1994年至2023年针灸干预脑卒中后吞咽障碍的文献计量分析

doi:10.3969/j.issn.1006-9771.2024.11.008

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (11): 1299-1310.doi: 10.3969/j.issn.1006-9771.2024.11.008

1994年至2023年针灸干预脑卒中后吞咽障碍的文献计量分析

徐芳园¹, 胡培佳², 叶宇³, 戴帆¹, 程红亮²()

1.安徽中医药大学第一临床医学院，安徽合肥市 230031
2.安徽中医药大学第二附属医院，安徽合肥市 230061
3.安徽中医药大学第二临床医学院，安徽合肥市 230031

收稿日期:2024-10-09 出版日期:2024-11-25 发布日期:2024-12-05
通讯作者: 程红亮(1975-)，男，汉族，博士，主任医师，博士研究生导师，主要研究方向：中医药防治脑病。E-mail：chl.75811@163.com
作者简介:徐芳园(1997-)，女，汉族，湖北荆门市人，博士研究生，主要研究方向：中医药防治脑病。
基金资助:
安徽省临床医学研究转化专项(202304295107020123);安徽省卫生健康委科研重点项目(AHWJ2021a020)

Effect of acupuncture and moxibustion on post-stroke dysphagia from 1994 to 2023: a bibliometric analysis

XU Fangyuan¹, HU Peijia², YE Yu³, DAI Fan¹, CHENG Hongliang²()

1. The First Clinical Medical School, Anhui University of Chinese Medicine, Hefei, Anhui 230031, China
2. The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui 230061, China
3. The Second Clinical Medical School, Anhui University of Chinese Medicine, Hefei, Anhui 230031, China

Received:2024-10-09 Published:2024-11-25 Online:2024-12-05
Contact: CHENG Hongliang, E-mail: chl.75811@163.com
Supported by:
Anhui Clinical Medical Research Translational Project(202304295107020123);Key Project of Anhui Provincial Health Commission Research(AHWJ2021a020)

摘要/Abstract

摘要：

目的分析针灸干预脑卒中后吞咽障碍(PSD)的研究现状、热点及发展趋势。

方法检索中国知网、维普、万方数据库1994年至2023年12月31日收录的关于针灸干预PSD的文献，采用VOSviewer和CiteSpace生成图谱进行可视化分析。

结果本研究共纳入1 816篇文献，发文量逐年增加，于2021年达到峰值(180篇)。纳入的文献中共有274名核心作者，其中程红亮、周鸿飞、冯卫星为发文量靠前的作者。天津中医药大学第一附属医院为最高产的单位，研究机构之间的联系比较分散。高频关键词为吞咽功能障碍、脑卒中、针灸疗法以及康复疗法，其中舌三针、电针、项针、头针为较常运用的针刺方法。此外，针刺联合康复训练、电刺激等方法干预PSD以及针灸干预PSD的临床选穴规律亦为研究热点。评估针灸干预PSD的疗效时逐渐由关注有效率到侧重于运用电视荧光吞咽检查、洼田饮水试验、标准吞咽功能评价量表、表面肌电图等指标评估吞咽功能及吞咽障碍严重程度。

结论针灸干预PSD的研究发展迅速。研究热点主要包括具体针灸疗法以及针灸联合其他康复疗法的选择、针灸干预PSD的结局指标及选穴规律，未来应加强跨机构、跨地域的学术交流与合作，着重关注针灸改善PSD患者吞咽功能的客观评价指标以及针灸联合现代康复疗法的优化组合，从而更好地指导临床实践。

关键词: 针灸, 脑卒中后吞咽障碍, 文献计量学

Abstract:

Objective To explore the current research situation, hotspots and development trend in the field of acupuncture and moxibustion intervention for post-stroke dysphagia (PSD).

Methods The literature on acupuncture and moxibustion intervention for PSD was retrieved from CNKI, VIP and Wanfang database from 1994 to December 31st, 2023, and analyzed with VOSviewer and CiteSpace.

Results A total of 1 816 articles were included, and the number of publications increased year by year, reaching a peak in 2021 with 180 articles. There were 274 core authors included in the literature, among which Cheng Hongliang, Zhou Hongfei and Feng Weixing were the authors with the highest publication volume. The First Affiliated Hospital of Tianjin University of Chinese Medicine was the most productive institution, and the connections between institutions were relatively scattered. The high-frequency keywords were swallowing dysfunction, stroke, acupuncture and moxibustion therapy, as well as rehabilitation therapy, among which tongue triple acupuncture, electroacupuncture, nape acupuncture and scalp acupuncture were the most commonly used methods. In addition, acupuncture combined with rehabilitation training, electrical stimulation, or other methods for PSD and acupoint selection rules were also research hotspots. When evaluating the efficacy of acupuncture intervention for PSD, the focus gradually shifted from the effective rate to the use of videofluorographic swallowing study, water swallowing test, standardized swallowing assessment, surface electromyography and other indicators to evaluate the swallowing function and the severity of dysphagia.

Conclusion Research on acupuncture and moxibustion interventions for PSD has developed rapidly, with hotspots including the selection of specific acupuncture and moxibustion techniques, the combination of acupuncture and moxibustion with other rehabilitation therapies, outcome indicators for acupuncture and moxibustion interventions in PSD, and the rules of acupoint selection. In the future, it is essential to strengthen academic exchanges and collaborations across institutions and regions. Greater emphasis should be placed on objective evaluation indicators of acupuncture and moxibustion therapies for improving the swallowing function in PSD patients, as well as on optimizing combinations of acupuncture and moxibustion with modern rehabilitation approaches, so as to better guide clinical practice.

Key words: acupuncture and moxibustion, post-stroke dysphagia, bibliometrics

中图分类号:

R743.3

徐芳园, 胡培佳, 叶宇, 戴帆, 程红亮. 1994年至2023年针灸干预脑卒中后吞咽障碍的文献计量分析[J]. 《中国康复理论与实践》, 2024, 30(11): 1299-1310.

XU Fangyuan, HU Peijia, YE Yu, DAI Fan, CHENG Hongliang. Effect of acupuncture and moxibustion on post-stroke dysphagia from 1994 to 2023: a bibliometric analysis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(11): 1299-1310.

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1994年至2023年针灸干预脑卒中后吞咽障碍的文献计量分析

Effect of acupuncture and moxibustion on post-stroke dysphagia from 1994 to 2023: a bibliometric analysis

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序号	作者	发文量/n	序号	机构	发文量/n
1	程红亮	13	1	天津中医药大学第一附属医院	32
2	周鸿飞	9	2	天津中医药大学	23
3	冯卫星	9	3	安徽中医药大学第二附属医院	22
4	王志勇	8	4	安徽中医药大学	18
5	毛忠南	8	5	黑龙江中医药大学	12
6	张春红	8	6	河南中医药大学第一附属医院	11
7	樊小农	8	7	辽宁中医药大学附属医院	10
8	张为民	8	8	河北省沧州中西医结合医院	9
9	张晓凌	7	9	辽宁中医药大学	9
10	白晶	7	10	广州省第二中医院	8

序号	关键词	频次	总链接强度
1	吞咽功能障碍	756	1915
2	脑卒中	675	1775
3	针灸疗法	427	1142
4	康复疗法	141	433
5	针刺治疗	122	309
6	脑卒中后吞咽障碍	104	188
7	吞咽功能训练	88	262
8	吞咽功能	51	163
9	临床疗效	47	131
10	舌三针	34	89

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