1998-2020年中国蚂蚁螫伤研究现状与文献计量学分析

Research status and bibliometric analysis of ant stings in China from 1998 to 2020

目的汇总分析中国蚂蚁螫伤文献,了解我国蚂蚁螫伤的现状及发展态势,从而为进一步规范蚂蚁螫伤的诊治及开展相关研究提供思路和指导。方法检索万方医学网、维普网及中国知网三大数据库中有关蚂蚁螫伤的文献,以“蚂蚁咬伤、蚂蚁螫(蜇)伤、红火蚁咬伤、红火蚁螫(蜇)伤”为检索词在“主题”字段进行检索,经过遴选后,对纳入文章从年份、期刊、地区及发文机构、研究类型,患者性别、年龄、螫伤部位、就诊时间、治疗方法、治愈时间等资料,进行汇总分析。结果通过检索筛选最终纳入32篇有效文献,平均每年(1.39±1.28)篇,均为临床研究或报道;共纳入蚂蚁螫伤病例862例,以福建省泉州市、广东省阳江市、广东省广州市报道病例居多;蚂蚁螫伤病情程度来看,轻中型患者居多,重型患者少见,病情严重者可合并心肺等多器官功能损伤;中西医结合治疗均能起到一定疗效,但尚无特效药物。结论我国蚂蚁螫伤整体研究水平偏低,蚂蚁毒素的成分及致病机制尚未完全明确,其治疗上暂无特效药物,应加强预防宣传工作以减少蚂蚁螫伤及危重患者数量。

Objective To summarize and analyze the literature on ant stings in China,and to understand the status and development trend of ant stings in China,so as to provide ideas and guidance for the further standardization of ant stings diagnosis and treatment and the development of related research.Methods The literatures related to ant stings were retrieved from Wanfang Medical Network,VIP and CNKI.The search terms of′ant bite,ant sting,Solenopsis invicta Buren bite,Solenopsis invicta Buren sting′were searched in the field of′topic′.The included articles were summarized and analyzed in terms of year,journal,region and issuing institution,study type,patient gender,age,sting site,visit time,treatment method and cure time,etc.Results After retrieval and screening,32 valid literatures were included,with an average of(1.39±1.28)literatures per year,all of which were clinical studies or reports.A total of 862 cases of ant stings were included,with Quanzhou City of Fujian Province,Yangjiang City of Guangdong Province and Guangzhou City of Guangdong Province reporting the most cases.In terms of the severity of ant stings,most of the patients were mild and medium,but few were severe.Severe cases could be combined with multiple organ damage,such as heart and lung.The combination of traditional Chinese and western medicine could have a certain curative effect,but there was no special drug.Conclusion The overall research level of ant stinging in China is low,the composition and pathogenic mechanism of ant toxin are not completely clear,and there is no specific drug for its treatment.The prevention and publicity work should be strengthened to reduce the number of ant stings and critical patients.