基于VOSviewer的骨髓腔输液研究热点与趋势分析

Research hotspots and trend analysis of intraosseous infusion based on VOSviewer

目的分析国内外关于骨髓腔输液研究热点及趋势, 为临床实践与护理提供参考。方法检索中国知网和Web of Science数据库中关于骨髓腔输液相关文献, 时限为建库至2023年12月31日, 借助VOSviewer软件对其研究热点及趋势进行可视化分析。结果纳入中文文献234篇, 英文文献633篇, 发文量最多的机构分别是浙江大学医学院附属第二医院和美国国防部, 最多的期刊分别是《解放军护理杂志》和《Resuscitation》。国内研究热点与趋势包括骨髓腔输液在危重症患者的应用与护理, 穿刺装置、部位以及与静脉输液通路的对比等方面;国外研究热点与趋势包括骨髓腔输液及心肺复苏、血管通路、设备、与静脉输液通路的对比、并发症以及药物代谢动力学等方面。结论骨髓腔输液发文量整体呈上升趋势, 国内外研究既有重合又有区别。未来, 我国可借鉴国外研究结果, 探讨合适的治疗、管理及护理方案, 同时规范骨髓腔输液操作流程, 评估最佳的穿刺部位及设备, 建立人才培养机制及体系, 进一步丰富急诊团队专业建设。

Objective To analyze the research hotspots and trends ofintraosseous infusion at home and abroad,and to provide reference for clinical practice and nursing.Methods Literature on intraosseous infusion from China National Knowledge Infrastructure and Web of Science were retrieved with a time limit of database establishment until December 31,2023,and the research hotspots and trends were visually analyzed with VOSviewer software.Results A total of 234 Chinese literatures and 633 English literatures were included,and the institutions with the highest publication volume were the Second Affiliated Hospital of Zhejiang University School of Medicine and the United States Department of Defense.The most frequently published journals were the Nursing Journal of Chinese People's Liberation Army and Resuscitation.Domestic research focused on the application and nursing of intraosseous infusion in critically ill patients,puncture device,site,and comparison with intravenous infusion access;foreign research focused on aspects such as intraosseous infusion,cardiopulmonary resuscitation,vascular access,equipment,comparison with intravenous infusion access,complications,and pharmacokinetics.Conclusions The overall number of publications on intraosseous infusion was on the rise,and there were both overlaps and differences in domestic and foreign research.In the future,we can learn from foreign research results to explore the appropriate treatment,management and nursing programs,while standardizing the operation process of intraosseous infusion,evaluating the best puncture site and equipment,establishing a talent training mechanism and system,and further enriching the professional construction of emergency teams.