基于文献计量的针刺治疗血管性痴呆研究概况与发展趋势分析

Research Overview and Development Trend Analysis of Acupuncture Treatment of Vascular Dementia Based on Bibliometrics

目的基于文献计量方法,应用CiteSpace软件可视化分析国内针刺治疗血管性痴呆(Vascular dementia,VaD)的相关文献,探索针刺治疗VaD的发展状况、研究热点及应用前沿。方法检索中国知网(CNKI)中针刺治疗VaD的相关文献,利用CiteSpace软件生成相关文献的作者、研究机构和关键词的共现图谱,并对其进行分析。结果共检索出相关文献1296篇,符合纳入标准的有1289篇,年发文量呈逐年上升的趋势。共有778位作者被纳入,其中72位作者发文量≥5篇,形成以赖新生、程红亮、刘存志为代表的主要合作团队;共有350所机构被纳入,其中23所机构发文量≥10篇,主要研究机构有广州中医药大学、安徽中医药大学、天津中医药大学第一附属医院等;共有510个关键词被纳入,其中41个关键词的出现频次≥10次,形成以“痴呆“”认知障碍“”电针“”三阴交“”针刺“”针灸“”总有效率“”钙离子通道阻滞剂”为主的7个自然聚类。结论针刺治疗VaD目前已形成普遍认可的治疗方案,但研究缺乏系统化,需加强多机构、多学科的交叉合作,开展更多高质量相关研究,促进针刺治疗的特色与优势持续发展。针刺治疗VaD尚侧重于动物实验及小型的临床研究,今后应发展多中心、大样本、高质量的临床研究,并在疗效确定的基础上进行机制探寻。

Objective To summarize the progress of domestic researches on acupuncture treatment for vascular dementia(VaD)with visual analysis method.Methods The literatures related to acupuncture for VaD in Chinese National Knowledge Infrastructure(CNKI)were searched,and the co-occurrence mapping of authors,research institutions and keywords of related literatures were generated and analyzed using CiteSpace software.Results A total of 1296 relevant literatures were retrieved,1289 of which met the inclusion criteria,and the annual number of articles were increasing in recent years.A total of 778 authors were included,72 of whom published more than 5 articles,three major cooperation teams were formed which led by Lai Xinsheng,Cheng Hongliang and Liu Cunzhi.350 institutions were included,among which 23 institutions published more than 10 papers.The main research institutions included Guangzhou University of Chinese Medicine,Anhui University of Chinese Medicine,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,etc.A total of 510 keywords were included,among which 41 keywords appeared more than 10 times.Seven natural clusters were formed mainly including"dementia""cognitive impairment""electroacupuncture""SanYinJiao""acupuncture""acupuncture and moxibustion""total effective rate""calcium channel blocker".Conclusion Research on acupuncture treatment of VaD has always been an important position in the field of traditional Chinese medicine research.However,the research lacks systematization and needs to strengthen multidisciplinary cross-collaboration among multiple institutions.Acupuncture of VaD focuses on animal experiments and small clinical studies.In the future,multicenter,large-sample,high-quality clinical studies should be developed,and mechanisms should be investigated based on the determination of efficacy.