目的:分析2000~2023年中医疗法治疗神经源性膀胱的研究现状与趋势,为相关研究提供参考。方法:采用国内知网、维普、万方数据库收录的中医疗法治疗神经源性膀胱相关文献,导入VOSviewer1.6.18、CiteSpace6.2.R6、SPSS Modeler 18.0与SPSS ...目的:分析2000~2023年中医疗法治疗神经源性膀胱的研究现状与趋势,为相关研究提供参考。方法:采用国内知网、维普、万方数据库收录的中医疗法治疗神经源性膀胱相关文献,导入VOSviewer1.6.18、CiteSpace6.2.R6、SPSS Modeler 18.0与SPSS Statistics 25软件,对作者、机构、中药、关键词等进行可视化分析。结果:纳入文献670篇,年发文量总体呈上升趋势;主要发表于《中国针灸》(26篇)、《中医临床研究》(20篇)等期刊;核心作者25位,湖南中医药大学是该领域中发文数量最多的单位,达到24篇。频次较高的中药包括茯苓、泽泻、黄芪等。中药关联规则与聚类分析得到六味地黄丸、金匮肾气丸等处方。高频关键词有糖尿病、脊髓损伤、电针等;形成10个聚类。结论:针灸对神经功能的调节作用及对骶上脊髓损伤大鼠的机制研究、中药药理学研究、针药结合机制研究、电刺激结合中医疗法可能是未来的研究热点及趋势。Objective: To analyze the current research status and trends of traditional Chinese medicine therapy for the treatment of neurogenic bladder from 2000 to 2023, and provide reference for related research. Methods: Used literature on traditional Chinese medicine therapy for the treatment of neurogenic bladder collected from domestic databases such as CNKI, VIP, and Wanfang, and imported VOSviewer1.6.18, CiteSpace6.2.R6, SPSS Modeler 18.0, and SPSS Statistics 25 software are used to visually analyze authors, institutions, traditional Chinese medicine, and keywords. Results: 670 articles were included, and the overall annual publication volume showed an upward trend;mainly published in Chinese Acupuncture and Moxibustion (26 articles), Clinical Research of Traditional Chinese Medicine (20 articles) and other journals;there are 25 core authors, and Hunan University of Traditional Chinese Medicine is the unit with the highest number of publications in this field, reaching 24 articles. Traditional Chinese medicines with higher frequency include Poria cocos, Zexie, Huangqi, etc. Traditional Chinese medicine association rules and cluster analysis were used to obtain prescriptions such as Liu Wei Di Huang Wan and Jin Kui Shen Qi Wan. High frequency keywords include diabetes, spinal cord injury, electroacupuncture, etc.;Form 10 clusters. Conclusion: The research on the regulation of acupuncture and moxibustion on neural function and the mechanism of suprasacral spinal cord injury in rats, the pharmacology of traditional Chinese medicine, the mechanism of combination of acupuncture and medicine, and the combination of electric stimulation and traditional Chinese medicine therapy may be the future research hotspot and trend.展开更多
目的:系统评价宫腹腔镜术结合中医疗法对输卵管阻塞性不孕症的临床疗效。方法:计算机检索中国生物医学文献数据库、中国知网、维普数据库、万方数据库、Pub Med、Embase、Web of Science、Cochrane Library等中英文数据库及中国临床试...目的:系统评价宫腹腔镜术结合中医疗法对输卵管阻塞性不孕症的临床疗效。方法:计算机检索中国生物医学文献数据库、中国知网、维普数据库、万方数据库、Pub Med、Embase、Web of Science、Cochrane Library等中英文数据库及中国临床试验注册中心和Clinical Trials。经过文献筛选临床随机对照试验(Randomized Controlled Trial,RCT)并进行治疗评价后提取有效数据,基于Rev Man 5.3软件进行Meta分析。结果:29篇文献被纳入,共计2588例患者。Meta分析结果表明,宫腹腔镜术结合中医疗法组与宫腹腔镜术组的宫内妊娠率的比较,差异有统计学意义[相对危险度(RR)95%置信区间(CI)=1.77(1.63,1.92),P<0.001];两组输卵管通畅率比较,差异有统计学意义[RR(95%CI)=1.38(1.20,1.58),P<0.001];两组总有效率相比,差异显著[RR(95%CI)=1.25(1.18,1.33),P<0.001];两组异位妊娠率相比,亦具有显著性差异[RR(95%CI)=0.51(0.35,0.75),P<0.001]。在中医外治亚组、中医内治亚组、中医内外疗法治疗亚组,两组输卵管通畅率的比较,在统计学上均表现有显著性差异:[RR=1.62(1.16,2.27),P<0.01],[RR=1.24(1.06,1.44),P<0.01],[RR=1.59(1.13,2.23),P<0.01]。所有纳入文献中仅有1篇对患者医治过程的不良反应进行了描述。结论:与宫腹腔镜术治疗相比,宫腹腔镜术结合中医疗法可以提高输卵管阻塞性不孕症患者在治疗后的宫内妊娠率、输卵管通畅率及总有效率,降低异位妊娠率,不良反应较少,有效性和安全性较高。展开更多
