黄丽 王东毅 赵艳青

摘要 目的：以知识图谱的形式分析针灸治疗失眠症的研究概况及趋势。方法：以“失眠”或“不寐”并含有“针灸”为主题词，对国家知识基础设施数据库（CNKI）中收录的最早相關的研究至2018年12月31日中公开发表的文献进行检索，借助Citespace软件对针灸治疗失眠症的所有研究进行作者、研究机构及关键词分析，主要包括频次、中介中心性及知识图谱等统计。结果：共检索得到符合要求的文献902篇，发现了以胡幼平为代表的成都中医药大学针灸推拿学院团队是领域内重要的学者与活跃的研究机构，关键词聚类结果共计11类，神门穴是针灸治疗失眠症的关键穴位。结论：针灸治疗失眠症的知识图谱研究规律发现其中涉及了针刺取穴、失眠症类型、行针手法等多个方面，其中的围绝经期失眠是当下研究的前沿，这对于临床研究者精准把握该领域的研究趋势具有重要的导向作用。

关键词 针灸;失眠症;Citespace软件;知识图谱;关键词聚类;神门;围绝经期失眠;前沿

Abstract Objective：To analyze the research situation and trend of acupuncture and moxibustion in the treatment of insomnia in the form of knowledge atlas.Methods：with “insomnia” or “insomnia” and “acupuncture” as the subject term，the earliest relevant research collected in the CNKI database to the public publication on December 31，2018 was searched，and acupuncture and moxibustion were conducted with the help of Citespace software.All researches on the treatment of insomnia were analyzed by authors，research institutions，and keywords，including statistics such as frequency，betweenness centrality，and knowledge graphs.Results：A total of 902 eligible literature were retrieved.It was found that the team of acupuncture and massage College of Chengdu University of Traditional Chinese Medicine represented by Hu Youping was an important scholar and active research institution in the field.There were 11 kinds of clustering results.Shenmen acupoint was the key acupoint for the treatment of insomnia by acupuncture and moxibustion.Conclusion：It was found that the knowledge atlas of acupuncture and moxibustion treatment of insomnia involved acupoint selection，types of insomnia，manipulation of needling and etc.Among them，perimenopausal insomnia is the frontier of current research.These results have an important guiding role for clinical researchers to accurately grasp the research trends in this field.

Keywords Acupuncture; Insomnia; Citespace; Knowledge Atlas; Keywords clustering; Shenmen; Perimenopausal insomnia; Frontier

中图分类号：R246;R256.23文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.22.026

失眠是一种常见的疾病，其特征在于入睡困难和/（或）难以入睡，并在清醒时伴有烦躁或疲劳[1]。据报道失眠发病率约为10%[2]，是最广泛的精神障碍之一，严重影响患者的健康和生命质量[3]。此外，失眠也是其他疾病的危险因素，还会加重医疗费用的支出[4]。失眠的病因和病理生理涉及广泛，包括遗传、环境、行为等。失眠的有效治疗主要包括药物疗法、非药物方法等[5]。非药物方法含有针灸及其他疗法。……