近5年脑卒中吞咽障碍研究进展的可视化分析

doi:10.3969/j.issn.1006-9771.2022.09.007

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (9): 1049-1059.doi: 10.3969/j.issn.1006-9771.2022.09.007

近5年脑卒中吞咽障碍研究进展的可视化分析

李映彩¹,冷军²(),孟祥志¹,陈怡婷¹,张思钰¹,魏衍旭¹,任慧¹

1.山东中医药大学康复医学院,山东济南市 250014
2.山东中医药大学第二附属医院康复医学科,山东济南市 250001

收稿日期:2022-05-13 修回日期:2022-07-26 出版日期:2022-09-25 发布日期:2022-10-08
通讯作者: 冷军 E-mail:2908860266@qq.com
作者简介:李映彩(1997-),女,汉族,山东青州市人,硕士研究生,主要研究方向：脑、脊髓损伤相关的中西医结合康复研究。|冷军(1967-),女,硕士,主任医师,硕士生导师,主要研究方向：脑、脊髓损伤相关的中西医结合康复研究。
基金资助:
山东省医药卫生科技发展计划项目(202020011200)

Advance in post-stroke dysphagia in the last five years: a visualization analysis

LI Yingcai¹,LENG Jun²(),MENG Xiangzhi¹,CHEN Yiting¹,ZHANG Siyu¹,WEI Yanxu¹,REN Hui¹

1. College of Rehabilitation, Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250014, China
2. the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250001, China

Received:2022-05-13 Revised:2022-07-26 Published:2022-09-25 Online:2022-10-08
Contact: LENG Jun E-mail:2908860266@qq.com
Supported by:
Shandong Medical and Health Technology Development Plan(202020011200)

摘要/Abstract

摘要：

目的对近5年脑卒中后吞咽障碍相关文献的研究现状、热点和趋势进行可视化分析。
方法检索2017年1月1日至2021年12月31日Web of Science核心合集收录的脑卒中后吞咽障碍相关文献,采用CiteSpace 5.7.R5软件进行可视化分析。
结果共纳入857篇文献,年发文量总体呈上升趋势;涉及61个国家/地区,211个机构,247位作者;美国、日本和中国为高产国家,曼彻斯特大学为领先机构,发文量前三的作者为Dziewas R、Wakabayashi H和Hamdy S。近3年的突现词主要有严重性、预测、经皮胃镜造口术、准确性、早期管理等。被引文献的聚类词有神经肌肉电刺激、吞咽筛查、卒中相关性肺炎、循证医学实践等。
结论脑卒中后吞咽障碍领域的研究呈上升趋势。

关键词: 脑卒中, 吞咽障碍, 可视化分析

Abstract:

Objective To explore the current status, hot spots and development of researches on post-stroke dysphagia in recent five years with visualization analysis.
Methods Researches on post-stroke dysphagia were retrieved from Web of Science Core Collection, from January 1st, 2017 to December 31st, 2021, and reviewed with CiteSpace 5.7.R5 software.
Results A total of 857 articles were included. The annual number of articles increased with time, published from 61 countries/regions, by 211 institutions and 247 authors. The United States, Japan and China were the most prolific countries, and the University of Manchester was the leading institution. The top three authors were Dziewas R, Wakabayashi H and Hamdy S. The keywords bursting in recent three years included prediction, severity, percutaneous endoscopic gastrostomy, accuracy and early management; co-word clustering showed that researches might be mainly about neuromuscular electrical stimulation, swallowing screening, stroke-associated pneumonia, evidence-based practice, etc.
Conclusion The researches in the field of post-stroke dysphagia have been increasing.

Key words: stroke, dysphagia, visualization analysis

中图分类号:

R743.3

李映彩,冷军,孟祥志,陈怡婷,张思钰,魏衍旭,任慧. 近5年脑卒中吞咽障碍研究进展的可视化分析[J]. 《中国康复理论与实践》, 2022, 28(9): 1049-1059.

LI Yingcai,LENG Jun,MENG Xiangzhi,CHEN Yiting,ZHANG Siyu,WEI Yanxu,REN Hui. Advance in post-stroke dysphagia in the last five years: a visualization analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(9): 1049-1059.

