nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2023, 01, v.42;No.423 101-107
帕金森病中医药研究的现状与趋势分析
基金项目(Foundation): 中医药古籍文献和特色技术传承专项(编号:GZYKJS-2020-029)
邮箱(Email):
DOI: 10.16295/j.cnki.0257-358x.2023.01.020
投稿时间: 2022-01-28
投稿日期(年): 2022
终审时间: 2022-03-07
终审日期(年): 2022
审稿周期(年): 1
移动端阅读
摘要:

目的:了解中医药领域关于帕金森病的研究现状,分析研究热点与趋势。方法:检索中国知网、万方数据知识服务平台、维普数据库近20年中医药领域帕金森病研究的相关文献,通过CiteSpace 5.8.R1软件进行可视化分析,构建作者、机构、关键词共现的知识图谱,并对关键词进行聚类分析与突现分析。结果:共纳入文献2301篇,结果显示帕金森病中医药研究的文献数量总体呈逐年增长趋势,其中发文量前3位的是上海中医药大学的何建成团队与刘毅团队、广东省中医院的雒晓东团队;发文量前3位的机构是解放军总医院、上海中医药大学、上海中医药大学附属岳阳中西医结合医院;中心性较强的关键词有中西医结合、临床研究、左旋多巴、多巴胺能神经元、多巴丝肼片、针灸疗法等;近5年突现的关键词有针药结合、肝肾阴虚、临床经验、非运动症状、α-突触核蛋白及帕金森抑郁;关键词共聚类成11个集群。结论:帕金森病的中医药研究正不断发展和完善,针药结合的治疗方式逐渐受到重视,预测脑肠轴和非运动症状的治疗将成为未来研究的热点趋势,需加强跨学科、跨领域的交流与合作,在中医外治法特别是导引功法方向值得进一步探索。参考文献39篇。

Abstract:

Objective:To understand the research status of Parkinson's disease in the field of traditional Chinese medicine(TCM) and to analyze the research hotspots and trends. Methods:Literature related to Parkinson's disease in the field of TCM in the past 20 years was retrieved from CNKI,Wanfang Data Knowledge Service Platform and VIP database.CiteSpace 5.8.R1 software was used for visualization analysis,the knowledge map of author,institution and keyword co-occurrence was constructed,and keyword cluster and emergence analysis were conducted. Results:A total of 2301 literatures were included. The results showed that the number of literatures on TCM research on Parkinson's disease was increasing year by year. Among them,the top three in the number of articles were HE Jiancheng and LIU Yi's teams from Shanghai University of Traditional Chinese Medicine and LUO Xiaodong's team from Guangdong Provincial Hospital of Traditional Chinese Medicine;the top three institution in the number of articles were Chinese PLA General Hospital,Shanghai University of Traditional Chinese Medicine,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine. The keywords with strong central significance include integrated Chinese and Western medicine,clinical research,levodopa,dopaminergic neurons,dopamazid tablets,acupuncture therapy,etc. In the past 5 years,the emergent keywords included acupuncture and drug combination,liver-kidney yin deficiency,clinical experience,non-motor symptoms,α-synuclein and Parkinson's depression,and the keywords were coclustered into 11 clusters. Conclusions:TCM research on Parkinson's disease is constantly developing and improving,and the treatment of acupuncture and drug combination is gradually attracting attention. It is predicted that brain-gut axis and the treatment of non-motor symptoms will become a hot trend in the future research,and interdisciplinary and cross-field communication and cooperation should be strengthened. It is worth further exploration in the direction of external treatment of TCM,especially the guidance method. There are 39 references.

参考文献

[1]中华医学会神经病学分会帕金森病及运动障碍学组,中国医师协会神经内科医师分会帕金森病及运动障碍学组.中国帕金森病治疗指南(第四版)[J].中华神经科杂志,2020,53(12):973-986.

[2] ZHANG Z X,ROMAN G C,HONG Z,et al. Parkinson’s disease in China:prevalence in Beijing,Xian,and Shanghai[J]. Lancet,2005,365(9459):595-597.

[3]刘疏影,陈彪.帕金森病流行现状[J].中国现代神经疾病杂志,2016,16(2):98-101.

[4] CHEN C M,SONG M. Visualizing a field of research:a methodology of systematic scientometric reviews[J]. PLoS One,2019,14(10):e0223994.

[5]陈悦,陈超美,刘则渊,等. CiteSpace知识图谱的方法论功能[J].科学学研究,2015,33(2):242-253.

[6]刘振国,李文涛.帕金森病运动并发症中西医结合诊治专家共识(2020)[J].中国神经免疫学和神经病学杂志,2020,27(4):247-252.

[7]徐鹏恒,夏菁,王利.何建成分阶段治疗帕金森病的思路与方法[J].中医文献杂志,2018,36(5):39-42.

[8]滕龙,洪芳,何建成.何建成教授辨治帕金森病经验介绍[J].新中医,2013,45(5):206-208.

[9]蔡丽,刘毅,曹燕.止颤汤结合针刺治疗帕金森病病人便秘症状的临床研究[J].中西医结合心脑血管病杂志,2019,17(13):2034-2037.

[10]吕少华,毛振辉,雒晓东.雒晓东治疗帕金森病相关疼痛的经验总结[J].中国民间疗法,2020,28(18):22-25.

[11]郑春叶,吕少华,雒晓东.雒晓东主任治疗各种帕金森病非运动症状经验[J].中国医药导报,2019,16(4):126-131.

[12]王英淑,彭建东,阮世琪,等.头针长留针配合运动疗法对早期帕金森患者运动功能的影响[J].陕西中医,2019,40(8):1124-1126,1130.

