近20年吞咽障碍患者误吸研究动态的可视化分析

doi:10.3969/j.issn.1006-9771.2024.03.006

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (3): 292-302.doi: 10.3969/j.issn.1006-9771.2024.03.006

近20年吞咽障碍患者误吸研究动态的可视化分析

黄龙贤¹(), 左燕^2a, 陈丽梅¹, 顾思佳¹, 蒋金梅^2b, 张志伟³

1.重庆医科大学附属第一医院护理部，重庆市 400042
2.重庆医科大学附属第一医院第一分院，a. 健康管理中心;b. 神经内科，重庆市 400042
3.重庆医科大学护理学院，重庆市 400016

收稿日期:2023-08-26 修回日期:2024-01-23 出版日期:2024-03-25 发布日期:2024-04-01
通讯作者: 黄龙贤 E-mail:544244977@qq.com
作者简介:黄龙贤(1978-)，女，汉族，重庆市人，硕士，副主任护师，主要研究方向：老年护理及社区护理。
基金资助:
1.重庆市科卫联合医学科研项目(2021MSXM132);2.重庆医科大学附属第一医院护理科研项目(HLJJ2021-20);3. 重庆市重点专科建设精品项目(0203〔2023〕202336)

Aspiration after dysphasia in recent twenty years: a visualized analysis

HUANG Longxian¹(), ZUO Yan^2a, CHEN Limei¹, GU Sijia¹, JIANG Jinmei^2b, ZHANG Zhiwei³

1. Nursing Department, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400042, China
2. a. Health Management Center; b. Neurology Department, the First Branch of the First Affiliated Hospital of Chongqing Medical University, Chongqing 400042, China
3. Nursing College of Chongqing Medical University, Chongqing 400016, China

Received:2023-08-26 Revised:2024-01-23 Published:2024-03-25 Online:2024-04-01
Contact: HUANG Longxian E-mail:544244977@qq.com
Supported by:
Chongqing Scientific Committee and Health Commission Joint Medical Research Program(2021MSXM132);First Affiliated Hospital of Chongqing Medical University Nursing Research Program(HLJJ2021-20);Chongqing Key Specialized Discipline Construction(0203〔2023〕202336)

摘要/Abstract

摘要：

目的分析中、英文文献近20年吞咽障碍患者误吸的研究现状、研究热点和前沿趋势。

方法检索2003年1月至2023年6月中国知网和Web of Science (WOS)数据库核心合集相关文献，采用Citespace 6.1.R6进行可视化分析。

结果最终共纳入文献3 231篇。吞咽障碍患者误吸的发文量呈逐年上升趋势。英文文献发文量最多的是美国。中、英文的研究热点为吞咽障碍的评估、预防、营养和康复治疗，未来研究的趋势为容积-黏度吞咽测试和量表使用、康复、渗漏误吸、结局和效果验证、生活质量影响、进食和营养状况、循证护理等。

结论吞咽障碍患者误吸研究呈上升趋势，研究主题和内容逐渐深入。

关键词: 吞咽障碍, 误吸, 康复, 可视化分析, 文献计量学

Abstract:

Objective To analyze the current status, hot spots and trends of Chinese and English researches in the field of aspiration after dysphasia in the past twenty years.

Methods The articles about aspiration after dysphasia were retrieved from CNKI and Web of Science (WOS) core collection database, from January, 2003 to June, 2023, and were analyzed with CiteSpace 6.1.R6.

Results A total of 3 231 articles were included. The annual articles were published more and more year by year. The most English literatures came from the United States. Hot spots mainly focused on the assessment of dysphasia, prevention of complication, nutrition and rehabilitation therapy. It would concentrate on the application of the volume-viscosity swallow test and assessment scales, rehabilitation, penetration aspiration, outcome and effect validation, quality of life, feeding and nutrition condition, and evidence-based nursing, etc., in the future.

Conclusion The researches in the field of aspiration after dysphasia have been increasing in recent years, and the themes and contents of researches have been deepening.

Key words: dysphagia, aspiration, rehabilitation, visualized analysis, bibliometrics

中图分类号:

R493

黄龙贤, 左燕, 陈丽梅, 顾思佳, 蒋金梅, 张志伟. 近20年吞咽障碍患者误吸研究动态的可视化分析[J]. 《中国康复理论与实践》, 2024, 30(3): 292-302.

HUANG Longxian, ZUO Yan, CHEN Limei, GU Sijia, JIANG Jinmei, ZHANG Zhiwei. Aspiration after dysphasia in recent twenty years: a visualized analysis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(3): 292-302.

