传统中医方剂苓桂术甘汤全背景研究的文献计量学分析
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国家中医药管理局中医药科学技术研究专项(编号:国中医药科2016ZX10)


Current Evidence of Lingguizhugan Decoction as TCM Prescription: A Bibliometrics-based Review
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    摘要:

    目的:定量分析传统方剂苓桂术甘汤的研究现状和在重大疾病中的应用。方法:检索CBM、CNKI、Wanfang Data、PubMed等数据库从建库至2016年12月。按发表时间、发表期刊、作者区域分布、文献类型、研究疾病、临床文献研究类型、不良反应、剂型等对文献进行筛选和分类,分析和评价苓桂术甘汤文献研究现状及其在重大疾病中的应用。结果:1)共检出苓桂术甘汤相关文献774篇,其中动物实验54篇,理论研究26篇及临床文章694篇。2)1956年首次出现关于苓桂术甘汤的文献报道,此后苓桂术甘汤的文献研究数量呈稳步增长趋势,总体呈三段式增长,文献量由1988年之前的1.6篇/年至1989-2004年的18.5篇/年,再增至2005-2016的40.6篇/年。3)所统计的774篇文献分布在155种期刊上,苓桂术甘汤的研究文献刊载较为集中的有22种,均为中医药类期刊,占期刊总数的14.19%。4)774篇文献的作者,25.9%的作者来自华东地区,22.5%的作者来自华中地区,其余地区研究苓桂术甘汤的作者相对较少。5)苓桂术甘汤的临床应用广泛涉及内科、外科、妇科、儿科、皮肤科等临床各种疾病,尤以心血管系统疾病、消化系统疾病、神经系统疾病居多。6)临床研究类型以病例报道居多,随机对照试验较少;关于不良反应的报道较少,临床研究剂型以水煎剂为主。结论:苓桂术甘汤的临床研究文献逐年增加,苓桂术甘汤的临床应用范围不断扩大,广泛涉及内科、外科、妇科、儿科、皮肤科等各科疾病,其中,慢性心力衰竭、美尼尔氏综合征、肠胃炎、高血压、慢性支气管炎等是苓桂术甘汤的优势病种。目前对于本方的研究初具规模,但研究总体质量偏低,未来要开展高质量、大样本、多中心的随机对照临床试验,为其临床应用提供高质量的循证依据。

    Abstract:

    To analyze the current evidence of lingguizhugan decoction as a TCM prescription and its application in several diseases quantitatively. Methods:We searched databases of CBM, CNKI, Wanfang Data and PubMed since foundation till December, 2016. After selection, included studies were categorized by items as publication time, journal, author regional distribution, literature type, type of disease, clinical literature study, adverse reactions and dosage form, etc. Current study on lingguizhugan decoction and its application for major diseases have been analyzed. Results: 1) There were 774 publications found, including 54 of animal experiments, 26 of theoretical study and 694 of clinical articles. 2) The first time that lingguizhugan decoction was reported in the literature was in 1956, then the number of literature research of lingguizhugan decoction’s publication time showed “triple-stage” increasing trend: quantity of literature from 1.6 articles/year before 1988 increased to18.5articles in 1989-2004 / year, and then increased to 40.6 article/year in 2005-2016 .3) 774 articles were distributed in 155 journals. Top 22 with most publications were all Chinese journals, accounted for 14.19% of the total. 4) As to 774 papers’ authors, 25.9% authors were from the East China area, 22.5% of the authors the central region, the rest of other areas relatively small. 5) The clinical application of lingguizhugan decoction is widely involved in internal medicine, surgery, gynecology, pediatrics, dermatology, especially cardiovascular system diseases, digestive system diseases and nervous system diseases. 6) About clinical research type, case reports were more than randomized controlled trials; there were few reports about adverse reactions. Dosage form was priority to water decoction. Conclusion: The clinical research literature of lingguizhugan decoction has increased year by year, and the clinical application of it continues to expand. Indications widely involved in internal medicine, surgery, gynecology, pediatrics, dermatology, etc. The advantage target diseases of lingguizhugan decoction are chronic heart failure, Meniere’s syndrome, gastroenteritis, hypertension and chronic bronchitis. The research on it is taking shape, but the overall quality of the study is low. We need to carry out high-quality, large sample, multi-center randomized controlled clinical trials in the future to provide high quality evidence for clinical application.

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刘艳飞,刘玥,姚贺之,孙明月,高蕊.传统中医方剂苓桂术甘汤全背景研究的文献计量学分析[J].世界中医药,2017,(06).

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  • 收稿日期:2017-03-09
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  • 在线发布日期: 2017-06-28
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