《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (4): 452-464.doi: 10.3969/j.issn.1006-9771.2023.04.011
徐敏杰1, 王博2, 周莉1, 王海芳1, 雷筱菁1, 李颖1, 包炜玮1, 马亚男1, 常静玲1()
收稿日期:
2022-08-15
修回日期:
2023-03-06
出版日期:
2023-04-25
发布日期:
2023-05-19
通讯作者:
常静玲,女,博士,主任医师,教授。E-mail: 作者简介:
徐敏杰(1993-),女,汉族,天津市人,博士,助理研究员,主要研究方向:中医药防治脑血管病。
基金资助:
XU Minjie1, WANG Bo2, ZHOU Li1, WANG Haifang1, LEI Xiaojing1, LI Ying1, BAO Weiwei1, MA Ya'nan1, CHANG Jingling1()
Received:
2022-08-15
Revised:
2023-03-06
Published:
2023-04-25
Online:
2023-05-19
Contact:
CHANG Jingling, E-mail: Supported by:
摘要:
目的 了解脑卒中后语言和非语言认知功能相关研究的趋势。
方法 检索建库至2022年8月Web of Science 核心合集脑卒中后语言与非语言认知主题相关的文献,对年度、作者、期刊、机构/国家发文量分布情况进行文献计量分析。采用VOSviewer软件对作者合作关系、作者共被引、期刊共被引、国家/机构合作关系及动态演变和关键词热点、趋势进行可视化分析。
结果 共纳入1 630篇。2004年检索到第1篇,之后发文量总体呈逐年增加的趋势,2019年之后有所下降。高产、高被引、高中心度的作者为Matthew A. Lambon Ralph和Elizabeth Jefferies。高产、高被引的期刊是Neuropsychologia。高产、高中心度的国家/机构分别为英国曼彻斯特大学、美国约翰斯霍普金斯大学,中国跻身高产前5名,但中心度不足。关键词动态演变显示研究最开始从基于神经影像的损伤机制研究,到关注记忆障碍、注意力、抑郁等功能障碍在语言损伤和康复中的作用,随后广泛开展如非侵入性脑刺激、电子远程康复设备等疗效及机制探索,机制的研究从关注额、颞叶转为关注脑网络。
结论 近年来脑卒中后语言与非语言认知相关研究取得了一定成果,尤其是基于神经影像的共性损伤机制研究,以及协同治疗的干预疗效研究等。未来不同区域之间、不同作者团队之间的学术合作有待加强,亟待开展从非语言认知角度完善认知心理模型,探索新的治疗技术,以提高脑卒中后失语临床疗效。
中图分类号:
徐敏杰, 王博, 周莉, 王海芳, 雷筱菁, 李颖, 包炜玮, 马亚男, 常静玲. 基于Web of Science数据库脑卒中后语言与非语言认知功能研究的可视化分析[J]. 《中国康复理论与实践》, 2023, 29(4): 452-464.
XU Minjie, WANG Bo, ZHOU Li, WANG Haifang, LEI Xiaojing, LI Ying, BAO Weiwei, MA Ya'nan, CHANG Jingling. Verbal and nonverbal cognitive function of aphasia after stroke based on Web of Science database: a visualized analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 452-464.
