国内外脑卒中后疲劳的文献计量学分析

Bibliometric analysis of post-stroke fatigue based on domestic and international literatures

目的运用文献计量学分析方法探讨国内外脑卒中后疲劳(PSF)的研究现状及发展趋势,为今后该领域的相关研究提供参考。方法检索1999年1月至2017年3月万方数据库、中国期刊全文数据库(CNKI)、维普数据库(VIP)、中国生物医学文献数据库(CBM),PubMed、Ovid、EMBASE数据库与Google学术搜索引擎,以及该领域的权威期刊发表的所有PSF相关文献,提取篇名、国家、刊名、第一作者、发表年限、发文机构、研究领域、关键词、文献类型及研究方法等信息,采用SPSS19.0及Nvivo11.0软件进行统计分析。结果共纳入279篇文献,发文量随时间推移总体呈上升趋势。PSF的研究共涉及167家机构、140种期刊,同一作者以第一作者身份发表的文章数最多9篇。按文献类型及研究方法分类,国外文献共9类,以描述性研究为主(95篇,53.67%);国内文献共6类,以干预性研究为主(39篇,38.24%)。国外研究共涉及13个学科,主要为神经病学(76篇,42.94%)和康复医学(27篇,15.25%),多探讨PSF的危险因素,约占描述性研究的62.11%,其机制的探讨已扩展到分子生物学领域;国内仅涉及5个学科,主要为神经病学(45篇,44.12%)和中医学(34篇,33.33%),多关注我国传统中医干预方法,除综述外国内约53.42%的研究采用该干预方法。结论 PSF仍是国内外研究的热点,其发病机制研究仍处于探索阶段,目前尚缺乏有效地干预方法;对比国外,国内研究领域较局限,忽略PSF病因学及其机制的探讨,研究方法单一。

Objective To explore the domestic and foreign research status and development trend of post stroke fatigue（PSF）by bibliometric analysis method,in order to provide recommendations for future research in this field.Methods Studies about PSF were retrieved from WanFang database,CNKI,VIP,China Biology Medicine（CBM）,PubMed,Ovid,Embase,Google Scholar and authoritative journals in this field from January 1999 to March 2017.The information,including title,country,journal name,first author,publication year,institutions,research field,keywords,types of literature and research methods,was extracted,and statistical analysis was performed by SPSS19.0 and Nvivo11.0 software.Results A total of 279 literatures were included,and the total number of publication literatures showed an upward trend over time.These researches involved 167 institutions and 140 kinds of journals.The maximum number of articles published by the same first author was 9.According to the types of literatures and research methods,foreign literatures were divided into9 categories which were mainly descriptive researches（95 papers,53.67%）;domestic literatures were divided into 6 categories which were mainly interventional studies（39 papers,38.24%）.The foreign researches involved 13 subjects which were mainly related to neurology（76 papers,42.94%）and rehabilitation medicine（27 papers,15.25%）.The domestic researches only involved 5 subjects which were mainly related to neurology（45 papers,44.12%）and traditional Chinese medicine（34 papers,33.33%）.Many of foreign researches focused on exploring risk factors of PSF,which accounted for about 62.11% of the descriptive studies,and studies about pathogenesis of PSF have been extended to molecular biology.Domestic researches were more focused on Chinese medicine intervention methods,which accounted for 53.42%（excepting review literatures）.Conclusion PSF is still the research focus at home and abroad.Research on pathogenesis of PSF is at an exploratory stage,and there is still a lack of effective intervention method.Compare to foreign countries,subjects of domestic studies in PSF are limited,researches on etiology and mechanism of PSF are ignored,and research method is unitary.