[关键词]
[摘要]
【目的】 运用文献计量学方法探讨手法治疗颈性眩晕的临床应用及其疗效机制研究概况。【方法】 以“颈性眩晕”“颈源 性眩晕”“手法”“推拿”为检索词,检索中国知网、维普、万方三大数据库从各库建库至2023年12月31日有关手法治疗颈 性眩晕及疗效机制的文献,对获取文献进行筛选、分类和归纳,并对纳入文献的年代分布、文献类型与研究类型、治疗方 法、基础研究特征等进行统计分析。【结果】 近30年国内共发表了1 412篇手法治疗颈性眩晕且有效的相关文献,文献数量在 2013年以前整体呈上升趋势,2013年后逐渐下降。纳入的1 412篇文献以期刊论文为主(1 231篇,87.18%),其中临床研究 文献最多(1 202篇,85.13%),基础研究较少(48篇,3.40%)。1 202篇采用手法治疗颈性眩晕的临床研究文献中,仅357篇 临床研究文献明确提到具体的手法名称,这些手法种类或命名繁多,共有155种。1 202篇临床研究中,单纯以手法治疗颈 性眩晕的研究仅占34.44%,其余临床研究均为联合治疗,其中以手法+针灸/电针治疗最为常见(25.37%)。48篇基础研究中, 其研究方向以生物力学研究最多(38篇,79.17%)。【结论】 手法在近30年来被广泛运用于颈性眩晕治疗中。目前关于手法治 疗颈性眩晕的临床研究质量不高,手法种类繁多,缺乏客观标准;其基础研究的研究方向单一,缺乏质与量的突破。未来 应对治疗颈性眩晕的手法命名进行审议,建立明确的命名原则和标准;应提高临床研究的质量等级,重视其基础研究,为 手法治疗颈性眩晕提供更加可靠的理论与实验依据,从而促进手法治疗颈性眩晕的临床应用与推广。
[Key word]
[Abstract]
Objective To explore the clinical application of manipulations in treating cervical vertigo and the status of research on its therapeutic mechanism with bibliometric methods. Methods Using “cervical vertigo”,“cervicogenic dizziness”,“manipulations”and“tuina”as the key words,the literatures on clinical application of manipulations in treating cervical vertigo and its therapeutic mechanism were retrieved from the databases of China National Knowledge Infrastructure(CNKI), China Science and Technology Journal Database(VIP)and Wanfang Data Knowledge Service Platform,and the retrieval time was set from the establishment of each database to December 31,2023. The relevant literature obtained from the databases was screened,classified and summarized,and then statistical analysis was performed in terms of the chronological distribution,literature types and research types, therapies,and characteristics of the basic researches of the included literature. Results A total of 1 412 articles about manipulations in treating cervical vertigo and with postive outcomes have been issued in China in the recent 30 years. The quantity of literature showed an overall increasing trend before 2013,and then gradually decreased after 2013. Of the 1 412 articles,1 231(87.18%)were issued by the journals,1 202(85.13%)articles were about clinical research,while only 48(3.40%)articles were about basic research. Of the 1 202 articles about clinical research, only 357 articles mentioned the name of manipulations in details definitely, which accounted for 155 types in a variety of types or names. Of the 1 202 articles about clinical research,34.44% of them were about therapy of manipulations alone for the treatment cervical vertigo,and the other clinical research were all about combined therapies,the combined therapy of manipulations plus acupuncture-moxibustion / electro-acupuncture being the most common(25.37%). Of the 48 articles about basic research,research on biomechanics was most commonly seen(38 articles,79.17%). Conclusion Manipulation therapy has been widely used for the treatment of cervical vertigo in the recent 30 years. At present, the quality of clinical research on the treatment of cervical vertigo by manipulation therapy is not high,the manipulation techniques were in a wide variety,and the research lacks of objective criterions. The research direction for basic studies is single,and breakthroughs are needed in the quality and quantity of basic research. In the future research, the naming of manipulations for cervical vertigo should be considered,and the explicit naming principles and criterions should be established;the quality level of clinical studies should be improved and the basic research should be emphasized,so as to provide more reliable theoretical and experimental evidences for manipulations in treating cervical vertigo, and promote its clinical application.
[中图分类号]
R244.1
[基金项目]
深圳市科技计划基础研究面上项目(编号:JCYJ20210324111613037);广东省基础与应用基础研究基金区域联合青年基金项目 (编号:2020A1515111191)