近5年慢性意识障碍治疗的可视化分析  

Treatments for prolonged disorder of consciousness in recent five years:a visualized analysis

作　　者：邹瑜聪 周静 林炜明 李冬霞 王娟 王昱棋[1,2] 王玉龙 ZOU Yucong;ZHOU Jing;LIN Weiming;LI Dongxia;WANG Juan;WANG Yuqi;WANG Yulong(School of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Ji'nan,Shandong 250355,China;Department of Rehabilitation,Shenzhen Second People's Hospital/The First Affiliated Hospital of Shenzhen University,Shenzhen,Guangdong 518035,China)

机构地区：[1]山东中医药大学康复医学院,山东济南市250355 [2]深圳市第二人民医院/深圳大学第一附属医院康复医学科,广东深圳市518035

出　　处：《中国康复理论与实践》2023年第9期1065-1071,共7页Chinese Journal of Rehabilitation Theory and Practice

基　　金：深圳市"三名"工程资助项目(No.SZSM20211010);深圳市科技创新委员会立项项目(No.JCYJ20210324103409023)。

摘　　要：目的 了解近5年慢性意识障碍(pDOC)治疗的研究现状和研究热点,并预测未来的研究趋势。方法 检索2019年1月1日至2023年6月7日Web of Science核心合集数据库中pDOC治疗的相关文献,采用CiteSpace 5.8.R3软件进行可视化分析,分别绘制作者、国家、机构、关键词、共被引文献、共被引作者的知识图谱。结果 纳入411篇文献。年发文量呈上升趋势,影响力较大的作者为Aurore Thibaut,影响力突出的国家为比利时,发文量最多的机构为哈佛大学医学院。近5年的研究热点为pDOC患者的神经调控、预后评估以及护理和吞咽功能训练;主要使用的神经调控技术为经颅直流电刺激、重复经颅磁刺激、脑深部刺激和经皮耳迷走神经电刺激。未来的研究趋势为pDOC患者的神经调控和意识恢复机制的探索,主要使用的神经调控技术为脑深部刺激和经皮耳迷走神经电刺激。结论 pDOC治疗的研究呈上升趋势,主要关注pDOC患者的神经调控、预后评估以及护理和吞咽功能训练,未来研究仍将集中于探讨pDOC患者的神经调控和意识恢复机制。Objective To investigate the current landscape and hotspots on researches about treatment of prolonged disorder of consciousness(pDOC) in the recent five years,and forecast the trends.Methods Literature about treatment of pDOC was retrieved from the Web of Science Core Collection database,from January 1st,2019,to June 7th,2023.The data were analyzed with CiteSpace 5.8.R3 to create knowledge maps for authors,countries,institutions,keywords,references,co-cited authors and co-cited literature.Results A total of 411 articles were included.Aurore Thibaut was the most influential author,Belgium was the most influential country,and Harvard Medical School was the institution with the most publications.The researches focused on neuromodulation,prognostic assessment and care,and management of swallowing function.The neuromodulation techniques mainly included transcranial direct current stimulation,repetitive transcranial magnetic stimulation,deep brain stimulation and transcutaneous auricular vague nerve stimulation.In the coming years,the researches trended to explore neuromodulation and mechanisms of consciousness recovery,and the main neuromodulation techniques might be deep brain stimulation and transcutaneous auricular vague nerve stimulation.Conclusion The researches about treatment of pDOC are increasing,mainly focusing on neuromodulation,prognostic evaluation,nursing care,and training for swallowing function.More researches would focus on neuromodulation and mechanisms for restoring consciousness.

关 键 词：慢性意识障碍 治疗 神经调控 护理 可视化分析 

分 类 号：R741.041[医药卫生—神经病学与精神病学]