摘要
目的复习我国近10年眩晕的研究文献,分析眩晕研究现状。方法在维普科技期刊数据库以"眩晕"为关键词检索2000~2009年核心期刊发表文献,下载全文逐篇分析。结果共检出709篇文章,西医文献355篇,耳鼻咽喉科仍是眩晕研究的主要学科。研究内容以诊断(32.0%)、治疗(42.8%)和病因(10.4%)为主,基础研究(8.9%)甚少。269篇研究性文献中诊断标准和疗效判定标准均较不统一。设有对照试验的研究不多(61.3%),真正符合临床随机对照试验的仅17.4%,采用组间均衡性检验(11.2%)和盲法(4篇)实验设计的更少。结论我国眩晕研究的特点是涉及学科广、样本量大、中西医结合,但研究设计欠缺随机、双盲、对照、多中心的原则,诊断和疗效标准不统一,使结论不够客观可靠,缺乏可比性。
OBJECTIVE To evaluate the situation of vertigo studies in China by retrospective review of articles published in Chinese journals during recent 10 years. METHODS The term " vertigo" was used to search all papers on the Vip Chinese Lliterature Database from 2000 to 2009.All found papers were analyzed according to the standards of Bibliometrics.RESULTS Totally 709 medical papers on vertigo were found,involving 355 west-medicine papers.The Otorhinolaryngology is still the main group carrying out vertigo research. Contents of these 355 papers mainly concern diagnosis (32.0%),treatment(42.8%)and etiology(10.4%),while basic research(8.9%)are quite less. Analysis of 269 clinial research papers revealed that the standards of diagnosis and therapy evaluation varied greatly. 61.3% was controlled studies,but real randomized controlled trials(RCT)papers were only 17.4%,while base-line statistics(11.2%)and double-blinded designed studies (4 papers). CONCLUSION The great amount,multiple disciplines involved and west-tradition combined research are characteristics of Chinese vertigo studies. However,the inconsistent understanding of the diagnosis and therapy evaluation,and lack ofrandomized,double-blinded ,controlled and multiple-center trial make the results unreliable to some extent.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2010年第9期462-465,共4页
Chinese Archives of Otolaryngology-Head and Neck Surgery