骨盆整复手法研究现状与发展趋势的文献计量学与可视化分析

Research status and development trend of pelvic reconstruction techniques:a bibliometric and visual analysis

背景:有关骨盆整复类手法的相关文献缺乏客观、系统的数据统计分析,不利于学者快捷、直观地了解相关研究动态。目的:检索中英文数据库有关骨盆整复类手法的所有研究资料,分析探讨目前骨盆整复类手法的区域特色、研究现状和发展趋势。方法:检索中国知网和Web of Science数据库建库至2020-03-26期间公开发表的关于骨盆整复类手法的所有相关文献。采用CiteSpace软件进行文献可视化分析,呈现相关文献的年代、研究国家、期刊等内容的分布以及研究作者与合作分析、文献类型、关键词分析等数据的特点。结果与结论:①共纳入149篇文献,文献发表量总体呈上升的趋势,其中美国发表的文献量最多,被引用次数最高,中国在所有文献发表量排行第5,与排名在前的英国、加拿大和澳大利亚等国家有文献互引关系;②该领域的研究热点主要体现为:骨盆整复类手法在骨伤科方面疾病的治疗应用,美式整脊中针对有关盆腔调理手法对男、女性生殖系统以及泌尿系统的影响研究等;③骨盆整复类手法的临床应用在早期较为单一,多局限于骨伤科相关病种,随着医学技术的发展与成熟,相关手法的临床应用已发展为以骨伤科、康复科等学科为主,同时包括部分妇科、产科、泌尿外科及运动学科等多学科病种的康复治疗;④正因骨盆整复类手法的研究不断深化、中外的交流日益密切、数据共享平台也更加完善,相关的应用和研究前景仍十分广阔;⑤当前骨盆整复类手法着重于研究手法对骨性关节位移的直接影响,而远期疗效研究有待进一步探索;⑥手法整复后组织结构位移的变化,对血管血流动力改变、神经传导及生化因子和信号通路等因素的影响可成为未来深入研究的方向。

BACKGROUND:There is no objective and systematic analysis of data reported in the literature regarding pelvic reduction techniques,which is not conducive to the rapid and intuitive understanding of relevant research trends.OBJECTIVE:To search Chinese and English databases for all research data on pelvic reduction techniques,and to analyze the current regional characteristics,research status and development trends of pelvic reduction techniques.METHODS:A search of CNKI and Web of Science was performed for all relevant literatures on pelvic reduction published from inception to March 26,2020.CiteSpace software was used to perform a document visual analysis in terms of publication year,country,journal content as well as author cooperation,document types,and key words.RESULTS AND CONCLUSION:In total,149 articles were included,and the number of publications was generally on the rise.The number of publications was the most in the United Stated,with the highest citations,whereas China ranked 5th,with mutual references with the United Kingdom,Canada,and Australia ranking at the top.The research hotspots in this field mainly include the application of pelvic reduction techniques to deal with diseases of orthopedics and traumatology,and American chiropractic treatments for pelvic reduction that affect the reproductive and urinary systems in men and women.The clinical application of pelvic reduction techniques was relatively simple in the early stage,and mostly limited to related diseases of orthopedics and traumatology.With the development and maturity of medical technology,related reduction techniques have developed to focus on orthopedics and traumatology,rehabilitation,as well as rehabilitative therapies for diseases in gynecology,obstetrics,urology,and sports.With the continuous deepening of research on pelvic reconstruction techniques,increasingly closed exchanges between China and foreign countries and more complete data sharing platform,related applications and research prospects look promising.Existing pelvic reduction techniques focus on the displacement of bony joints,whereas further exploration on the longterm efficacy is warranted.Pelvic reduction makes some changes in tissue structure displacement,which influences vascular hemodynamics,nerve conduction,biochemical factors and signal pathways.This may be the future direction of in-depth research.