机构地区:[1]成都医学院校医院,四川成都610500 [2]成都市新都区中医医院消化科,四川成都610500 [3]成都医学院图书馆,四川成都610500
出 处:《医学信息》2024年第12期23-29,共7页Journal of Medical Information
基 金:四川中医药大健康产业发展与乡村振兴研究中心项目(编号:DJKQN202202);四川学术成果分析与应用研究中心项目(编号:SCAA22-B14)。
摘 要:目的全面了解中医药用于老年人肾病相关研究工作的发展现状与方向,为该领域临床与后续研究提供借鉴参考。方法检索1980年1月-2022年12月中国知网期刊文献,将相关文献导入NoteExpress与CiteSpace软件,对发文年份、基金以及作者、研究机构、关键词等信息进行统计与可视化分析。结果纳入文献254篇,年份间研究热度起伏较大,呈现波折中缓慢上升趋势;其中有基金项目支持的文献共32篇,占比12.99%;共涉及作者555位,主要学术合作群4个,机构之间主要体现以地域和附属关系为主的合作。研究共涉及437个关键词,高频词(≥5次)12个,包括“肾阳虚”“肾气虚”“虚劳”“便秘”等,具有研究意义的聚类共10个,多体现老年肾病证型、临床治疗,以及病证与西医指标相关性的研究;“临床观察”是长期研究热点,近几年突现词有“中医证候”“免疫功能”及“中医辨证”等。结论老年人肾病中医药领域研究缺乏延续性,近年不论作者或机构合作都缺乏广度与深度,后续应当多注重优势互补与学术合作。相关领域研究热点集中在中医证型、临床治疗、并发病证以及中西医机理解析,目前更倾向于对相关中医理、法、方、药的回归,尤其西医机理与中医基础理论的结合,也更深入探讨老年人肾病及其并发症,有利于促进相关研究领域完整体系的构建。Objective To comprehensively understand the development status and direction of traditional Chinese medicine(TCM)in the research of senile nephropathy,and to provide reference for clinical and follow-up research in this field.Methods The CNKI journal literature from January 1980 to December 2022 was retrieved,and the relevant literature was imported into NoteExpress and CiteSpace software.The publication year,fund,author,research institution,keywords and other information were statistically and visually analyzed.Results A total of 254 related literatures were included.The research heat fluctuated greatly between years,showing a slow upward trend.Among them,there are 32 literatures supported by fund projects,accounting for 12.99%;involving 555 authors,4 main academic cooperation groups,and cooperation between institutions mainly based on geographical and subsidiary relations.A total of 437 keywords were involved in the study,including 12 high-frequency words(≥5 times),including"kidney yang deficiency""kidney qi deficiency""consumptive disease""constipation",etc.There were 10 clusters with research significance,which mostly reflected the syndrome types and clinical treatment of senile nephropathy,as well as the correlation between disease syndromes and western medicine indicators."Clinical observation"had been a long-term research hotspot,with burst terms such as"traditional Chinese medicine syndrome""immune function"and"traditional Chinese medicine syndrome differentiation"in recent years.Conclusion The research in the field of traditional Chinese medicine for senile nephropathy lacks continuity,and in recent years,there has been a lack of breadth and depth in both author and institutional cooperation.In the future,more attention should be paid to complementary advantages and academic cooperation.The research hotspots in related fields focus on traditional Chinese medicine syndrome types,clinical treatment,comorbidities,and mechanism analysis of traditional Chinese and Western medicine.Currently,there is a great
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