Chinese Journal of Tissue Engineering Research
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Zhang Fan1, Lao Xue-jun2, Jiang Jian-wei3, Cao Ming-rong2
Received:
2013-04-18
Revised:
2013-06-13
Online:
2013-07-30
Published:
2013-07-30
Contact:
Lao Xue-jun, Associate chief physician, Second Department of General Surgery, First Affiliated Hospital of Jinan University, Guangzhou 510630, Guangdong Province, China Foxlxj2k@126.com
About author:
Zhang Fan★, Master, Attending Physician, First Department of General Surgery, Fifth Affiliated Hospital of Guangzhou Medical College, Guangzhou 510700, Guangdong Province, China
CLC Number:
Zhang Fan, Lao Xue-jun, Jiang Jian-wei, Cao Ming-rong. The top cited articles on bioartificial liver in Web of Science [J]. Chinese Journal of Tissue Engineering Research, doi: 10.3969/j.issn.2095-4344.2013.31.023.
2.1 SCI数据库1899至2012年收录人工肝研究高被引文章分析 2.1.1 SCI数据库1899至2012年收录人工肝研究高被引文章的研究领域 SCI数据库1899至2012年共收录4 144篇人工肝研究文献,其中包括3 182篇研究原著,962篇综述,会议论文,勘误等类型稿件。其中,2 814篇文章被引用次数大于1次,78篇文章被引超过100次。通过阅读摘要和全文,共有33篇文献纳入本文分析,其中,11篇稿件与肝细胞培养相关[16-26],7篇稿件关于人工肝装置安全性的动物实验[27-33],5篇为生物型人工肝治疗肝衰竭的研究[34-38],4篇为人工肝分子吸附再循环系统研究[39-42],6篇其他研究[43-48]。 2.1.2 SCI数据库1899至2012年收录人工肝研究高被引文章的前5位国家分析 从文献总量的国家分布来看,33篇人工肝研究高被引文章来自11个国家,其中,美国的研究文献篇数最多,为24篇,占总文献量的70.59%,说明美国在人工肝研究中占据领先地位;德国以6篇文献位居第2位,占总文献量的17.65%;日本,荷兰及英国各发表了3篇高被引的文章,位居第3位。 2.1.3 SCI数据库1899至2012年收录人工肝研究高被引文章的来源机构 见表1。"
大多数作者通过描述临床和生化指标、肝移植过渡期、存活率和不良反应事件,用来评估人工肝的治疗效果。一般来说,上述指标均有不同程度改善,包括转氨酶、血氨、总胆红素、凝血酶原时间、颅内压和脑灌注压。其中肝移植过渡期从3 h到8 d不等。需要注意的是,2项随机对照试验结果并不那么乐观。Ellis等[35]报道了生物人工肝联合原位肝移植治疗组与单纯原位肝移植手术组在生存期方面统计并无明显差异。Demetriou等[36]报道了在使用HepatAssist系统治疗的患者中,只有对因过量摄入对乙酰氨基酚引起急性肝衰竭这一亚组的患者,他们的生存率才有明显改善。另外,4篇文章均报道生物人工肝系统发生了不良反应,其中暂时性低血压最为常见。人工肝治疗效果,见表6。"
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