Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (11): 1749-1755.doi: 10.12307/2024.238
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Gong Xuan, Wang Qian, Lin Junbin
Received:
2023-02-18
Accepted:
2023-04-08
Online:
2024-04-18
Published:
2023-07-27
Contact:
Lin Junbin, PhD, Attending physician, Department of Neurological Rehabilitation, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China
About author:
Gong Xuan, Physiotherapist, Department of Neurological Rehabilitation, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China
CLC Number:
Gong Xuan, Wang Qian, Lin Junbin. Visual analysis of extracorporeal shock wave therapy for pain[J]. Chinese Journal of Tissue Engineering Research, 2024, 28(11): 1749-1755.
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2.1 年度发文量趋势 将来源于WOS核心合集数据库中及CNKI数据库中的文献数据进行年发文量统计,且运用GraphPad Prism 8软件将统计结果数据绘制成折线图,直观明了地显示该学科领域的研究历程。图2是两个数据库年发文总体趋势图。在WOS核心合集数据库中发文量总体呈上升趋势,且年度发文量与年份有显著相关性(R2=0.805 5,P < 0.01),2020年该领域研究发文量达到顶峰141篇,此后数量有所下降。在CNKI数据库中发文量总体也是稳步增加,且年度发文量与年份有显著相关性(R2=0.900 7,P < 0.01),2019年出现大幅下降,2020年增加至顶峰155篇,而后出现略微下降趋势。总体而言,国内外发文量趋势类似,2010年前增长趋势较为缓慢,2010年后快速增长,2019年后出现波动。"
2.3 机构合作可视化 以机构为节点,对来源WOS数据库中文献数据进行可视化分析,得到529个节点、473条连线,国际发文频次排名前5位的机构见图4及表2。结果显示,中国台湾长庚大学位居首位(17篇),其次为开罗大学(13篇),萨勒诺大学、第二军医大学及俄勒冈健康与科学大学并列第三(11篇),提示中国在该领域发文量占有一席之地。但各机构中心性较低,说明各机构合作程度不够,需进一步加深合作。以机构为节点,对来源CNKI数据库中文献数据进行可视化分析,得到442个节点、116条连线,发文量前5位的机见图5和表3。结果显示,四川省眉山市中医医院骨科及广西中医药大学在该领域研究与发展作出重大贡献,但跨机构学术交流不明显。"
2.4 作者合作可视化分析 以作者为节点,对来源WOS数据库中文献数据进行可视化分析,得到627个节点,890条连线,发文频次> 10次的作者有6位,发文频次前5作者见图6和表4。结果显示,萨勒诺大学的Maffulli N发文量最高(14篇),第二军医大学的LI Z和德国美因茨大学的ROMPE J并列第二且发表了12篇,第二军医大学的CHEN H和长庚大学的CHEN Y并列第三且发表了11篇。未见中心性显著的作者。发文作者整体联系密切,形成一定的团队合作,少数为独立分散的节点。针对中文文献,得到542个节点、500条连线,发文频次> 10次的作者有5位,发文量前5位的作者见图7和表4。在中国该领域所有研究学者当中,广西中医大学的付小鹏发文频次最高,与万通、何炳坤和叶伟权均有合作关系,说明付小鹏是当前国内在ESWT治疗疼痛方面影响力较高的专家。解放军总医院第三医学中心邢更彦发文量排第4名,形成另一合作团队。虽然各高产作者团队间彼此存在一定的合作,但目前还缺乏高中心性的作者,中心性都为零,以疏散团队为主。"
2.5 关键词可视化分析 以关键词为节点,对来源WOS数据库中文献数据进行可视化分析,得到510个节点,1 000条连线。除去与检索策略相关的关键词外,高频次及高中心性前5的关键词见图8和表5,高频关键词前5分别为:管理、双盲、有效性、足底筋膜炎、治疗,高中心性关键词前5分别为:随访、治疗、钙化性肌腱炎、足底筋膜炎、结石。具有较高中心度和频率的关键词代表了该段时间内的研究热点。根据关键词内涵和特征,将关键词归2类,分别为:①疾病:足底筋膜炎、钙化性肌腱炎、结石;②疗效观察:管理、治疗、有效性、随访、双盲。从分类中可以看出,当下国外研究主要集中于ESWT对肌骨疾病如筋膜炎、肌腱炎等的治疗效果,是目前研究的热点。"
