摘要
目的基于CiteSpace分析国内外儿童术后镇痛研究热点与趋势。方法本研究系统检索了WOS和中国知网(CNKI)数据库中1975年至2023年发表的关于儿童术后疼痛和术后镇痛的国内外文献,并通过CiteSpace进行可视化知识图谱和文献计量分析,包括关键词共现、聚类和突现分析。结果经过严格筛选后共纳入2229篇文献(其中WOS 1529篇,CNKI 700篇),年发表量总体均呈上升趋势,WOS开始发表的主题相关的文献早于CNKI,且WOS年发表量高于CNKI(32.5篇/年>14.9篇/年)。近5年,发表在CNKI和WOS数据库的发文量逐渐出现分化的趋势,与国内CNKI发文量逐渐下降相比,发表在WOS的研究成果则呈现出爆发式增长态势。研究热点广泛,涵盖了儿童术后镇痛、急性疼痛、慢性疼痛、术后谵妄、风险因素与预测因素、预防措施、右美托咪定应用、焦虑管理、预后评估及生活质量改善等多个方面。结论通过对WOS和CNKI数据库的文献进行CiteSpace分析发现,近20年国内外儿童术后疼痛及术后镇痛研究发展迅速,研究热点从早期的药物镇痛逐渐扩展到多模式镇痛、非药物镇痛和整体健康的关注。未来的研究应继续关注新型镇痛药物的开发、非药物镇痛方法的推广、长期镇痛效果的评估以及国际的合作研究,以进一步提升儿童术后镇痛管理的效果和水平。
Objective To Analyze hotspots and trends in domestic and international research on postoperative analgesia in children based on CiteSpace.Methods The domestic and foreign literatures on postoperative pain and postoperative analgesia in children published from 1975 to 2023 in WOS and CNKI databases were systematically searched,and visual knowledge mapping and bibliometric analysis were performed by CiteSpace,including keyword co-occurrence,clustering and emergence analysis.Results A total of 2229 articles were included(1529 from WOS and 700 from CNKI).The publications showed an increasing trend,with WOS publications predating those from CNKI,and the annual publication volume in WOS was higher than that in CNKI(32.5 articles/year>14.9 articles/year).In the past five years,there has been a gradual differentiation in the number of publications in the CNKI and WOS databases,with a significant increase in research output published in the WOS compared to a gradual decrease in CNKI publications.Research hotspots mainly covered pediatric postoperative analgesia,acute pain,chronic pain,postoperative delirium,risk factors,predictive factors and prevention measures,dexmedetomidine,anxiety,prognosis,quality of life.Conclusion The research on postoperative pain and postoperative analgesia in children at home and abroad has developed rapidly in the past 20 years,and the hotspots of research have gradually expanded from early pharmacological analgesia to multimodal analgesia,nonpharmacological analgesia,and overall health concerns.Future research should focus on the development of novel analgesic drugs,the promotion of non-pharmacological analgesic methods,the evaluation of long-term analgesic effects,and international collaborative research,to further improve the effectiveness and postoperative analgesic management.
作者
涂友兵
王伟涛
胥亮
邢大军
Tu Youbing;Wang Weitao;Xu Liang;Xing Dajun(Department of Anesthesia and Surgery Center,Shenzhen Children's Hospital,Shenzhen City,Guangdong Province 518000,China)
出处
《中华疼痛学杂志》
2025年第1期83-91,共9页
Chinese Journal Of Painology
