气道廓清技术在重症康复应用的文献计量分析

doi:10.3969/j.issn.1006-9771.2026.02.005

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (2): 162-173.doi: 10.3969/j.issn.1006-9771.2026.02.005

气道廓清技术在重症康复应用的文献计量分析

李水艳^1a^,², 李湘^1b, 李彦慧³, 陆翊濛^1a^,², 李杜娟⁴, 杨小良^1a(), 谢秋幼^1a()

1.南方医科大学珠江医院，a.康复医学中心； b.皮肤科，广东广州市 510282
2.南方医科大学医学技术分委会，广东广州市 510515
3.南方医科大学康复医学院，广东广州市 510515
4.皖南医学院第二附属医院康复科，安徽芜湖市 241000

收稿日期:2024-12-13 修回日期:2025-09-07 出版日期:2026-02-25 发布日期:2026-03-02
通讯作者: 谢秋幼，E-mail： xqy7180@163.com；杨小良，E-mail： yangxl0404@163.com E-mail:yangxl0404@163.com;xqy7180@163.com
作者简介:李水艳(2000-)，女，汉族，广西灵川县人，硕士研究生，主要研究方向：呼吸康复、重症早期康复和心肺康复；
李湘(2001-)，女，汉族，四川通江县人，本科生。
第一联系人：
李水艳和李湘为共同第一作者。
基金资助:
1.国家自然科学基金项目(82171174);国家自然科学基金项目(82371184);2.广东省重点领域研发计划项目(2023B0303020003)

Application of airway clearance techniques in critical care rehabilitation: a bibliometric analysis

LI Shuiyan^1a^,², LI Xiang^1b, LI Yanhui³, LU Yimeng^1a^,², LI Dujuan⁴, YANG Xiaoliang^1a(), XIE Qiuyou^1a()

1. a. Center of Rehabilitation Medicine; b. Department of Dermatology, Zhujiang Hospital of Southern Medical University, Guangzhou, Guangdong 510282, China
2. Medical Technology Subcommittee of Southern Medical University, Guangzhou, Guangdong 510515, China
3. College of Rehabilitation Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China
4. Department of Rehabilitation Medicine, the Second Affiliated Hospital of Wannan Medical College, Wuhu, Anhui 241000, China

Received:2024-12-13 Revised:2025-09-07 Published:2026-02-25 Online:2026-03-02
Contact: XIE Qiuyou, E-mail: xqy7180@163.com; YANG Xiaoliang, E-mail: yangxl0404@163.com E-mail:yangxl0404@163.com;xqy7180@163.com
Supported by:
National Natural Science Foundation of China(82171174);National Natural Science Foundation of China(82371184);Guangdong Provincial Key-Area Research and Development Program(2023B0303020003)

摘要/Abstract

摘要：

目的分析气道廓清技术(ACT)在重症康复中应用的研究现状、热点和发展趋势。

方法检索建库至2024年12月31日Web of Science核心合集数据库中的相关文献。使用CiteSpace VI 6.2.R3 和VOSviewer 1.6.19 对纳入文献的发文趋势、国家、机构、作者、期刊、关键词、共被引文献进行可视化分析。

结果共纳入文献2 189篇，发文量总体呈稳定输出趋势。美国是发文量最多的国家，University of Toronto是发文量最多的机构，Paolo Pelosi是最高产的作者。当前研究的热点关键词包括mechanical ventilation和acute respiratory distress syndrome，近年来的突现关键词是electrical impedance tomography和mechanical insufflation-exsufflation。

结论近年来，ACT在重症康复的应用愈发广泛。研究热点包括对呼吸衰竭和肺部损伤患者的气道廓清管理。机械吸入-呼出排痰技术，采用电阻抗断层成像、驱动压检测等辅助技术为气道廓清障碍患者提供指导性治疗方案可能是该领域的未来研究趋势。

关键词: 气道廓清, 呼吸康复, 重症康复, 文献计量学

Abstract:

Objective To analyze the research status, hotspots and development trends of the application of airway clearance techniques (ACT) in critical care rehabilitation.

Methods Relevant literatures up to December 31st, 2024 were retrieved from the Web of Science Core Collection database. CiteSpace VI 6.2.R3 and VOSviewer 1.6.19 were used to perform bibliometric analysis, including annual publication volume, countries, institutions, authors, journals, keywords and co-cited references.

Results A total of 2 189 publications were included, showing an overall stable output trend over time. The United States was the country with the highest publication, the University of Toronto was the most productive institution, and Pelosi Paolo was the most prolific author. The hottest keywords included mechanical ventilation and acute respiratory distress syndrome. The bursting keywords were electrical impedance tomography and mechanical insufflation-exsufflation.

Conclusion ACT have been widely used in critical care rehabilitation in recent years, especially for the management of airway clearance in patients with respiratory failure and lung injury. It may focus on the use of mechanical insufflation-exsufflation, and assistive technologies such as electrical impedance tomography and driving pressure detection to guide treatment for patients with airway clearance disorders in the future.

