基于文献计量学的中医药治疗老年疾病潜在优势病种研究

Research on potential dominant diseases of traditional Chinese medicine in the treatment of geriatric diseases based on bibliometrics

目的采用文献计量学方法探究中医药治疗老年疾病的潜在优势病种,以期在临床中更好地发挥中医药治疗的特色和优势。方法检索近10年在知网、万方、维普、中国生物医学数据库中收录的中医药治疗老年疾病的临床研究文献,统计并分析各疾病的研究变化趋势及临床有效率,以确定中医药治疗的潜在优势病种。结果检索共获得文献22859篇,最终纳入研究3768篇,根据世界卫生组织关于疾病和有关健康问题的国际统计分类(ICD-11)将疾病归为17类,共149个病种,主要以循环系统、骨骼肌肉系统或结缔组织系统、消化系统为主。结论中医药治疗老年疾病的临床研究涉及病种广泛,但分布不均,最终确定潜在优势病种为骨质疏松、便秘、高血压,潜在次优势病种为心力衰竭、脑卒中、冠心病、糖尿病及其并发症、失眠。

Objective Bibliometric approaches are used to investigate the characteristics and benefits of traditional Chinese medicine treatments for dominant diseases that can be applied in clinical therapy to effectively manage geriatric diseases.Methods Clinical research literature on the use of traditional Chinese medicine in the treatment of geriatric diseases within the past 10 years was retrieved from CNKI,Wanfang,VIP,and CBM databases.The research trends and clinical efficiency of each disease were statistically analyzed to determine the dominant diseases of TCM.Results A total of 22859 articles were collected,with 3768 included in the research.In accordance with the International Statistical Classification of Diseases and Related Health Problems(ICD-11)of the World Health Organization,the diseases were classified into 17 categories and 149 diseases.The diseases primarily affect the circulatory system,skeletal musculoskeletal or connective tissue system,and digestive system.Conclusions Traditional Chinese medicine clinical trials on the treatment of geriatric illnesses cover a diverse spectrum of diseases,although the distribution of focus is unequal.Potential dominant illnesses were eventually identified to include osteoporosis,constipation,and hypertension,with heart failure,stroke,coronary heart disease,diabetes and its complications,and insomnia being potential sub-dominant diseases.