中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (21): 3967-3974.doi: 10.3969/j.issn.1673-8225.2012.21.037

• 生物材料学术探讨 biomaterial academic discussion • 上一篇    下一篇

鼻出血的止血材料学研究

刘丽英，遆新院   

  1. 临汾职业技术学院耳鼻咽喉科，山西省临汾市   041000
  • 收稿日期:2012-04-19 修回日期:2012-04-30 出版日期:2012-05-20 发布日期:2012-05-20
  • 作者简介:刘丽英，女，1968年生，山西省临汾市人，汉族，1992年山西医科大学毕业，讲师，主要从事耳鼻咽喉科疾病的研究。lly_1111@qq.com

Hemostatic materials for epistaxis 

Liu Li-ying, Ti Xin-yuan   

  1. Department of Otolaryngology, Linfen Vocational and Technical College, Linfen  041000, Shanxi Province, China
  • Received:2012-04-19 Revised:2012-04-30 Online:2012-05-20 Published:2012-05-20
  • About author:Liu Li-ying, Lecturer, Department of Otolaryngology, Linfen Vocational and Technical College, Linfen 041000, Shanxi Province, China lly_1111@qq.com

PDF

337

被引次数

11

摘要：

背景：鼻腔栓塞是治疗鼻出血和鼻窦术后粘连或再狭窄的主要方法，目前应用的鼻腔栓塞材料很多，哪种材料更适合鼻腔栓塞，根据患者病情如何选择栓塞材料，如何有效止血并减轻对鼻腔造成的不利影响，加快伤口愈合，是鼻腔止血材料研究需要解决的难题。
目的：利用CNKI数据库文献检索和深度分析功能，对鼻出血的止血材料学研究的文献资料趋势进行多层次探讨分析。
设计：文献计量学分析。
资料提取：以电子检索方式对CNKI数据库2002-01/2011-12有关鼻出血的止血材料学研究的文献进行分析，采用检索词为“止血材料(hemostatic materials)；鼻出血(epistaxis)”，对检索的相关文献运用数据库中自带的分析功能和Excel软件绘制图表的功能进行分析，通过文字和图表的形式将统计和计量数据分析，描述其分布特征。
入选标准：纳入标准：①与止血材料相关的基础研究论文。②与止血材料临床应用相关的论文。③与鼻出血相关的基础和临床研究论文。排除标准：①与文章目的无关的文献。②重复研究的文献。③刊社信息。④未发表的文章。⑤需电话追踪和手工检索逐一分析的文章。⑥年鉴。⑦护理内容的文献。
主要数据判定指标：以CNKI数据库学术期刊文献出版时间、文献数量、学科类别、来源期刊、出版机构、文献被引频次、文献下载频次、关联文献和主要关键词进行相关分析。并对CNKI数据库中优秀硕士学位论文、重要会议论文进行分析，鼻出血止血材料学研究文献的病例进行分析。
结果：在CNKI数据库学术期刊收录2002/2011的文献中，共检索到88篇与鼻出血的止血材料学研究相关文献。文献数量产出趋于平稳上升趋势，最多的时间在2008年共13篇；《中国耳鼻咽喉头颈外科》杂志发表文献量较多为7篇，占全部文献的8.0%；鼻出血止血材料学研究主要关键词为鼻腔填塞、鼻出血、止血材料，从止血材料的应用看，与鼻内镜相关研究的使用最多，从止血材料的选择看，以藻酸钙敷料和高膨胀止血材料的研究为主。
结论：通过文献计量学方法对CNKI数据库学术期刊关于鼻出血的止血材料文献进行分析，结果可见鼻腔填塞止血材料各具特点，应该根据患者鼻腔病情选择不同生物学特性的止血材料，为从事鼻腔填塞止血材料学基础研究和临床应用的医务工作者提供参考。

关键词: 藻酸钙敷料, 高膨胀材料, 止血材料, 鼻出血, 鼻内镜, 文献计量

Abstract:

BACKGROUND: Nasal embolism is the main method for the treatment of epistaxis and adhesions or restenosis after sinus surgery. Currently, many kinds of nasal embolic materials are utilized in treating epistaxis. What kind of material is more suitable for nasal embolism, how to choose the embolic material based on the patient's condition, how to stop the bleeding effectively and to reduce the negative impact to the nasal cavity, and how to accelerate wound healing are problems needed to be solved in nasal hemostatic materials research.
OBJECTIVE: Using CNKI database literature search and the depth of analysis capabilities, to explore the literature data trends in the study of hemostatic materials for epistaxis.
DESIGN: Bibliometric data analysis.
DATA RETRIEVAL: A search of related literature of of epistaxis research was performed in CNKI database using the key words of “hemostatic materials” and “epistaxis”, during 2002-01 to 2011-12. Own database analysis capabilities and Excel charting functions were used to retrieve literature analysis; through the form of text and charts, the data were analyzed to describe its distribution characteristics.
SELECTION CRITERIA: Inclusive criteria: ①Basic research papers related to hemostatic materials. ②Papers related to the clinical application of hemostatic materials. ③Basic and clinical research papers to epistaxis. Exclusive criteria: ①Literature has nothing to do with the purpose of this review. ②Duplication of research literature. ③Journal's own information. ④Unpublished papers. ⑤The article need telephone follow up to analyze and manual searches. ⑥Year book. ⑦The literature of nursing content.
MAIN OUTCOME MEASUREMENTS: The literatures were analyzed by academic journal articles published year, literature number, subject category, source journals, publication institutions, literature citations, literature download frequency, associated literature, distribution of the author, distribution of the Funds and major keywords. The outstanding master's degree papers, conference papers, and cases of epistaxis hemostatic materials research literature were also analyzed.
RESULTS: A total of 88 research literatures related to hemostatic materials of epistaxis were retrieved in CNKI during 2002-2011. The number of papers was gradually increased. Most literatures were published in 2008 (n=13). Chinese Archives Otolaryngology-Head and Neck Surgery published seven papers, accounting for 8.0% of all papers. The frequently used key words in hemostatic materials for epistaxis research are “nasal packing”, “epistaxis” and “hemostatic materials”. From the application of hemostatic material, the use of hemostatic materials in nasal endoscopy is the most. From the choice of hemostatic materials, mainly researches are based on calcium alginate dressings and high expansion hemostatic materials.
CONCLUSION: Through the bibliometric data analysis on hemostatic materials for epistaxis in CNKI database, we can find that nasal packing hemostatic materials have different characteristics. The selection of hemostatic materials for treating epistaxis should be based on the patients’ conditions. This study can provide valuable reference for Chinese medical workers in hemostatic materials of epistaxis science.

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