Key words: airway clearance, respiratory rehabilitation, critical illness rehabilitation, bibliometric

中图分类号:

R493

李水艳, 李湘, 李彦慧, 陆翊濛, 李杜娟, 杨小良, 谢秋幼. 气道廓清技术在重症康复应用的文献计量分析[J]. 《中国康复理论与实践》, 2026, 32(2): 162-173.

LI Shuiyan, LI Xiang, LI Yanhui, LU Yimeng, LI Dujuan, YANG Xiaoliang, XIE Qiuyou. Application of airway clearance techniques in critical care rehabilitation: a bibliometric analysis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(2): 162-173.

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排名	国家	发文量/n	篇均被引频次	H指数	中心性
1	USA	831	71.62	120	0.13
2	Italy	379	72.92	82	0.01
3	France	321	89.72	85	0.02
4	Canada	247	102.54	72	0.01
5	Germany	242	93.40	71	0.02
6	Spain	189	84.81	60	0.03
7	Brazil	187	66.86	54	0.03
8	Australia	147	81.92	53	0.09
9	Netherlands	134	60.31	48	0.01
10	England	133	118.44	46	0.04

排名	机构	发文量/n	篇均被引频次	H指数	中心性
1	University of Toronto (Canada)	183	120.54	64	0.06
2	Institut National De La Sante Et De La Recherche Medicale Inserm (France)	169	57.12	55	0.02
3	Assistance Publique Hopitaux Paris Aphp (France)	164	122.01	67	0.07
4	Harvard University (USA)	162	124.64	64	0.03
5	Harvard University Medical Affiliates (USA)	145	134.20	61	0.03
6	University of Milan (Italy)	116	83.57	48	0.03
7	Saint Michaels Hospital Toronto (Canada)	106	124.97	45	0.06
8	Massachusetts General Hospital (USA)	104	150.76	53	0.04
9	Harvard Medical School(USA)	96	87.08	45	0.03
10	Universidade De Sao Paulo (Brazil)	92	63.64	41	0.07

排名	作者	国家	作者机构	发文量/n	总被引次数/n	年均被引频次	H指数
1	Paolo Pelosi	Italy	University of Genoa	72	5186	246.95	37
2	Laurent Brochard	Canada	Saint Michaels Hospital Toronto	70	7440	354.29	40
3	Luciano Gattinoni	Germany	University of Gottingen	61	7991	380.52	39
4	Antonio Pesenti	Italy	University of Milan	44	5113	340.87	31
5	Davide Chiumello	Brazil	Ospedale San Paolo	40	3893	185.38	27
6	Samir Jaber	France	Universite de Montpellier	39	3958	197.90	29
7	Robert M Kacmarek	USA	Massachusetts General Hospital	39	4277	203.67	27
8	Patricia R M Rocco,	Brazil	Universidade Federal do Rio de Janeiro	36	1317	62.71	22
9	Jordi Mancebo	Spain	Hospital of Santa Creu i Sant Pau	35	3830	182.38	24
10	John J Marini	USA	University of Minnesota Twin Cities	35	6142	279.18	22

排名	期刊	发文量/n	IF
1	Respiratory Care	313	2.4
2	Critical Care Medicine	271	7.7
3	Critical Care	261	8.8
4	American Journal of Respiratory and Critical Care Medicine	208	19.3
5	Chest	201	9.5
6	Intensive Care Medicine	197	27.1
7	Current Opinion in Critical Care	93	3.5
8	Journal of Critical Care	73	3.2
9	Pediatric Critical Care Medicine	67	4.0
10	Annals of Intensive Care	64	5.7

排名	被引期刊	频次	IF
1	American Journal of Respiratory and Critical Care Medicine	1722	24.7
2	Critical Care Medicine	1552	8.8
3	Intensive Care Medicine	1461	38.9
4	Chest	1446	9.6
5	New England Journal of Medicine	1417	158.5
6	JAMA	1052	120.7
7	Journal of Applied Physiology	986	3.3
8	Critical Care	972	15.1
9	Anesthesiology	933	8.8
10	European Respiratory Journal	867	24.3

气道廓清技术在重症康复应用的文献计量分析

Application of airway clearance techniques in critical care rehabilitation: a bibliometric analysis

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序号	标签	大小	轮廓值	年份
0	acute respiratory distress syndrome	192	0.831	2014
1	acute lung injury	173	0.939	2002
2	positive end-expiratory pressure	149	0.862	2007
3	positive end	141	0.918	2019
4	mechanical ventilation	103	0.879	2020
5	ventilator-induced lung injury	89	0.875	2014
6	noninvasive ventilation	72	0.924	2007
7	cystic fibrosis	53	0.969	2004
8	septic shock	36	0.987	2004
9	sepsis bundles	30	0.985	2009
10	mucociliary clearance	16	0.999	2011
11	mechanical insufflation-exsufflation	16	0.997	2017
12	duchenne muscular dystrophy	12	0.994	2008
13	respiratory drive	9	1.000	2020
14	conventional mechanical ventilation	9	0.995	2014
15	electrical impedance tomography	7	0.989	2012

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