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作 者:谢男 谢华[1] 李伟 王旭 唐维兵[1] Xie Nan;Xie Hua;Li Wei;Wang Xu;Tang Weibing(Department of neonatal surgery,Affiliated Children's Hospital,Nanjing Medical University,Nanjing 210008,China;Department of Endocrinology,Affiliated Children's Hospital,Nanjing Medical University,Nanjing 210008,China;Department of Clinical Research Center,Affiliated Children's Hospital,Nanjing Medical University,Nanjing 210008,China)
机构地区:[1]南京医科大学附属儿童医院新生儿外科,南京210008 [2]南京医科大学附属儿童医院内分泌科,南京210008 [3]南京医科大学附属儿童医院临床研究中心,南京210008
出 处:《中华小儿外科杂志》2024年第6期531-538,共8页Chinese Journal of Pediatric Surgery
摘 要:目的分析儿童加速康复外科的研究现状、热点和前沿,为今后加速康复外科在儿外科领域的推广实践提供参考。方法检索1997年1月至2022年12月Web of science核心合集数据库收录的儿童加速康复外科相关研究,应用VOSviewer和CiteSpace可视化软件进行科学计量分析,对该领域发文量、主要研究力量、研究主题和前沿等方面进行综合分析。结果共137篇文献纳入研究,儿童加速康复外科相关文献在2017年后迅速增多,2022年共发表36篇文献。发文量最多的作者是美国埃默里大学的Kurt F.Heiss,发文量最高的机构是美国亚特兰大儿童健康中心和美国埃默里大学医学院,美国总发文量居首位,我国居第2位,载文量最高的期刊是Journal of Pediatric Surgery。关键词共现分析发现热门主题有5个:①结直肠手术相关的措施实施和指南制定,②阑尾炎围手术期管理策略,③不同病种及手术围手术期疼痛管理和临床路径研究,④麻醉、镇痛和营养多学科协作及研究,⑤术后并发症的影响因素的研究。关键词突现分析显示2022年的突现词为疼痛管理和加速康复外科方案的制定和实施。结论儿外科领域加速康复外科的研究近年来逐渐增多,麻醉、镇痛、营养管理以及术后并发症的影响因素是儿童加速康复外科的重要研究主题,疼痛管理和研究方案的设计和实施是当前的研究热点和前沿。To explore the research status,hotspots and frontiers of enhanced recovery after surgery(ERAS)in pediatric surgery and provide future references for clinical practices.Methods From January 1997 to December 2022,the relevant studies were retrieved from the database of Web of Science Core Collection.VOSviewer and CiteSpace software suites were employed for visual scientometric analysis.The number of papers,main research strength,main research topics and leading fronts in this field were comprehensively examined.Results A total of 137 articles were retrieved.The literatures related to ERAS in children spiked sharply after 2017.And a total of 36 papers were published in 2022.The author of the highest published articles was Kurt F.Heiss from Emory University in U.S.The institutions of the highest number of publications were Children’s Healthcare of Atlanta and Emory University in U.S.The total number of publications in the United States ranked first,China ranked second and journal with the highest number of publications was Journal of Pediatric Surgery.Keyword co-occurrence analysis revealed 5 hot topics of measures implementation and guideline development related to colorectal surgery,strategies of perioperative management of appendicitis,pain managements and clinical pathways of different diseases and surgeries,multidisciplinary researches of anesthesia,analgesia and nutrition and influencing factors of postoperative complications.And keyword burstiness analysis indicated that the emergent words were pain management and protocol in 2022.Conclusions Researches of ERAS in pediatric surgery have gradually expanded in recent years.Perioperative anesthesia,analgesia,nutritional management and influencing factors of postoperative complications are important research topics in ERAS in children.Pain management and design and implementation of protocols are subjects of popular interests and research frontiers.
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