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国家/地区	中心性
斯里兰卡	0.34
德国	0.19
美国	0.18
英国	0.18
挪威	0.16
法国	0.12
巴西	0.10
智利	0.09
日本	0.08
澳大利亚	0.08

机构	数量	中心性
University of Manchester	21	0.20
University of Nottingham	17	0.16
Catholic University of Korea	16	0.05
Capital Medical University	16	0.04
Seoul National University	14	0.08
Universitat Autonoma de Barcelona	14	0.01
University of Florida	11	0.08
Nanjing University of Chinese Medicine	10	0.02
University of Toronto	10	0.03
Instituto de Salud Carlos III	10	0.03

聚类号	节点数	Silhouette	标签	代表关键词
#0	37	0.846	卒中相关性肺炎	吸入性肺炎、感染、危险因素、误吸、死亡率、重症监护
#1	29	0.774	神经肌肉感觉刺激	重复经颅电刺激、皮质延髓束、经颅电刺激、感觉神经电刺激、脉冲电刺激、大脑皮质兴奋性
#2	25	0.734	放射治疗	口腔健康、日常生活质量、口服摄入量、临床试验、舌肌增强训练
#3	23	0.631	咳嗽	测压法、球囊扩张术、咽相运动学、反射性咳嗽、呼吸肌训练、临床效果
#4	23	0.751	舌	老年化、咀嚼、压力、上颚、舌训练、粘弹性、食物运输、颏舌骨肌
#5	20	0.832	营养状况	集束化治疗、营养不良、鼻饲管、能量摄入
#6	19	0.696	费用	言语病理学、神经电刺激、感觉阈值、抬头训练
#7	18	0.609	日常生活能力	肌肉质量、口腔健康、功能恢复、老年住院病人、功能结局营养、早期康复、综合护理
#8	17	0.741	电视透视检查	口腔筛查、营养治疗、食管插管、治疗结果
#9	14	0.865	缺血性卒中	经皮内镜下胃造口术、吞咽筛查、脑电图、图像信号处理
#10	14	0.746	疗养院护理	社会康复、流行性、结果、肺康复、联合干预
#11	7	0.940	综合治疗	实践指南、视觉感知、补充疗法、咽电刺激、有效性、康复、电针

题目	第一作者	发表年	被引频次
卒中后吞咽困难：回顾和对未来试验设计的考虑	Cohen D L	2016	67
急性脑卒中后吞咽困难：发生率、负担和对临床结果的影响	Arnold M	2016	56
中风相关肺炎的诊断：卒中肺炎相关小组的建议	Smith C J	2015	34
2018年急性缺血性脑卒中患者早期管理指南	Powers W J	2018	32
急性和亚急性脑卒中患者吞咽困难和营养支持干预	Geeganage C	2012	32

题目	作者	发表年	中心性
筛选脑卒中患者吞咽困难风险的有效项目：系统综述	Daniels S K	2012	0.20
咽电刺激治疗亚急性脑卒中吞咽困难：随机对照试验	Bath P M	2016	0.19
慢性吞咽困难脑卒中患者中枢和外周形式的神经刺激机制的特点	Michou E	2014	0.19
口咽吞咽困难对医疗保健费用和住院时间的影响:系统综述	Attrill S	2018	0.17
食物质地和液体稠度改变对吞咽生理和功能的影响:系统综述	Steele C M	2015	0.15

近5年脑卒中吞咽障碍研究进展的可视化分析

Advance in post-stroke dysphagia in the last five years: a visualization analysis

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参考文献 40

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国家/地区	发文量/n
美国	172
日本	131
中国	127
韩国	109
英国	56
德国	51
澳大利亚	39
意大利	37
西班牙	33
巴西	28

关键词	出现次数	中心性
dysphagia	535	0.06
stroke	472	0.01
aspiration	196	0.03
rehabilitation	132	0.02
pneumonia	120	0.04
deglutition disorder	116	0.01
oropharyngeal dysphagia	112	0.05
deglutition	105	0.03
risk	97	0.03
diagnosis	96	0.01

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