近5年慢性意识障碍治疗的可视化分析

doi:10.3969/j.issn.1006-9771.2023.09.010

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (9): 1065-1071.doi: 10.3969/j.issn.1006-9771.2023.09.010

近5年慢性意识障碍治疗的可视化分析

邹瑜聪¹^,², 周静², 林炜明², 李冬霞², 王娟¹^,², 王昱棋¹^,², 王玉龙²()

1.山东中医药大学康复医学院，山东济南市 250355
2.深圳市第二人民医院/深圳大学第一附属医院康复医学科，广东深圳市 518035

收稿日期:2023-06-25 修回日期:2023-08-15 出版日期:2023-09-25 发布日期:2023-10-26
通讯作者: 王玉龙 E-mail:ylwang668@163.com
作者简介:邹瑜聪(1998-)，男，汉族，广东河源市人，硕士研究生，主要研究方向：意识障碍康复。
基金资助:
1.深圳市"三名"工程资助项目(SZSM20211010);2.深圳市科技创新委员会立项项目(JCYJ20210324103409023)

Treatments for prolonged disorder of consciousness in recent five years: a visualized analysis

ZOU Yucong¹^,², ZHOU Jing², LIN Weiming², LI Dongxia², WANG Juan¹^,², WANG Yuqi¹^,², WANG Yulong²()

1. School of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250355, China
2. Department of Rehabilitation, Shenzhen Second People's Hospital/The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong 518035, China

Received:2023-06-25 Revised:2023-08-15 Published:2023-09-25 Online:2023-10-26
Contact: WANG Yulong E-mail:ylwang668@163.com
Supported by:
Shenzhen Sanming Project of Medicine(SZSM20211010);Shenzhen Science and Technology Innovation Commission(JCYJ20210324103409023)

摘要/Abstract

摘要：

目的了解近5年慢性意识障碍(pDOC)治疗的研究现状和研究热点，并预测未来的研究趋势。

方法检索2019年1月1日至2023年6月7日Web of Science核心合集数据库中pDOC治疗的相关文献，采用CiteSpace 5.8.R3软件进行可视化分析，分别绘制作者、国家、机构、关键词、共被引文献、共被引作者的知识图谱。

结果纳入411篇文献。年发文量呈上升趋势，影响力较大的作者为Aurore Thibaut，影响力突出的国家为比利时，发文量最多的机构为哈佛大学医学院。近5年的研究热点为pDOC患者的神经调控、预后评估以及护理和吞咽功能训练；主要使用的神经调控技术为经颅直流电刺激、重复经颅磁刺激、脑深部刺激和经皮耳迷走神经电刺激。未来的研究趋势为pDOC患者的神经调控和意识恢复机制的探索，主要使用的神经调控技术为脑深部刺激和经皮耳迷走神经电刺激。

结论 pDOC治疗的研究呈上升趋势，主要关注pDOC患者的神经调控、预后评估以及护理和吞咽功能训练，未来研究仍将集中于探讨pDOC患者的神经调控和意识恢复机制。

关键词: 慢性意识障碍, 治疗, 神经调控, 护理, 可视化分析

Abstract:

Objective To investigate the current landscape and hotspots on researches about treatment of prolonged disorder of consciousness (pDOC) in the recent five years, and forecast the trends.

Methods Literature about treatment of pDOC was retrieved from the Web of Science Core Collection database, from January 1st, 2019, to June 7th, 2023. The data were analyzed with CiteSpace 5.8.R3 to create knowledge maps for authors, countries, institutions, keywords, references, co-cited authors and co-cited literature.

Results A total of 411 articles were included. Aurore Thibaut was the most influential author, Belgium was the most influential country, and Harvard Medical School was the institution with the most publications. The researches focused on neuromodulation, prognostic assessment and care, and management of swallowing function. The neuromodulation techniques mainly included transcranial direct current stimulation, repetitive transcranial magnetic stimulation, deep brain stimulation and transcutaneous auricular vague nerve stimulation. In the coming years, the researches trended to explore neuromodulation and mechanisms of consciousness recovery, and the main neuromodulation techniques might be deep brain stimulation and transcutaneous auricular vague nerve stimulation.

Conclusion The researches about treatment of pDOC are increasing, mainly focusing on neuromodulation, prognostic evaluation, nursing care, and training for swallowing function. More researches would focus on neuromodulation and mechanisms for restoring consciousness.

Key words: prolonged disorder of consciousness, treatment, neuromodulation, care, visualized analysis

中图分类号:

R741.041

邹瑜聪, 周静, 林炜明, 李冬霞, 王娟, 王昱棋, 王玉龙. 近5年慢性意识障碍治疗的可视化分析[J]. 《中国康复理论与实践》, 2023, 29(9): 1065-1071.

ZOU Yucong, ZHOU Jing, LIN Weiming, LI Dongxia, WANG Juan, WANG Yuqi, WANG Yulong. Treatments for prolonged disorder of consciousness in recent five years: a visualized analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1065-1071.

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参考文献 28

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聚类号	节点数	轮廓值	标签	核心关键词
#0	28	0.852	therapy	rTMS、TMS、neuromodulation、rehabilitation
#1	25	0.941	intensive care	sustaining medical treatment、surrogate decision-making
#2	21	0.780	swallowing or deglutition	inpatient rehabilitation、pain assessment
#3	21	0.795	brain-computer interface	communication、speech therapy、auditory system
#4	20	0.936	unresponsive wakefulness syndrome	stimulantion、tDCS、intranasal administration
#5	19	0.966	neuroethics	covid-19、grief
#6	18	0.892	EEG	prognosis、coherence、HD-tDCS
#7	17	0.854	TBI	sleep scoring、slow waves、perception
#8	15	0.757	imputation	TMS-EEG、clinical prediction modelling、burst technique、 non-responded to auditory stimulation
#9	14	0.940	prolonged disorders of consciousness	covert awareness、guideline、bayesian approach、 amplitude of low-frequency fluctuation
#10	8	0.971	arousal regulation	post-coma、diffusion tractography、basal ganglia、taVNS
#11	8	0.964	iron	zinc、metals、copper
#12	6	0.974	severe acquired brain injuries	genetics、palliative care、severe traumatic brain injury

近5年慢性意识障碍治疗的可视化分析

Treatments for prolonged disorder of consciousness in recent five years: a visualized analysis

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