目的基于CiteSpace软件和中国知网(CNKI)数据库、中国社会科学引文索引数据库(CSSCI)和Web of Science(WoS)对围术期针刺领域2012—2021年的研究状况和趋势进行可视化分析。方法以针刺和围术期相关检索词对CNKI、CSSCI、WoS收录的中英...目的基于CiteSpace软件和中国知网(CNKI)数据库、中国社会科学引文索引数据库(CSSCI)和Web of Science(WoS)对围术期针刺领域2012—2021年的研究状况和趋势进行可视化分析。方法以针刺和围术期相关检索词对CNKI、CSSCI、WoS收录的中英文文献分别进行检索,检索范围为2012年1月1日至2021年12月31日发表的文献。采用CiteSpace 5.7.R5进行文献计量学分析,包括人员和机构发文情况、人员和机构共现情况、关键词热度、突现度及时间线图。结果共纳入1607篇中文文献和1201篇英文文献。整体发文数量随年度有一定波动,2019年度发文数量最多。中英文发文数量最多的作者分别为上海中医药大学附属曙光医院的沈卫东(32篇)和韩国的Inhyuk Ha(19篇),最多的机构为上海中医药大学附属曙光医院(66篇)和上海中医药大学(43篇)。出现频次最高的关键词为“针刺”和“经皮穴位电刺激”等技术,以及“针刺镇痛”和“术后恶心呕吐”等适应证。代表研究趋势的关键词为“脑功能网络”、“加速康复外科”、“睡眠质量”和“老年”。结论针刺减少术后并发症、改善患者术后转归是围术期针刺持续关注的领域,老年患者、脑功能和加速康复外科是未来应重点关注的研究方向。展开更多
病史摘要:气道痉挛和低氧血症是小儿气道异物取出术常见的并发症,本病例报道一例3岁的支气管异物小儿患者行硬质支气管镜后发生气道痉挛和低氧血症,后改为可弯曲支气管镜诊疗的病例。症状体征:其家属代诉患儿食入腰果后当即出现剧烈咳嗽...病史摘要:气道痉挛和低氧血症是小儿气道异物取出术常见的并发症,本病例报道一例3岁的支气管异物小儿患者行硬质支气管镜后发生气道痉挛和低氧血症,后改为可弯曲支气管镜诊疗的病例。症状体征:其家属代诉患儿食入腰果后当即出现剧烈咳嗽,伴憋气,后出现呕吐3次,呕吐物为胃内容物,家属当即行“海姆立克急救法”,未见有异物咳出,持续约40分钟后憋气缓解,后间断咳嗽1 d,无咳痰,无憋喘等症状。诊断方法:胸部CT显示右侧叶支气管分叉处异物,大小约1.0*0.9 cm,右肺阻塞性肺气肿,余气管支气管未见明确异常,诊断为支气管异物、肺气肿(右)。治疗方法:支气管镜异物取出术。临床转归:异物取出后,患儿气管官腔通畅。术后抗感染等对症治疗且无气道痉挛和低氧血症发作,患者预后良好。Medical history abstract: Airway spasm and hypoxemia are common complications of airway foreign body removal in children. This case reports a 3-year-old child with bronchial foreign body who developed airway spasm and hypoxemia after rigid bronchoscopy, and was treated by flexible bronchoscopy. Symptoms and signs: The family members complained that the child had severe cough immediately after eating casheosa, accompanied by shortness of breath, and then had vomiting for 3 times, and the vomit was stomach contents. The family members immediately performed the “Heimlich first aid” method, and no foreign body was coughed out. After about 40 minutes, the breath was relieved, and then the child coughed intermittently for 1 day, without expectoration or choking. Chest CT showed a foreign body (1.0*0.9 cm) at the bifurcation of the right bronchus, with obstructive emphysema in the right lung, and no clear abnormalities in the rest of the tracheobronchus. The diagnosis was bronchial foreign body and emphysema (right). The treatment was bronchoscopic foreign body removal. Clinical outcome: The tracheal lumen was patent after removal of the foreign body through bronchoscopy. Postoperative anti-infection and other symptomatic treatment without airway spasm and hypoxemia attack, the patient has a good prognosis.展开更多
文摘目的基于CiteSpace软件和中国知网(CNKI)数据库、中国社会科学引文索引数据库(CSSCI)和Web of Science(WoS)对围术期针刺领域2012—2021年的研究状况和趋势进行可视化分析。方法以针刺和围术期相关检索词对CNKI、CSSCI、WoS收录的中英文文献分别进行检索,检索范围为2012年1月1日至2021年12月31日发表的文献。采用CiteSpace 5.7.R5进行文献计量学分析,包括人员和机构发文情况、人员和机构共现情况、关键词热度、突现度及时间线图。结果共纳入1607篇中文文献和1201篇英文文献。整体发文数量随年度有一定波动,2019年度发文数量最多。中英文发文数量最多的作者分别为上海中医药大学附属曙光医院的沈卫东(32篇)和韩国的Inhyuk Ha(19篇),最多的机构为上海中医药大学附属曙光医院(66篇)和上海中医药大学(43篇)。出现频次最高的关键词为“针刺”和“经皮穴位电刺激”等技术,以及“针刺镇痛”和“术后恶心呕吐”等适应证。代表研究趋势的关键词为“脑功能网络”、“加速康复外科”、“睡眠质量”和“老年”。结论针刺减少术后并发症、改善患者术后转归是围术期针刺持续关注的领域,老年患者、脑功能和加速康复外科是未来应重点关注的研究方向。
文摘病史摘要:气道痉挛和低氧血症是小儿气道异物取出术常见的并发症,本病例报道一例3岁的支气管异物小儿患者行硬质支气管镜后发生气道痉挛和低氧血症,后改为可弯曲支气管镜诊疗的病例。症状体征:其家属代诉患儿食入腰果后当即出现剧烈咳嗽,伴憋气,后出现呕吐3次,呕吐物为胃内容物,家属当即行“海姆立克急救法”,未见有异物咳出,持续约40分钟后憋气缓解,后间断咳嗽1 d,无咳痰,无憋喘等症状。诊断方法:胸部CT显示右侧叶支气管分叉处异物,大小约1.0*0.9 cm,右肺阻塞性肺气肿,余气管支气管未见明确异常,诊断为支气管异物、肺气肿(右)。治疗方法:支气管镜异物取出术。临床转归:异物取出后,患儿气管官腔通畅。术后抗感染等对症治疗且无气道痉挛和低氧血症发作,患者预后良好。Medical history abstract: Airway spasm and hypoxemia are common complications of airway foreign body removal in children. This case reports a 3-year-old child with bronchial foreign body who developed airway spasm and hypoxemia after rigid bronchoscopy, and was treated by flexible bronchoscopy. Symptoms and signs: The family members complained that the child had severe cough immediately after eating casheosa, accompanied by shortness of breath, and then had vomiting for 3 times, and the vomit was stomach contents. The family members immediately performed the “Heimlich first aid” method, and no foreign body was coughed out. After about 40 minutes, the breath was relieved, and then the child coughed intermittently for 1 day, without expectoration or choking. Chest CT showed a foreign body (1.0*0.9 cm) at the bifurcation of the right bronchus, with obstructive emphysema in the right lung, and no clear abnormalities in the rest of the tracheobronchus. The diagnosis was bronchial foreign body and emphysema (right). The treatment was bronchoscopic foreign body removal. Clinical outcome: The tracheal lumen was patent after removal of the foreign body through bronchoscopy. Postoperative anti-infection and other symptomatic treatment without airway spasm and hypoxemia attack, the patient has a good prognosis.
