口腔癌患者术后吞咽障碍研究的可视化分析  

Visual analysis of researches on postoperative dysphagia in patients with oral cancer

作　　者：李全 杨悦[2] Li Quan;Yang Yue(School of Nursing,Peking University,Beijing 100191,China;Department of Oral and Maxillofacial Surgery,Stomatology Hospitalof Peking University,Beijing 100081,China)

机构地区：[1]北京大学护理学院,100191 [2]北京大学口腔医院口腔颌面外科,100081

出　　处：《中华现代护理杂志》2020年第17期2279-2285,共7页Chinese Journal of Modern Nursing

摘　　要：目的梳理口腔癌患者术后吞咽障碍的相关文献,客观全面地了解该领域的研究路径及进展,为口腔癌患者术后护理及吞咽障碍的管理提供指导。方法以Web of Science核心期刊为数据来源,纳入1991—2019年发表的与口腔癌术后吞咽障碍相关的文献,采用Excel和Citespace 5.5.R2版软件对年份、国家和关键词进行计量分析。结果以所有年份搜索,并经过Citespace去重,最终得到1991—2019年的659篇文献。口腔癌患者术后吞咽障碍研究始于1991年,1999年的年发文量突破10篇;1999—2006年发文量略有增长;自2007年起,研究总体呈现快速发展趋势;美国在该研究领域的核心地位。根据关键词聚类分析并浏览对应文献,可以将该领域的研究分为吞咽障碍的影响因素、吞咽障碍的评估方法、吞咽障碍的并发症和吞咽障碍的管理4个方面。吞咽障碍的影响因素包括肿瘤的发病部位、分期和治疗方式;吞咽障碍的评估方法包括仪器评估、临床评估、床旁初筛工具和主观评估量表。吞咽障碍可引发一系列严重并发症,如误吸或吸入性肺炎、营养不良及脱水。吞咽障碍的治疗方式主要包括病因疗法和补偿技术,治疗开始的时间为术后第9天~9年。结论口腔癌术后吞咽障碍相关研究受到各国学者持续关注,但早期吞咽功能的研究尚缺乏,尤其是护理相关研究,今后应注重开发适合护理人员使用的吞咽障碍评估工具,以早期识别患者吞咽障碍风险并给予预防性功能训练。Objective To sort out related literatures on postoperative dysphagia in patients with oral cancer andto objectively and comprehensively understand the research path and progress in this field so as to provide guidance for postoperative care and management of dysphagia in patients with oral cancer.Methods The core journal of Web of Science was used as the data source to include literatures related to postoperative dysphagia of oral cancer published from 1991 to 2019.Excel and Citespace 5.5.R2 version software were used to carry out quantitative analysison years,countries and keywords.Results After searching by all years and removing the duplicates by Citespace,659 literatures from 1991 to 2019 were finally obtained.The study on postoperative dysphagia in patients with oral cancer started in 1991,and the number of papers published in 1999 was more than 10.From 1999 to 2006,the number of papers published increased slightly.Since 2007,the overall research showed a rapid development trend.The United States was in a leading positionof this research.According to the cluster analysis of keywords and browsing the corresponding literatures,the research in this field can be divided into influencing factors of dysphagia,assessment methods of dysphagia,complications of dysphagia and management of dysphagia.The influencing factors of dysphagia included the location,stage and treatment of the tumor.The assessment methods of dysphagia included instrumental assessment,clinical assessment,bedside preliminary screening tool and subjective assessment scale.Dysphagia could cause a series of serious complications,such as aspiration or aspiration pneumonia,malnutrition and dehydration.The treatment methods for dysphagia mainly included etiological therapy and compensation techniques,and time to start treatment varied from the 9th day to the 9th year after surgery.Conclusions Research onpostoperative dysphagia of oral cancerhas received continuous attention from scholars from various countries,but there is still a lack of research on ea

关 键 词：口腔肿瘤 吞咽障碍 患者手术 可视化分析 

分 类 号：G353.1[文化科学—情报学] R473.73[医药卫生—护理学]