针灸推拿治疗中风后肢体痉挛的文献计量学研究  

Bibliometric Study on Acupuncture,Moxibustionand and Massage in the Treatment of Limb Spasm after Stroke

作　　者：张书昊 于志峰[1] 岳萍 殷佳 崔峰[2] 吴金鹏[2] HANG Shu-hao;YU Zhi-feng;YUE Ping;YIN Jia;CUI Feng;WU Jin-peng(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Institute of Biomedical Engineering,Chinese Academy of Medical Sciences,Tianjin 300192,China)

机构地区：[1]天津中医药大学,天津301617 [2]中国医学科学院生物医学工程研究所,天津300192

出　　处：《中医药导报》2022年第4期124-130,共7页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划项目(2018YFC1707803)。

摘　　要：目的:应用文献计量学分析针灸推拿治疗中风后肢体痉挛的研究现状和发展趋势,总结治疗常用腧穴及部位。方法:以中风、痉挛、针灸推拿等为关键词从中国知网(CNKI)、维普(VIP)、万方(WANFANG DATA)及中国生物医学文献服务系统(SinoMed)检索2010年1月1日至2021年10月1日的相关文献,应用NoteExpress3.2.0软件结合人工查阅的方式筛选文献,从文献基本情况、临床研究质量和临床治疗方案等方面进行分析。结果:共纳入912篇文献,包括691篇期刊论文、205篇学位论文和16篇会议论文;2010—2019年,年发文量总体呈上升趋势,但在2020年明显下降;第一作者分布于全国30个省市,广东和黑龙江的作者发文量位列前两位;共涉及169种期刊,其中《针灸临床杂志》载文量最多;基金资助的文献占总文献的28.18%(257/912),其中省级基金项目最多;高频关键词依次为脑卒中、中风、针刺、康复训练、痉挛性瘫痪;临床试验样本量以50~100例为主;高质量随机对照研究172篇;干预措施以针刺为主,针刺方法以电针频数最高;纳入文献共选用300个腧穴和102个经筋结点/结筋病灶点,常用腧穴多选自手阳明大肠经、足少阳胆经和足阳明胃经。结论:近10年来针灸推拿治疗中风后肢体痉挛的研究热度有所提高,但研究文献的质量有待提升;干预措施以针刺为主,选穴多为阳经腧穴。Objective:To analyze the research status and development trend of acupuncture,moxibustion and massage in the treatment of limb spasm after stroke by bibliometrics,and summarize the acupoints and sites commonly used in the treatment.Methods:The related literatures from January 1st,2010 to October 1st,2021 were searched with stroke,spasm,acupuncture and massage as keywords,from the database of CNKI,VIP,WANFANG DATA and SinoMed.The relevant literatures were screened by NoteExpress3.2.0 software combined with manual review,and the basic situation of the literature,the quality of clinical research and clinical treatment were analyzed.Results:A total of 912 articles were included,involving 691 journal papers,205 dissertations and 16 conference papers.The annual number of articles published showed an overall upward trend from 2010to 2019,but decreased significantly in 2020.The first authors are distributed in 30 provinces and cities in China.Guangdong and Heilongjiang ranked the top two in the number of papers published.A total of 169journals were involved,and the Journal of Acupuncture and Moxibustion showed the largest number of papers.The literature supported by the fund accounted for 28.18%(257/912)of the total literature,and the provincial subjects were the most.The high-frequency keywords were stroke,apoplexy,acupuncture,rehabilitation training and spastic paralysis.The sample size of clinical trials was mainly 50-100.There were 172 high-q uality randomized controlled trials.Acupuncture was the main intervention,and electroacupuncture showed the highest frequency.A total of 300 acupoints and 102 meridian nodes/focal spots were selected in the literature.Most of the commonly used acupoints were selected from hand Yangming large intestine meridian,foot Shaoyang gallbladder meridian and foot Yangming stomach meridian.Conclusion:In the past 10 years,the research on acupuncture moxibustion and massage in the treatment of limb spasm after stroke has been improved,but the quality of the research literature needs to be im

关 键 词：中风后肢体痉挛 针灸推拿 文献计量学 穴位 经筋结点 

分 类 号：R246.6[医药卫生—针灸推拿学]