国内外针灸领域卫生经济学研究的现状与趋势——基于CiteSpace和VOSviewer软件分析  

Status quo and trends of health economics research in field of acupuncture and moxibustion at home and abroad:a CiteSpace and VOSviewer analysis

作　　者：岳铭坤 李凯 吴焕淦[2] 周良荣[1] YUE Mingkun;LI Kai;WU Huangan;ZHOU Liangrong(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]上海市针灸经络研究所,上海200030

出　　处：《上海中医药杂志》2024年第1期8-15,共8页Shanghai Journal of Traditional Chinese Medicine

基　　金：湖南省自然科学基金项目(2023JJ30462);湖南省卫生经济与信息学会项目(2022B10);湖南中医药大学研究生创新课题(2022CX21)。

摘　　要：目的基于CiteSpace和VOSviewer软件分析国内外针灸领域卫生经济学研究的现状与趋势。方法检索收集中国知网(CNKI)、维普中文期刊服务平台(VIP)、万方数据知识服务平台(WanFang Data)和Web of Sciencec(WOS)等数据库中针灸卫生经济学的研究文献,文献发表时间为建库至2022年12月31日。应用文献计量学方法对文献基本信息进行分析描述,利用CiteSpace及VOSviewer软件对研究的热点进行知识图谱描绘及可视化分析,包括合作网络分析及关键词的共现分析、聚类分析、时间线视图分析和爆发分析等。结果①经筛选,最终获得有效文献574篇,其中中文文献118篇、英文文献456篇。②中文文献发文机构以中国中医科学院针灸研究所发文量最高,英文文献发文机构以北京中医药大学发文量最高。③共38个国家参与相关研究,发文量最高的是中国(248篇),其次是美国(85篇)、韩国(65篇)。④关键词共现分析表明,中文文献高频关键词为针灸、针刺、脑卒中等;英文文献高频关键词为acupuncture、management、randomized controlled trial等。关键词爆发分析表明,针刺、脑卒中、面瘫、穴位埋线、偏头痛、脑梗死是早期的爆发关键词,近年来康复、基因表达、系统评价、临床疗效成为爆发关键词,这可能是针灸卫生经济学的未来研究趋势和重点。时间线视图分析表明,聚类标签的前4位依次为#0成本效果分析、#1卫生经济、#2脑卒中、#3针灸疗法,每个聚类都有0.8以上的轮廓值,表明本聚类相识度高,构成文献的主题集中。结论国内外研究均发现针灸具有良好的临床疗效,且费用较低,总体评价较优,但缺乏国内外机构和团队间的合作;针灸相关研究整体质量不高;针对穴位特异性及针刺的手法、时效、量效等方面缺乏卫生经济学评价分析,后续研究应加以补充和完善。Objective To analyze the status quo and trends of health economics research in the field of acupuncture and moxibustion based on CiteSpace and VOSviewer analysis.Methods A literature search was conducted to collect relevant studies on acupuncture and moxibustion health economics from databases such as the China National Knowledge Infrastructure(CNKI),VIP Database for Chinese Technical Periodicals(VIP),WanFang Data,and Web of Science(WOS).The literatures published between the establishment of the databases and December 31,2022 were included.Bibliometric methods were used to analyze and describe the basic information of the literatures.CiteSpace and VOSviewer were used to depict the knowledge map and conduct visual analysis on the research hotspots,including cooperation network analysis,co-occurrence analysis of keywords,clustering analysis,timeline view analysis,and burst analysis.Results①After screening,a total of 574 valid documents were obtained,including 118 Chinese articles and 456 English articles.②The Chinese articles were mainly published by the Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences;and the English articles were mainly published by Beijing University of Chinese Medicine.③A total of 38 countries participated in the research,with China having the highest number of publications(248),followed by the United States(85)and South Korea(65).④Co-occurrence analysis of keywords showed that the high-frequency keywords in Chinese articles were"acupuncture","needling",and"stroke",etc.,while the high-frequency keywords in English articles were"acupuncture","management",and"randomized controlled trial",etc..Keyword burst analysis showed that"needle puncture","stroke","facial paralysis","catgut embedding therapy","migraine","cerebral infarction"were early burst keywords,and in recent years,"rehabilitation","gene expression","systematic review","clinical efficacy"have become burst keywords,which may be the future research trends and focuses of acupuncture and moxibustion

关 键 词：针灸 临床疗效 卫生经济学 文献计量学 可视化分析 研究热点 研究现状 

分 类 号：R245[医药卫生—针灸推拿学] R1[医药卫生—中医临床基础]