腰椎间盘突出中医护理的研究现状及可视化分析

Research Status and Visualization Analysis of TCM Nursing of Lumbar Intervertebral Disc Herniation

目的 分析腰椎间盘突出中医护理的研究现状,为今后研究给予借鉴和参考。方法 检索中国知网、万方数据库和中文期刊全文数据库,收集腰椎间盘突出中医护理的临床研究。采用书目共现分析系统(Bicomb)分析软件对关键词等相关信息的数据进行提取和排序,生成关键词共现矩阵;同时利用Netdraw软件绘制网络图,利用Gcluto软件进行聚类分析。结果 共获得相关文献4123篇,经筛选最终纳入1217篇。2006-2020年总体呈现大幅增长趋势,2020年达到发表高峰。共来源于277种期刊,其中发文量最多的期刊是《世界最新医学信息文摘》。来自899家机构参与腰椎间盘突出中医护理的研究,发文机构主要以中医院和大学附属医院为主,其中河南省中医院发文量最多为15篇。来自全国34个省市,以第一作者发文单位所在地区排名前10的省市依次为江苏、四川、广东、广西、河南、山东、湖北、甘肃、浙江、云南,发文共713篇。目前腰椎间盘突出患者的中医护理研究热点主要集中在穴位按摩、拔罐、中药外敷、熏蒸、推拿等中医特色技术结合优质护理、集束化护理、中医情志护理、中医辩证施护等对腰椎间盘突出患者的康复。共形成了3个研究主题,分别是中药熏蒸、中药离子导入、中药湿热敷、中药外敷等以中药为主导的特色疗法对腰椎间盘突出患者的治疗效果;以针灸、推拿等为主导的中医特色治疗方法辅以五行音乐、情志护理等中医护理手段对腰椎间盘突出症患者的康复效果及临床应用价值;从中医辩证角度针对不同证型的腰椎间盘突出患者实施优质中医辩证护理对其生存质量的影响。结论 腰椎间盘突出的中医护理形成了以中医特色理疗技术为核心,对患者实施辩证施护的研究热点。政策的支持能够促进中医护理研究的进一步发展,但研究期刊有待提高。不同地区作者及作者机构间的合作不足,需进一步增强;另外还需增加腰椎间盘中医护理研究的深度和广度。

Objective To analyze the research status of traditional Chinese medicine nursing for lumbar disc herniation,and to provide reference for future research.Methods The clinical research on TCM nursing of lumbar disc herniation was collected by searching CNKI,Wanfang database and Chinese periodical full-text database.The bibliographic co-occurrence analysis system( Bicomb) analysis software is used to extract and sort the data of keywords and other related information,and generate the keyword co-occurrence matrix;at the same time,the network diagram is drawn by Netdraw software,and the cluster analysis is carried out by Gcluto software.Results A total of 4123 related literatures were obtained,and 1217 were finally included after screening.From 2006 to 2020,the overall trend showed a significant growth,reaching the peak of publication in 2020.From 277journals,among which the most published journal was the World Latest Medicine Information.Furthermore,about 899 institutions participated in the research on TCM nursing of lumbar disc herniation.In terms of the number of articles publication,the top 13 institutions were mainly focusing on universities of Traditional Chinese Medicine and affiliated hospitals,among which Henan Hospital of Traditional Chinese Medicine ranked the first,publishing 15 articles.From 34 provinces and cities in China,the top 10 provinces and cities with the first author’s publishing unit respectively were Jiangsu,Sichuan,Guangdong,Guangxi,Henan,Shandong,Hubei,Gansu,Zhejiang and Yunnan,with a total of 713 articles published.At present,the research attractions of traditional Chinese medicine nursing of patients with lumbar discherniation were mainly focused on the rehabilitation of patients with lumbar disc herniation with the combination of acupoint massage,cupping,external application of traditional Chinese medicine,fumigation,massage and other traditional Chinese medicine characteristic techniques combined with high quality nursing,cluster nursing,traditional Chinese medicine emotional nursing,dialectical nursing of traditional Chinese medicine.Thus three research topics were formed,namely,the therapeutic effects of traditional Chinese medicine fumigation,traditional Chinese medicine ion introduction,traditional Chinese medicine wet and hot compress,and traditional Chinese medicine external compress on patients with lumbar disc herniation;the rehabilitation effect and clinical application value of traditional Chinese medicine nursing methods such as acupuncture,massage and so on,supplemented by five elements music and emotional nursing;traditional Chinese medicine for different types of patients with lumbar intervertebral disc herniation had an effect on its quality of life from the dialectical point of view.Conclusion Traditional Chinese medicine nursing of lumbar intervertebral disc herniation has become a research hotspot with traditional Chinese medicine characteristic physiotherapy technology as the core and dialectical nursing for patients.Policy support can generally promote the further development of traditional Chinese medicine nursing research,but research journals need to be improved.The lack of cooperation between authors in different regions and authors’ institutions is a problem.we should attach greater importance to this aspect and then enhance cooperation with each other to increase the depth and breadth of research on TCM nursing of lumbar intervertebral disc.