采用经典的对数似然比(Log-likelihood rate, LLR)算法,共形成10个聚类,其Q值为0.767,S值为0.904 2,表明聚类效果良好。如图10所示,通过对关键词聚类分析发现,#0至#10分别是聚类标签分别是慢性胰腺炎(chronic pancreatitis)、体外冲击波碎石(extracorporeal shock wave lithotripsy)、体外冲击波(extracorporeal shock wave therapy)、足底筋膜炎(plantar fasciitis)、皮质类固醇注射(corticosteroid injection)、肌筋膜触发点(myofascial trigger points)、外侧髁突(lateral eplcondylltls)、慢性骨盆疼痛综合征(chronic pelvic pain syndrome)、髌腱病(patellar tendinopathy)、髋关节发育不良(hip dysplasia)、硝苯地平(nifedipine)。除ESWT及疼痛关键词此外,聚类词主要关注二大类别。第一类是以慢性胰腺炎、足底筋膜炎、慢性骨盆疼痛综合征、髌腱病、髋关节发育不良等为主要聚类词的ESWT治疗疾病种类;第二类是以体外冲击波碎石、皮质类固醇注射、外侧髁突、肌筋膜触发点、硝苯地平等为主要聚类词的治疗技术。这说明,该领域研究主要关注除了ESWT及疼痛主题外,也关注其引起疼痛的疾病类型及其相关治疗技术。"
关键词时间线图侧重于从时间维度上来显示研究热点的整体演进情况,同时能够清晰地展示各研究热点关键词之间的联系,动态反映该领域研究热点和前沿信息的变化趋势。如图11所示,在2019-2022年出现的“输尿管结石(uretaral calculus)、富血小板血浆(platelet-rich plasma)、膝关节炎(knee osteoarthriti)、骨盆疼痛综合征(pelvic pain syndrome)、有效性(validity)、关节炎(arthriti)、勃起功能(erectile function)、中轴型脊柱关节炎(axial spondyloarthrid)、对乙酰氨基酚(acetaminophen)、3D打印(3D printer)”等成为新词汇,表明探讨ESWT与其他治疗如富血小板血浆、3D打印技术以及对乙酰氨基酚等联合或对比治疗作用是近3年最新研究的热点,疾病方面输尿管结石、膝关节炎、骨盆疼痛综合征、勃起功能及中轴型脊柱关节炎是最新研究热点,这点关键词也为未来研究方向有一定提示作用。"
2.6 文献共被引分析 以被引文献为节点,对来源WOS核心合集数据库中文献数据进行文献共被引网络分析,共得到个812节点,1 985条连线的图谱。关键被引文献见图16,被引用频次及中心度排名前5位的文献分别见表7,8。高被引文献往往代表了该领域的学科知识基础。高被引文献及高中心性文献主要探讨了ESWT对肌肉骨骼疾病的疗效观察及深入研究其抗炎机制。其中?GDEN等[12]的《Shock wave therapy for chronic proximal plantar fasciitis》被引频次达16次,该研究证明了ESWT治疗足底筋膜炎引起足跟疼痛的安全性及有效性。ALBERT等[13]的《High-energy extracorporeal shock-wave therapy for calcifying tendinitis of the rotator cuff: a randomised trial》中心性位居首位(0.32),其发现高能量ESWT能显著缓解肩袖钙化性肌腱炎的疼痛、改善日常生活能力及提高生活质量。"
2.7 期刊共被引分析 以被引期刊为节点,对来源WOS核心合集数据库中文献数据进行期刊共被引网络分析,被引用频次及中心度排名前5位的期刊见表9。被引频次最高的期刊为《CLIN ORTHOP RELAT RES》(206篇),属于医学2区,影响因子(Impact Factor,IF)为4.755。中心性最高的期刊为《ULTRASOUND MED BIOL》,属于医学3区文章,IF 3.694。被引期刊中影响因子最高的期刊为《NEW ENGL J MED》(IF 176.079)。综合被引期刊多数为骨科类,说明ESWT在肌骨方面应用较为广泛。而中心性最高期刊为声学和核医学,可能因为ESWT的应用起源于泌尿结石。"
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