老年患者术后谵妄围手术期管理的研究:2014至2023年的文献计量学分析  

Perioperative management of postoperative delirium in elderly patients:a bibliometric analysis from 2014 to 2023

作　　者：李盼盼 饶苗苗 窦效荣 张丽君 卢文斌 LI Panpan;RAO Miaomiao;DOU Xiaorong;ZHANG Lijun;LU Wenbin(Department of Anesthesiology,The First Affiliated Hospital,Naval Military Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院麻醉学部,上海200433

出　　处：《沈阳医学院学报》2025年第2期180-186,共7页Journal of Shenyang Medical College

摘　　要：目的:分析近10年老年患者术后谵妄围手术期管理的发展现状及趋势,以期为我国老年患者术后谵妄的研究提供借鉴和参考。方法:在Web of Science中检索老年术后谵妄围手术期管理相关文献,检索时限为2014年1月1日至2023年12月31日,文献类型以论著和综述为主,运用CiteSpace6.3.1软件对纳入文献进行去重并汇总分析。结果:共纳入655篇相关文献,发文量总体呈现增长趋势;中国近10年已发表文献147篇,占22.44%(147/655);美国共发表文献134篇,占20.46%(134/655)。研究的热点主要集中在“髋部骨折”“神经认知紊乱”“阿尔兹海默病”“氧化应激”。结论:老年患者术后谵妄预防或治疗的研究呈增长趋势。中国发文量虽多,但在学术影响力方面仍相对较弱。尽管在临床实践中有许多研究阐明了术后谵妄的预防和治疗,但还需要更多的研究来验证干预的效果及探讨相关的机制。Objective:To evaluate the progress and trends in perioperative management of postoperative delirium(POD)in the elderly over the past decade,providing insights for future research in China.Methods:Literature related to perioperative management of POD in elderly patients was retrieved from the Web of Science database published from Jan 1,2014,to Dec 31,2023.Articles and reviews were selected,and CiteSpace 6.3.1 software was used for duplicate removal and comprehensive analysis.Results:A total of 655 relevant publications were included,showing an overall increasing trend in annual output.China contributed 147 publications(22.44%,147/655),while the United States produced 134 publications(20.46%,134/655).Research hotspots focused on“hip fracture”,“neurocognitive disorders”,“Alzheimer’s disease”,and“oxidative stress”.Conclusions:Research on the prevention and treatment of POD in elderly patients is growing globally.Although China has produced a substantial number of publications,its academic influence remains relatively limited.While clinical studies have elucidated strategies for POD prevention and treatment,further research is needed to validate intervention efficacy and explore underlying mechanisms.

关 键 词：老年 术后谵妄 预防 治疗 可视化分析 

分 类 号：R749.1[医药卫生—神经病学与精神病学]