文摘目的:分析2000~2023年中医疗法治疗神经源性膀胱的研究现状与趋势,为相关研究提供参考。方法:采用国内知网、维普、万方数据库收录的中医疗法治疗神经源性膀胱相关文献,导入VOSviewer1.6.18、CiteSpace6.2.R6、SPSS Modeler 18.0与SPSS Statistics 25软件,对作者、机构、中药、关键词等进行可视化分析。结果:纳入文献670篇,年发文量总体呈上升趋势;主要发表于《中国针灸》(26篇)、《中医临床研究》(20篇)等期刊;核心作者25位,湖南中医药大学是该领域中发文数量最多的单位,达到24篇。频次较高的中药包括茯苓、泽泻、黄芪等。中药关联规则与聚类分析得到六味地黄丸、金匮肾气丸等处方。高频关键词有糖尿病、脊髓损伤、电针等;形成10个聚类。结论:针灸对神经功能的调节作用及对骶上脊髓损伤大鼠的机制研究、中药药理学研究、针药结合机制研究、电刺激结合中医疗法可能是未来的研究热点及趋势。Objective: To analyze the current research status and trends of traditional Chinese medicine therapy for the treatment of neurogenic bladder from 2000 to 2023, and provide reference for related research. Methods: Used literature on traditional Chinese medicine therapy for the treatment of neurogenic bladder collected from domestic databases such as CNKI, VIP, and Wanfang, and imported VOSviewer1.6.18, CiteSpace6.2.R6, SPSS Modeler 18.0, and SPSS Statistics 25 software are used to visually analyze authors, institutions, traditional Chinese medicine, and keywords. Results: 670 articles were included, and the overall annual publication volume showed an upward trend;mainly published in Chinese Acupuncture and Moxibustion (26 articles), Clinical Research of Traditional Chinese Medicine (20 articles) and other journals;there are 25 core authors, and Hunan University of Traditional Chinese Medicine is the unit with the highest number of publications in this field, reaching 24 articles. Traditional Chinese medicines with higher frequency include Poria cocos, Zexie, Huangqi, etc. Traditional Chinese medicine association rules and cluster analysis were used to obtain prescriptions such as Liu Wei Di Huang Wan and Jin Kui Shen Qi Wan. High frequency keywords include diabetes, spinal cord injury, electroacupuncture, etc.;Form 10 clusters. Conclusion: The research on the regulation of acupuncture and moxibustion on neural function and the mechanism of suprasacral spinal cord injury in rats, the pharmacology of traditional Chinese medicine, the mechanism of combination of acupuncture and medicine, and the combination of electric stimulation and traditional Chinese medicine therapy may be the future research hotspot and trend.
文摘目的:系统评价宫腹腔镜术结合中医疗法对输卵管阻塞性不孕症的临床疗效。方法:计算机检索中国生物医学文献数据库、中国知网、维普数据库、万方数据库、Pub Med、Embase、Web of Science、Cochrane Library等中英文数据库及中国临床试验注册中心和Clinical Trials。经过文献筛选临床随机对照试验(Randomized Controlled Trial,RCT)并进行治疗评价后提取有效数据,基于Rev Man 5.3软件进行Meta分析。结果:29篇文献被纳入,共计2588例患者。Meta分析结果表明,宫腹腔镜术结合中医疗法组与宫腹腔镜术组的宫内妊娠率的比较,差异有统计学意义[相对危险度(RR)95%置信区间(CI)=1.77(1.63,1.92),P<0.001];两组输卵管通畅率比较,差异有统计学意义[RR(95%CI)=1.38(1.20,1.58),P<0.001];两组总有效率相比,差异显著[RR(95%CI)=1.25(1.18,1.33),P<0.001];两组异位妊娠率相比,亦具有显著性差异[RR(95%CI)=0.51(0.35,0.75),P<0.001]。在中医外治亚组、中医内治亚组、中医内外疗法治疗亚组,两组输卵管通畅率的比较,在统计学上均表现有显著性差异:[RR=1.62(1.16,2.27),P<0.01],[RR=1.24(1.06,1.44),P<0.01],[RR=1.59(1.13,2.23),P<0.01]。所有纳入文献中仅有1篇对患者医治过程的不良反应进行了描述。结论:与宫腹腔镜术治疗相比,宫腹腔镜术结合中医疗法可以提高输卵管阻塞性不孕症患者在治疗后的宫内妊娠率、输卵管通畅率及总有效率,降低异位妊娠率,不良反应较少,有效性和安全性较高。
