全身麻醉患者苏醒期躁动研究热点与前沿趋势的可视化分析  

Visual analysis of research hotspots and cutting‑edge trends in emergence agitation in patients undergoing general anesthesia

作　　者：汪一 王珠珠 宋永霞[1] 洪静芳[1] Wang Yi;Wang Zhuzhu;Song Yongxia;Hong Jingfang(School of Nursing Care,Anhui Medical University,Hefei 230032,China;Post‑Anesthesia Care Unit,the Second People's Hospital of Wuhu,Wuhu 241000,China)

机构地区：[1]安徽医科大学护理学院,合肥230032 [2]芜湖市第二人民医院麻醉复苏室,芜湖241000

出　　处：《国际麻醉学与复苏杂志》2025年第2期153-161,共9页International Journal of Anesthesiology and Resuscitation

基　　金：安徽省中央引导地方科技发展专项(2019b11030010)。

摘　　要：目的探讨国内外全身麻醉患者苏醒期躁动(EA)的研究现状与前沿趋势,为深入开展EA研究提供参考。方法计算机检索中国知网、万方数据、维普资讯、Web of Science核心合集数据库、PubMed及Scopus数据库自建库至2024年3月发表的EA有关研究文献,运用CiteSpace 6.2.R3可视化分析软件绘制关键词的相关图谱并分析该领域发文趋势及主要作者。结果分别纳入中文、英文文献752篇、755篇。经分析可知,金约西、李军、柴小青与闵苏并列位居中文数据库发文之首,中国学者张野在英文数据库中发文量位居第一;EA领域中英文数据库最高频关键词分别为“右美托咪定”“emergence agitation”;出现最早且持续时间最长的突现词分别为“麻醉”“preschool child”;突现强度最高的关键词分别为“地佐辛”“emergence delirium”;研究时间跨度最长的中英文聚类标签分别为“丙泊酚”“psychomotor agitation”。结论国内外EA领域整体研究态势趋于一致,研究热点主要聚焦于EA的重点关注人群、影响因素以及预防与干预管理等方面。未来建议研究者持续拓展并深入EA领域的关键问题,优化特殊人群陪护政策,在全面探究围手术期EA危险因素的基础上,系统构建集束化EA预防与干预方案,以期形成科学可行的EA防治体系,进一步推动EA领域研究与实践的融合与发展。Objective To explore the current research status and cutting‑edge trends in emergence agitation(EA)in patients undergoing general anesthesia,and to provide reference for further in‑depth study of EA.Methods EA‑related literature which were published from databases including China National Knowledge Infrastructure,Wanfang Data,VIP Information,Web of Science Core Collection,PubMed,and Scopus from database establishment to March 2024,was retrieved.The keyword‑related maps as well as publication trends and key authors in this field were analyzed by CiteSpace 6.2.R3 visualization analysis software.Results A total of 752 Chinese and 755 English articles were included.The top authors in the Chinese database were Jin Yuexi,Li Jun,Chai Xiaoqing,and Min Su,while Zhang Ye was the leading author in the English database.The highest‑frequency keywords in the Chinese and English databases were"dexmedetomidine"and"emergence agitation",respectively.The earliest and longest‑lasting emerging keywords were"anesthesia"and"preschool child".The keywords with the highest emergence intensity were"dexamethasone"and"emergence delirium",while the longest‑lasting clusters in both the Chinese and English databases were"propofol"and"psychomotor agitation".Conclusions Research in the field of EA is increasingly aligned both domestically and internationally,with current hotspots focusing on the key populations at risk for EA,influencing factors,and prevention and intervention management.Future research should continue to address critical issues in EA,optimize caregiver policies for special populations,and systematically develop bundled prevention and intervention strategies based on a comprehensive understanding of perioperative EA risk factors.These findings will help to create a scientifically feasible EA prevention and treatment system and further promote the integration of research and clinical practice in the EA field.

关 键 词：麻醉 全身 苏醒期躁动 文献计量学 可视化分析 

分 类 号：R614[医药卫生—麻醉学]