基于CiteSpace喉切除术后吞咽康复研究热点和前沿的可视化分析

Research focus of swallowing rehabilitation after laryngectomy:visual analysis based on CiteSpace

目的 分析国内外喉切除术后吞咽康复(SRAL)研究热点与前沿进展,为相关研究提供参考。方法 检索2000年1月1日至2023年11月25日中国知网、万方数据库、Web of Science数据库、PubMed数据库中收录的喉切除术后吞咽康复主题的中、英文文献,使用CiteSpace 5.8. R3软件进行可视化分析。结果 软件浏览题名和摘要,剔除重复及不相关文献后,共纳入259篇中文文献、1 273篇英文文献。2018年后SRAL领域中文文献数量逐步上升,英文文献数量整体呈上升趋势。我国作者分散,作者间合作较少,国外作者数量相对较多,团体间的联系更为紧密。我国发表的SRAL文献数量排在第2位,但中心性较低、连接数较少。中文关键词聚类包括喉癌、生活质量、康复等,英文关键词聚类包括喉癌、吞咽障碍、鳞状细胞癌等,国内主要关注喉切除术后吞咽训练的治疗及护理等,国际上重点关注病因、机制研究及手术方式临床应用。结论 我国针对SRAL发表文献虽较多,但缺乏机构及作者之间的合作,也缺乏高质量科研成果。应加强机构间、国际间的合作,协同开展多中心研究,尽早建立中国的SRAL指南。

Objective To analyze the focus and advance in the research of swallowing recovery after laryngectomy(SRAL)at home and abroad,so as to provide reference for future research.Methods Chinese and English literatures on the topic of SRAL were retrieved from CNKI,Wanfang,Web of Science and PubMed from January 1,2000 to November 25,2023.Visual analysis was conducted using CiteSpace 5.8.R3 software.Results A total of 259 Chinese literatures and 1273 English literatures were included after removing duplicates and irrelevant literatures.Chinese literatures on SRAL gradually increased since 2018.The number of English literatures on SRAL showed an overall upward trend.Chinese authors were scattered,and there was limited cooperation among them.There were relatively more foreign authors,and their connection was closer.The number of SRAL studies published by Chinese authors ranked the second,but there was a lack of centrality and connection.The Chinese keyword cluster included laryngeal cancer,quality of life,rehabilitation,etc.,while the English keyword cluster included laryngeal cancer,dysphagia,squamous cell carcinoma,etc.The domestic studies focused on the treatment and nursing of swallowing training for laryngectomy,while the international studies paid more attention to the etiology,mechanism and clinical application of surgical treatment.Conclusion There are many literatures on SRAL by Chinese authors,but there is a lack of collaboration between institutions and authors,as well as high-quality scientific research results.Institutional and international cooperation should be strengthened to carry out multi-center studies.The guideline for SRAL in China should be established as soon as possible.