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排名	英文关键词	频次	中心性	中文关键词	频次	中心性
1	deglutition disorder	651	0.66	吞咽障碍	594	0.13
2	aspiration	643	0.31	脑卒中	464	0.73
3	dysphasia	515	0.36	吸入性肺炎	317	0.38
4	oropharyngeal dysphasia	267	0.31	误吸	265	0.53
5	swallowing disorder	218	0.08	吞咽困难	137	0.68
6	aspiration pneumonia	142	0.15	护理	132	0.78
7	prevalence	140	0.27	吞咽功能	88	0.22
8	stroke	137	0.13	吞咽功能障碍	83	0.70
9	risk	124	0.48	康复护理	46	0.05
10	quality of life	122	0.18	老年人	36	0.29
11	fiberoptic endoscopic evaluation	116	0.06	危险因素	31	0.16

聚类号	英文聚类标签	节点数	轮廓值	年份	代表关键词
#0	fiberoptic endoscopic evaluation	20	0.771	2004	fiberoptic endoscopic evaluation of swallowing; stroke unit; taste; orotracheal intubation
#1	quality of life	15	0.780	2006	oropharynx; radiotherapy; penetration aspiration scale; IMRT
#2	feeding	12	0.962	2009	cerebral palsy; disorder; pediatrics; children
#3	deglutition disorders	12	0.853	2011	deglutition; deglutition disorder; disorder; stroke
#4	neuromuscular disease	11	0.951	2003	mechanical ventilation; decisional flowchart; home health care patients; meta-analysis oropharyngeal
#5	aspiration pneumonia	10	0.850	2004	swallowing disorders; deglutition disorders; pneumonia
#6	brain tumor	9	1.000	2011	deglutition disorders; speech pathology; X-ray contrast medium; outcomes
#7	oropharyngeal dysphagia	8	1.000	2009	screening; tool; survey; deglutition
#8	head	7	0.843	2004	scintigraphy; radiation; swallowing disorders; oropharyngeal
#9	Parkinson's disease	7	0.969	2008	therapy; voluntary cough; deglutition disorders; Parkinson's disease

聚类号	中文聚类标签	节点数	轮廓值	年份	代表关键词
#0	误吸	18	0.847	2012	老年人；老年；脑卒中；吸入性肺炎
#1	吞咽功能	13	1.000	2010	吸入性肺炎；脑梗死；脑卒中；误吸
#2	脑卒中	11	1.000	2011	吞咽障碍；吞咽困难；脑梗死；吞咽功能障碍
#3	护理	10	0.893	2010	脑血管意外；急性脑梗死；进食；容积-黏度吞咽试验
#4	康复护理	10	0.957	2010	护理干预；球麻痹；沉默性误吸；鼻饲
#5	卒中	9	1.000	2008	肺炎；吸入性；脑卒中；肠道营养/护理
#6	吞咽困难	9	0.862	2009	吞咽障碍；中风；欧洲药品管理局；哌甲酯
#7	吞咽功能障碍	9	1.000	2013	吞咽训练；营养状况；洼田饮水试验；重复经颅磁刺激

近20年吞咽障碍患者误吸研究动态的可视化分析

Aspiration after dysphasia in recent twenty years: a visualized analysis

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排名	作者	年份	标题	期刊来源	被引次数
1	Baijens等^[8]	2016	European society for swallowing disorders-European Union Geriatric Medicine Society White paper: oropharyngeal dysphasia as a geriatric syndrome	Clin Interven Aging	59
2	Neubauer等^[9]	2015	The Yale Pharyngeal Residue Severity Rating Scale: an anatomically defined and image-based tool	Dysphasia	49
3	Martino等^[10]	2005	Dysphagia after stroke: incidence, diagnosis, and pulmonary complications	Stroke	48
4	Rofes等^[11]	2014	Sensitivity and specificity of the Eating Assessment Tool and the Volume-Viscosity Swallow Test for clinical evaluation of oropharyngeal dysphagia	Neurogastroenterol Motil	46
5	Takizawa等^[12]	2016	A systematic review of the prevalence of oropharyngeal dysphagia in stroke, Parkinson's disease, Alzheimer's disease, head injury, and pneumonia	Dysphasia	43

排名	作者	年份	标题	期刊来源	中心性
1	Clave等^[13]	2008	Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration	Clin Nutr	1.09
2	Hinchey等^[14]	2005	Formal dysphagia screening protocols prevent pneumonia	Stroke	1.05
3	Martino等^[10]	2005	Dysphagia after stroke: incidence, diagnosis, and pulmonary complications	Stroke	0.98
4	Bours等^[15]	2009	Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review	J Adv Nurs	0.96
5	Rofes等^[16]	2010	Pathophysiology of oropharyngeal dysphagia in the frail elderly	Neurogastroenterol Motil	0.69

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