我国家庭肠内营养研究文献的计量学分析  

Bibliometric analysis of home enteral nutrition in China

作　　者：石磊[1] 龚杰[2] 柳园[1] 母东煜 廖欣怡 曾小庆[2] 喻佳洁[3] 胡雯[1] Shi Lei;Gong Jie;Liu Yuan;Mu Dongyu;Liao Xinyi;Zeng Xiaoqing;Yu Jiajie;Hu Wen(West China hospital, Sichuan University, Chengdu 610041, China)

机构地区：[1]四川大学华西医院,成都610041 [2]四川大学华西公共卫生学院,成都610041 [3]中国循证医学中心,成都610041

出　　处：《中华临床营养杂志》2019年第2期76-83,共8页Chinese Journal of Clinical Nutrition

基　　金：国家自然科学基金项目(0040205401C98).

摘　　要：目的系统综述我国家庭肠内营养(HEN)治疗研究进展,为我国HEN研究和管理提供科学依据。方法计算机检索中国期刊全文数据库(CNKI)、万方中文数据库,检索时间从建库至2018年1月1日。按发表信息、研究类型、研究对象、研究主题、干预措施、结局指标等对文献进行筛选分类,提取信息后进行描述性分析。结果经剔重并排除非论著,最终纳入153篇文献,其中个案报道12篇,新模式探索文献2篇,观察性研究37篇,试验性研究102篇。2012年以来相关研究数量呈增长趋势。目前国内HEN研究主要对象为消化系统疾病、头颈部肿瘤和神经系统疾病患者,以老年人为主;研究样本量小且干预时间短;随访方式以电话随访和家庭入户随访为主,而以专业营养支持小组实施HEN的比例不足1/4;研究结局以并发症、营养生化指标、人体测量指标及转归情况为主。结论国内该领域研究仍处于起步阶段,文献较少且质量较低,但总体研究热度呈现增长趋势。目前HEN实施存在缺乏规范管理模式、专业团队构建不成熟、干预时间短、随访方式单一等问题,今后应将老年人、头颈部肿瘤、神经系统疾病及消化系统疾病患者作为HEN的重点对象,建立更加专业的营养管理团队,探索科学的家庭营养管理模式。Objective To analyze the current status of studies related to home enteral nutrition (HEN) in China, and provide scientific basis for the research and management of HEN in China. Methods We searched CNKI and WanFang Data since it built to January 1st, 2018. The included studies were screened and categorized by publication information, study type, subjects of the study, topic, interventions and outcomes. Descriptive analysis was conducted after extraction of information. Results A total of 153 studies were included, of which 37 were observational studies, 102 were experimental studies, 12 were case report, and 2 were exploring articles. Since 2012, the number of studies has been increasing. Most of the subjects were elderly people who were diagnosed with diseases of digestive system, head and neck tumors and diseases of nervous system. These studies were featured as small sample size and short intervention time, follow-ups by telephone and home visit, less than 1/4 providing professional nutrition support team, and outcomes mainly as complication, nutritional biochemical indices, anthropometric indices and prognosis. Conclusion HEN in China is still in its infancy. The number of relative studies is still small and quality of literatures is very low, but it has been increasing. At present, there are some problems in the implementation of HEN in China, such as lack of standardized management model and professional team, short-term intervention, and single follow-up mode. The elderly and patients with digestive disease, head and neck tumors and nervous disease are the key subjects;more professional nutrition support team and scientific management model should be established in the future.

关 键 词：家庭肠内营养 文献计量学分析 

分 类 号：R459.3[医药卫生—治疗学] G353.1[医药卫生—临床医学]