近24年国内外中医药防治慢性萎缩性胃炎文献计量学分析

Bibliometric Analysis of Chronic Atrophic Gastritis Prevention and Treatment with Traditional Chinese Medicine at Home and Abroad in Recent 24 Years

目的:分析近24年国内外中医药防治慢性萎缩性胃炎(CAG)研究文献,探讨相关文献分布规律、发展趋势及揭示中医药辨治CAG的国内外发展状况。方法:利用CBM、GoPubMed检索1990—2013年期间CAG相关文献,采用文献计量学方法对文献的年代分布、作者情况、期刊分布、研究主题及病机治法等特征进行统计分析。结果:CBM文献量为1 284篇,总体呈逐年上升趋势,分别于1996、2011年形成2个发文高峰。江苏省作者发文量最多(169篇),国内期刊陕西中医发文量最多(91篇)。对文献研究主题进行分析,提示以癌前状态、化生、萎缩、增生、消化系统肿瘤、细菌感染等为研究热点。同时临床以肝脾论治、祛瘀解毒、滋阴清热、祛湿通络及和胃降逆等治法最多常见,其符合CAG基本病机规律。GoPubMed检索文献量为74篇,其中江苏省各城市发文量总计12篇,中国中西医结合杂志(原为中西医结合杂志)前后共计发文29篇。其研究主题(Top Terms)仍以萎缩性胃炎、胃黏膜、胃黏液层、幽门螺杆菌、胃肿瘤、化生等方面为重点。另显示气虚、血瘀、脾胃阴虚为CAG的主要病机。结论:CBM、PubMed收录中医药防治CAG相关文献研究重点大致相一致,但发文量仍以中国国内研究者为主。

Objective ： To analyze the literature on chronic atrophic gastritis （ CAG ） prevention and treatment with traditional Chinese medicine （ TCM ） at home and abroad in recent 24 years, and investigate regularities of distribution and development tendency, and also reveal the condition in treating CAG with TCM. Methods ： The papers relevant to CAG prevention and treatment with TCM published from 1990 to 2013 in CBM and PubMed databases were statistically analyzed from the aspects of publishing year, author＇s conditions, journal distribution, investigative fields and therapy with bibliometrics method. Results： We acquired 1284 papers published fi＇om CBM, and found the number of papers increased gradually, which reached the top publication separately in 1996 and 201 l. The top authors were those in Jiangsu province who published 169 papers in CBM. The top journal was Shanxi Journal of Traditional Chinese Medicine which published 91 papers in CBM. The document research hotspots were the following aspects：precancerous lesion, intestinal metaplasia, atrophy, dysplasia, neoplasms of digestive system, bacterial infection and so on. The most common therapies in clinic were as follows： Gan-Pi lunzhi, Quyue Jiedu, Ziyin Qingre, Qnshi Tongluo, Hewei Jiangni and so on, which were in keeping with the pathogenesis of CAG. There were 74 papers in GoPubMed. The top authors were these in Jiangsu province who published 12 papers in PubMed. The top journal was Zhongguo Zhong Xi Yi Jie He Za Zhi （ previous Zhong Xi Yi Jie He Za Zhi ）which published 29 papers in PubMed. Top terms also focused on atrophic gastritis, gastric mucosa, mucous membrane, helicobacter pylori, stomach neoplasms and metaplasia. The results revealed the main pathogenesis, such as Qi deficiency, blood stasis, spleen-stomach Yin deficiency. Conclusion ： The emphasis of relevant documents on CAG prevention and treatment with TCM in CBM were consistent with those in PubMed. The major relevant documents were published by researchers in China.