儿童慢性鼻窦炎研究的现状与前沿:基于CiteSpace的可视化分析

The current situation and frontiers of chronic sinusitis research in children: visual analysis based on CiteSpace

摘要

目的 研究旨在利用CiteSpace科学知识图谱工具,系统性地梳理国内外儿童慢性鼻窦炎(chronic rhinosinusitis, CRS)领域的研究脉络。通过对文献知识结构、研究热点及演进趋势的深度剖析,为优化临床诊疗方案、指引未来科研方向提供数据驱动的循证参考。方法 分别检索中国知网、万方、维普生物医学数据库和Web of Science核心合集数据库自建库至2024年12月31日发表的相关文献,筛选后利用CiteSpace 6.4.R1对作者、机构、关键词进行共现、聚类和突现分析,绘制知识图谱,探讨研究热点与发展趋势。结果 共纳入中文文献1374篇,英文文献286篇,发文量上中文研究历经增长后进入平台期,而英文文献虽发文总量较低,但整体保持稳定态势。中文研究的作者与机构合作网络密度显著低于英文。研究内容上关键词与聚类分析表明中文文献聚焦于具体治疗手段(如鼻内镜手术、药物、鼻腔冲洗)及疗效评估、并发症及机制研究,并凸显了中医中药特色;而英文文献则更侧重于内镜手术、疾病综合管理、共病关联(如囊性纤维化、胃食管反流)及基础机制探索。结论 国内外儿童CRS研究热度持续,研究热点聚焦于治疗方法、疗效评估、并发症和共病管理、疾病基础机制,研究前沿是治疗策略的精准化与微创化、疗效评估的深化以及发病机制的多组学研究。

Abstract

Objective The objective of this study is to employ the CiteSpace knowledge mapping tool to systematically map the research landscape of paediatric chronic rhinosinusitis (CRS). A comprehensive analysis of the extant literature was conducted to ascertain the knowledge structure, research hotspots; and evolutionary trends. The analysis yielded data-driven, evidence-based references to optimise clinical diagnosis and treatment plans and guide future research directions. Methods A comprehensive search of the China National Knowledge Infrastructure (CNKI), Wanfang Data, VIP databases and Web of Science Core Collection databases was conducted up to 31 December 2024, to retrieve all relevant literature. Following the screening process, the CiteSpace 6.4.R1 software was utilised to conduct co-occurrence, clustering, and burst analyses of authors, institutions, and keywords. This process yielded a series of knowledge graphs, which were utilised to explore research hotspots and developmental trends. Results The corpus comprised a total of 1,374 Chinese and 286 English articles. As demonstrated in Chinese articles an initial increase was observed, which was subsequently followed by a plateau. While the total number of English publications is relatively low, it has maintained a stable trend overall. A significant finding of the present study was that collaboration networks among authors and institutions were considerably more dense in English articles than in Chinese articles. A review of the extant literature reveals that research in the field of Chinese medicine has been primarily focused on specific treatments, including endoscopic sinus surgery, medication and nasal irrigation. In addition, research has focused on the evaluation of efficacy, the identification of complications and the exploration of the mechanisms underpinning the treatment. By contrast, international research has placed a greater emphasis on endoscopic surgery, comprehensive disease management, comorbidities (e.g. cystic fibrosis and gastroesophageal reflux) and the exploration of underlying mechanisms. Conclusion Globally, research interest in paediatric CRS remains strong. The following research areas are currently receiving significant attention: treatment methods, efficacy evaluation, complication and comorbidity management, and disease mechanisms. Recent developments in the field have seen a shift in research priorities towards precision and minimally invasive treatment strategies, in-depth efficacy assessment, and multi-omics studies of pathogenesis.

关键词

儿童 / 慢性鼻窦炎 / 可视化分析 / CiteSpace

Key words

Children / Chronic rhinosinusitis / Visual analysis / CiteSpace

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基金资助

扬州市市级计划社会发展项目(YZ2025390)

扬州市市级计划社会发展项目(YZ2024100)

苏北人民医院青年托举专项(SBQN24006)

苏北人民医院青年托举专项(SBQN24010)

苏北人民医院院级扶持技术项目(FCJS202539)