吴茜 赵利梅 郭丽敏

[摘要] 目的 探究国内穴位按摩治疗脑卒中后吞咽障碍的研究现状及趋势，为后续研究提供思路和依据。 方法 计算机检索中国知网、维普、万方、CBM自建库至2018年4月30日发表的相关文献，并对文献的研究类型、发表期刊、作者、关键词、机构、基金资助等进行描述性统计分析。 结果 共检出65篇文献，除1篇学位论文，其余64篇文献分别发表于56種期刊；以临床研究类文献为主；综合疗法是常用治法；廉泉、风池、翳风、颊车为常用穴位。 结论 穴位按摩是治疗脑卒中后吞咽障碍未来的研究热点，但文献数量和质量有待提升。制订穴位按摩规范化方案、探究综合疗法的最佳结合是未来的重要方向。

[关键词] 穴位按摩；脑卒中；吞咽障碍；文献计量学

[中图分类号] R743.3 [文献标识码] A [文章编号] 1673-7210（2018）09（a）-0116-04

[Abstract] Objective To explore the research status and trend of acupoint massage in the treatment of post-stroke dysphagia in China， and provide thought and basis for further research. Methods A computer search was conducted for the relevant literatures published by CNKI， VIP， Wanfang and CBM from the construction of the database to April 30， 2018， and descriptive statistical analysis was conducted on the research types， published journals， authors， key words， institutions and fund funding of the literature. Results A total of 65 literatures were finally selected， except 1 dissertation， the remaining 64 literatures were published in 56 journals. Literatures were mainly based on clinical research literature. The common therapy was comprehensive therapy. Lianquan， fengchi， yifeng， jiache were commonly used acupoints. Conclusion Acupoint massage is a hot topic in future research in the treatment of post-stroke dysphagia， but the quantity and quality of the literature need to be improved. It is an important direction in the future to make standard plan of acupoint massage and explore the best combination of comprehensive therapy.

[Key words] Acupoint massage； Stroke； Dysphagia； Bibliometrics

吞咽障碍是脑卒中常见且危险的并发症，发病率达42%～67%[1]，不仅会导致患者营养不良、脱水，甚者肺部感染、窒息乃至死亡。吞咽障碍的严重程度与脑卒中患者的致残率和死亡率呈正相关[2]。穴位按摩由于对脑卒中后吞咽障碍有较好的疗效，近年来文献量逐渐增多，但尚无相关的文献计量学分析，故本文通过文献计量学方法对我国穴位按摩治疗脑卒中后吞咽障碍的现状及发展趋势初步评析，为后续研究和临床应用提供依据。

1 资料与方法

1.1 文献检索

检索数据库：中国知网、万方、维普和CBM。检索策略：主题词结合关键词，①“脑卒中”OR“中风”OR“脑血管疾病”OR“脑出血”OR“脑梗死”等；②“吞咽障碍”OR“假性球麻痹”等；……