[13]朱晓娜,李天浩,王成凯,等.中西医结合治疗帕金森病伴轻度认知功能障碍临床研究[J].山东中医杂志,2018,37(8):649-651.

[14]张鸣,孙福履,蒋海云.苁蓉益肾颗粒联合普拉克索治疗帕金森病的临床研究[J].现代药物与临床,2020,35(1):79-82.

[15]丁姝月,孙海昌.帕金森病中西医诊断与治疗研究概况[J].山东中医杂志,2018,37(8):709-712.

[16]莫敏,刘瑛,李旭敏,等.胡国恒从肾虚血瘀论治帕金森病[J].中医药临床杂志,2020,32(11):2062-2064.

[17]陈路,韦一佛,刘明,等.补肾益髓法对帕金森病肾虚髓减证患者非运动症状的影响[J].中医杂志,2019,60(3):229-231,236.

[18]张凌凌,崔笑玉,张家宁,等.止颤汤合柴胡加龙骨牡蛎汤治疗帕金森病抑郁的临床观察[J].上海中医药大学学报,2019,33(2):23-26.

[19]周首邦,黄芳,张旺琼,等.耳针联合麻仁软胶囊治疗帕金森病便秘30例[J].陕西中医,2012,33(3):342-344.

[20]刘红,王玉芬,崔艳艳.舒肝解郁胶囊治疗帕金森病合并抑郁的临床观察[J].世界临床药物,2015,36(7):480-483.

[21]雒晓东,郑春叶,苏巧珍.帕金森病中医认识与诊疗策略[M].北京:中国中医药出版社,2018:114.

[22]胡玮.温肾养肝颗粒的药学研究[D].南京:南京中医药大学,2019.

[23]常学辉,张良芝,黎民.龟羚帕安丸对帕金森病模型大鼠神经干细胞移植后行为学及血清5-羟色胺、多巴胺、去甲肾上腺素的影响[J].中医杂志,2018,59(12):1049-1053.

[24]屈佳.平颤解郁方治疗肝肾阴虚型帕金森病伴发抑郁障碍的临床疗效观察[J].世界最新医学信息文摘,2015,15(71):108.

[25]林善华.龟鹿地黄汤治疗肝肾阴虚型帕金森病的安全性和有效性探讨[J].中国处方药,2014,12(8):10-11.

[26]王佳彬,沈晓明,马云枝,等.熄风定颤丸干预大鼠多巴胺神经元PKC信号通路的机制研究[J].时珍国医国药,2020,31(8):1827-1830.

[27]娄爱琴.熄风定颤丸治疗帕金森病中期肝肾阴虚型的临床观察[D].郑州:河南中医药大学,2018.

[28]路永坤,王新志,杨国防,等.平肝补肾法联合肌肉起止点针刺对中晚期帕金森病患者运动、平衡功能及日常生活活动能力的影响[J].广州中医药大学学报,2020,37(10):1907-1912.

[29]王旋旋,张克飞.督脉温针灸疗法对帕金森病患者运动功能和嗅觉障碍的疗效影响[J].中西医结合心血管病电子杂志,2019,7(8):160-161.

[30]海英,王帆.田维柱教授眼体针并施治疗帕金森病经验[J].中国针灸,2013,33(S1):69-71.

[31]兰思杨,王春琛,刘慧琳,等.金针王乐亭经验方配合火针治疗原发帕金森病17例[J].中国针灸,2019,39(5):487-488,494.

[32]蔡扬帆,张仁雄,林坤山,等.腹针联合西药治疗帕金森病伴发夜尿症临床观察[J].光明中医,2020,35(22):3615-3617.

[33]彭婷婷,刘从秀.艾灸治疗帕金森病便秘的临床疗效研究[J].中医药临床杂志,2019,31(9):1702-1704.

[34]刘爱国,吴秀玲,徐静红,等.针灸对帕金森病患者血清MDA、SOD及胱抑素C水平的影响[J].中医药导报,2018,24(22):104-106.

[35]王述菊,方剑乔,马骏,等.电针对帕金森病模型大鼠中脑黑质p38丝裂原活化蛋白激酶的影响[J].中国针灸,2013,33(4):329-333.

[36]白妍,李志刚,王顺,等.电针百会、太阳穴对帕金森模型大鼠黑质Caspase-3表达及细胞凋亡的影响[J].中国中医药科技,2014,21(5):534-536.

[37]李尧华,于顺,高亚萍,等.揭示α-突触核蛋白与帕金森病的关系:α-突触核蛋白单克隆抗体的研究[J].中国临床康复,2005,9(1):44-46,272.

[38]马盈盈.基于“脑肠轴”学说的养阴润肠法治疗肝肾阴虚型帕金森病的疗效研究[D].合肥:安徽中医药大学,2018.

[39] WANG Y,TONG Q,MA S R,et al. Oral berberine improves brain dopa/dopamine levels to ameliorate Parkinson’s disease by regulating gut microbiota[J]. Signal Transduct Target Ther,2021,6(1):77.

基本信息:

DOI:10.16295/j.cnki.0257-358x.2023.01.020

中图分类号:R277.7;G353.1

引用信息:

[1]叶文慧,宋咏梅.帕金森病中医药研究的现状与趋势分析[J],2023,42(01):101-107.DOI:10.16295/j.cnki.0257-358x.2023.01.020.

基金信息:

中医药古籍文献和特色技术传承专项(编号:GZYKJS-2020-029)

投稿时间:

2022-01-28

投稿日期(年):

2022

终审时间:

2022-03-07

终审日期(年):

2022

审稿周期(年):

1

检 索 高级检索