我国主动脉夹层患者死亡危险因素研究的文献计量学分析  

Bibliometric analysis on risk factors of death in patients with aortic dissection in China

作　　者：邓娟[1] 王芳[1] 黄素芳[1] 刘俊雅[1] 李仁杰[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院重症医学科,武汉430030

出　　处：《临床急诊杂志》2017年第6期452-456,共5页Journal of Clinical Emergency

摘　　要：目的:分析我国主动脉夹层(AD)患者死亡危险因素研究现状,为制定疾病全程风险管理办法提供理论依据。方法:检索中国期刊全文数据库、万方数据库和维普数据库2010-01-2017-02国内发表的有关AD死亡危险因素的文献,采用文献计量法进行分析。结果:共检索到69篇AD死亡危险因素文献,发表文献数量呈逐年上升趋势,文献发表的期刊分布情况整体相对散乱。研究的方法相对单一,92.75%文章主要集中于分析性研究,仅有1篇为调查性研究,所有文献研究方法均为量性研究,无质性研究文献。大部分研究尚属于一个小样本量的研究,有78.46%文献样本量在300以下,仅3.08%文献的研究是大样本研究(样本量>1000),仅1.45%的文献研究对象来源于AD注册数据库。AD死亡危险因素主要包括:疾病史、社会人口学因素、临床表现与症状、生物学标志物、影像学检查结果、就诊误诊因素、治疗方案相关因素7个方面。结论:需要开展科学和规范化的多中心、大样本临床注册的前瞻性随访、干预性研究,需深入研究明确影响AD患者疾病全程风险因素。在此基础上,形成完善的急救医疗服务体系,规范的诊疗程序、追踪随访制度,对改善患者的结局具有非常重要的意义。Objective：To analyze the current research status of risk factors of death in patients with aortic dissection in China,and to provide theoretical basis for the development of risk management methods.Method：The domestic published literature of risk factors of death in patients with aortic dissection was searched in China journal full text database,Wanfang database and VIP database from January 2010 to February 2017,and then the data were analyzed by bibliometrics method.Result：A total of 69 pieces of literature on risk factors of death in patients with aortic dissection was searched out.There was an upward trend in the number of published literature,and literature published in the journal distribution was more scattered.The research method was relatively simple,92.75% of the article mainly focused on the analytical research,only 1piece was the investigative research.The research methods were all quantitative research,there was no qualitative research literature.Most of the research belonged to the study of a small quantity of samples,78.46% samples of the literature were below 300,only 3.08% of the literature was the study on large sample（n1000）,only 1.45% of the study subjects were searched from acute aortic dissection registration database.The death risk factors of aortic dissection covered 7aspects,such as disease history,social and demographic factors,clinical manifestations and symptoms,biological markers and imaging examination results,medical misdiagnosis factors and treatment related factors.Conclusion：It is necessary to carry out a scientific and standardized multicenter and large sample registered clinical prospective follow-up study or intervention study,and study further identifying the risk factors affecting AD patients,and then try to improve the emergency medical service system,standardize the procedure of diagnosis and treatment,and better the follow-up system,improve the AD patients＇ outcomes.

关 键 词：主动脉夹层 死亡 危险因素 文献计量学 风险 

分 类 号：R543.1[医药卫生—心血管疾病]