基于CiteSpace的突发性聋伴耳鸣文献计量学分析及思考  

Metrology analysis and thoughts of literatures on tinnitus associated with sudden deafness based on CiteSpace

作　　者：陈斯 张剑宁[1] 霍岩 凌雯琛 吴佳倩 赵鑫宇 李明[1] Chen Si;Zhang Jianning;Huo Yan;Ling Wenchen;Wu Jiaqian;Zhao Xinyu;Li Ming(Department of Otolaryngology,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院耳鼻喉科,上海200437

出　　处：《中华耳鼻咽喉头颈外科杂志》2024年第7期719-726,共8页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：上海中医药大学附属岳阳中西医结合医院课题(2021yyjq05)。

摘　　要：目的探讨突发性聋(突聋)伴耳鸣的发生率、检查方案选择及治疗,为临床建立完善的突聋新指南提供参考。方法运用CiteSpace软件分析及数据挖掘,对计算机检索出的2011—2021年中国知网、万方以及Web of Science数据库收录的有关突聋伴耳鸣相关辅助检查和治疗的文章进行分析总结。结果本研究共检索随机对照研究207篇,其中中文121篇,英文86篇;最终纳入中文文献74篇,英文文献16篇。74篇中文文献中,伴随症状为耳鸣的64篇(86.5%),头晕/眩晕58篇(78.4%),耳闷25篇(33.8%),头痛10篇(13.5%),失眠4篇(5.4%),头晕耳鸣混杂4篇(5.4%),呕吐2篇(2.7%);16篇英文文献中伴随症状为耳鸣的15篇(93.8%),眩晕12篇(75.0%),耳闷1篇(6.3%),各种症状混杂1篇(6.3%)。64篇提及耳鸣的中文文献中,仅9篇提到了耳鸣匹配检查;1篇提到耳鸣伴随症状的治疗为声治疗及心理辅导。4种不同类型突聋伴耳鸣发生率由低到高依次为:低中频82.4%,中高频90.7%,全聋型92.4%,平坦型92.8%。结论耳鸣是突聋最常见的伴随症状,耳鸣匹配检查是有效评估手段。在建立科学、完善、全面、系统的突聋诊疗体系或指南的同时应重视耳鸣症状及其不良心理反应的诊疗,减少突聋康复后期耳鸣的发生率。Objective To explore the incidence of sudden deafness accompanied with tinnitus,the selection of examination protocols and treatment,and to provide reference for the establishment of new guidelines for sudden deafness.Methods CiteSpace software was used for analysis and data mining to analyze and summarize the computer-retrieved articles on diagnostic examination and treatment of sudden deafness accompanied with tinnitus collected from CNIC,Wanfang and Web of Science databases from 2011 to 2021.Results A total of 207 randomized controlled studies were retrieved in this study,including 121 in Chinese and 86 in English.Finally,74 Chinese literatures and 16 English literatures were included.Among the 74 valid Chinese literatures,64(86.5%)were accompanied with tinnitus,58(78.4%)with dizziness/vertigo,25(33.8%)with aural fullness,10(13.5%)with headache,4(5.4%)with insomnia,4(5.4%)with a mixture of dizziness and tinnitus,and 2(2.7%)with vomiting.Among the 16 English literatures,15(93.8%)were accompanied with tinnitus,12(75.0%)with vertigo,1(6.3%)with aural fullness,and 1(6.3%)with a mixture of various symptoms.Among the 64 Chinese articles mentioning tinnitus,only 9 mentioned tinnitus matching tests,and 1 mentioned that the treatment for tinnitus accompanying symptoms was sound therapy and psychological counseling.The incidence rates of tinnitus accompanying four different types of sudden deafness,from low to high,are as follows:low-to-mid frequency,82.4%;mid-to-high frequency,90.7%;complete deafness,92.4%;and flat type,92.8%.ConclusionTinnitus is the most common accompanying symptom of sudden deafness,and tinnitus matching test is an effective evaluation method.When establishing a scientific,comprehensive,and systematic diagnosis and treatment system or guidelines for sudden deafness,attention should be paid to the diagnosis and treatment of tinnitus symptoms and their adverse psychological reactions,in order to reduce the incidence of tinnitus patients in the later stage of recovery from sudden deafness.

关 键 词：听觉丧失 突发性 耳鸣 耳鸣匹配检查 CiteSpace可视化分析 

分 类 号：R764.45[医药卫生—耳鼻咽喉科] R764.437[医药卫生—临床医学] G353.1[文化科学—情报学]