表1
共现作者聚类分析表"
聚类ID | 包含作者 | 共现关键词 | 高被引研究内容 |
---|---|---|---|
1 | Lisa Cipolotti、David A. Copland、Fatemeh Geranmayeh、Sharon Geva、Alexander P. Leff、Karalyn Patterson、Cathy J. Price、Amy D. Rodriguez、Tim Shallice、Richard J. S. Wise、Anna M. Woollams | 脑卒中失语、记忆、脑卒中、前额叶、执行控制等 | 听觉短时记忆容量和言语理解能力之间存在共同结构的基础,包括颞上回后部和颞上沟;一般领域认知控制(突显网络)的激活是促进失语性脑卒中恢复的潜在因素 |
2 | Faye Corbett、Sheeba Ehsan、Glyn Hallam、Paul Hoffman、Elizabeth Jefferies、Matthew A. Lambon Ralph、Jonathan Smallwood、Sara Stampacchia、Hannah Thompson | 脑卒中、失语、语义记忆、颞极等 | 前颞叶在语义记忆中的核心作用;语义控制除了与经典的左额下回脑区有关,与前额叶、后颞叶脑网络也相关 |
3 | Marcelo L. Berthier、Dalia Cahana-Amitay、Guadalupe Davila、Jacquelin Laures-Gore、Rebecca Marshall、Bettina Shis Mohr、Friedemann Pulvermueller、Sung-Bom Pyun | 脑卒中、失语、焦虑、日常生活功能、康复等 | 强调焦虑在语言障碍损伤和恢复中的作用及其对日常生活功能的影响 |
4 | Alexandra Basilakos、Leonardo Bonilha、Julius Fridriksson、Hans-Otto Karnath、Dorothee Kümmerer、Chris Rorden、Cornelius Weiller、Grigori Yourganov | 脑卒中、失语、流畅性、功能磁共振、病变症状映射等 | 基于失语患者提出了语言的双流模型;弓状束的损伤与语言流畅性、词汇处理和执行功能障碍有关 |
5 | Caroline Baker、Ian Kneebone、Emma Power、Miranda Rose、Brooke Ryan、Leanne Togher、Linda Worrall | 脑卒中、失语、生活质量、焦虑、抑郁、康复等 | 脑卒中后失语老年患者生活质量严重下降,以及阶梯式心理护理对预防和治疗脑卒中后失语伴抑郁的系统评价 |
6 | Michael Crowe、Mary Cushman、Virginia J. Howard、Deborah A. Levine、Leslie A. McClure、Frederick W. Unverzagt、Virginia G. Wadley | 脑卒中、失语、认知、地理、种族等 | 脑卒中后各领域认知损伤的地域、种族差异 |
7 | Audrey Bowen、Marian Brady、Cindy Cooper、Pam Enderby、Madeleine Harrison、Rebecca Palmer | 短期记忆、注意力、语言、额叶 | 左侧颞上回是听短期记忆和语言理解障碍的共性损伤脑区;自我管理的计算机化言语语言治疗慢性脑卒中后失语与常规护理或注意力控制的Big CACTUS试验 |
8 | Katerina Hilari、Jane Marshall、Becky Moss、Sarah Northcott、Alan Simpson、Shirley Thomas | 语义记忆、经颅直流电刺激、前额叶、前颞叶、默认网络 | 细化参与语义记忆相关的前颞叶脑区,包括前颞下回、前梭状回、颞上沟;前颞叶区中背外侧区与语义认知中概念结构有关,下前额叶皮质与语义控制有关 |
9 | Cameron Davis、Rebecca F. Gottesman、Argye E. Hillis、Melissa Newhart、Corianne Rogalsky | 脑卒中、空间注意、执行功能、命名、皮质 | CADM2基因与执行处理速度有关 |
10 | Caterina Breitenstein、Agnes Flöel、Stefan Knecht | 脑卒中、痴呆、命名、记忆、影像标志物 | 从生物标记物角度探索了与脑卒中和退行性病变引起的认知障碍的相关基因表型。证实了远程康复治疗语言、认知的有效性 |
表2
按被引排名前5的文章详细信息"
序号 | 题目 | 第一作者 | 期刊 | 年份 | 被引总数 | 主要内容 |
---|---|---|---|---|---|---|
1 | Neural basis and recovery of spatial attention deficits in spatial neglect | Maurizio Corbetta | Nature Neuroscience | 2005 | 606 | 右额叶损伤后忽视引起注意力相关顶叶异常激活,表明功能障碍不仅取决于损伤局部,还取决于功能相关远处脑区生理变化。 |
2 | Semantic impairment in stroke aphasia versus semantic dementia: a case-series comparison | Elizabeth Jefferies | Brain | 2015 | 528 | 不同的病理语义记忆损伤涉及不同大脑皮质:语义痴呆特征是前颞叶萎缩,而脑卒中失语的理解力差与前额叶或颞顶梗死有关。 |
3 | Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008 | Keith D. Cicerone | Archives of Physical Medicine and Rehabilitation | 2011 | 771 | 有大量证据支持对损伤后失语、失用、注意力、记忆、社交沟通技巧、执行功能和全面整体神经心理康复干预的疗效。 |
4 | Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): an update (2014-2018) | J. P. Lefaucheur | Clinical Neurophysiology | 2020 | 511 | 相关指南提出:低频重复经颅磁刺激右侧额下回治疗慢性脑卒中后非流利性失语,以及低频重复经颅磁刺激右侧背外侧前额叶治疗抑郁症患者。 |
5 | Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS) | J. P. Lefaucheur | Clinical Neurophysiology | 2017 | 786 | 经颅直流电刺激治疗脑卒中后失语的疗效缺乏证据。 |
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