that of CPAP and traditional Chinese medicine. Since 2017, the literature on surgery and CPAP treatment began to decline, and the research hotspot of traditional Chinese medicine began to rise. From the perspective of publishing journals, there are obviously more small-scale teams formed for surgical treatment research, and different teams will also form larger author cooperation teams through mutual cooperation; however, there is less cooperation between CPAP treatment and TCM treatment research teams, and research hotspots are relatively scattered. Conclusion: In recent years, the surgical treatment of OSA has begun to enter a bottleneck period. Foreign countries attach great importance to evidence-based research such as follow-up, retrospective research, prospective research, randomized controlled trials, and systematic evaluation. At present, China lacks evidence-based research with large samples and multi centers, especially based on the special growth law of children, there is a lack of follow-up research on surgical resection of children with adenoid and tonsillar hypertrophy and the treatment of OSA with Chinese medicine, acupuncture and manipulation. |
| Keywords: | Obstructive Sleep Apnea; OSA; OSAHS; Traditional Chinese Medicine; Operation; Continuous Positive Airway Pressure |
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