基于文献分析的中医临床诊疗发展趋势研究

Research on the Development Trend of TCM Clinical Diagnosis and Treatment Based on Literature Analysis

摘要: 目的：基于文献计量学分析中医临床诊疗的发展现状和研究热点，为中医临床诊疗的未来发展提供依据。方法：对2013~2022年发表于中国期刊全文数据库(CNKI)中关于中医临床诊疗的相关文献进行检索，同时将临床医学诊疗相关文献作为对比，从发文量、作者、机构、文献被引频次、关键词、研究疾病情况、主题等多方面进行比较统计分析。结果：共纳入中医文献522篇，临床医学文献503篇，近十年发文量呈起伏态势，在2016~2017年达到峰值。中医和临床医学在文献的主题词上存在较大差异，中医多关注辨证论治、诊疗方案和诊疗指南，而临床医学则注重护理、临床效果和临床路径。在研究方法选词上中医多使用“数据挖掘”，而临床医学则多为“人工智能”。对于文献中出现的疾病，中医对骨伤、颈腰椎、神经系统以及神志病方面研究较多，而临床医学在急诊抢救治疗、细菌感染这两方面研究较多。结论：中医临床研究受关注度日益增加，但论文影响力及被引频次仍偏低，应用研究广度与研究深度仍有待提升，与临床研究相比，中医涉及病种更多，今后与信息新技术深入结合将有更多发展空间。

Abstract: Objective: Based on the bibliometric analysis of the development status and research hotspots of clinical diagnosis and treatment of traditional Chinese medicine, this paper provides the basis for the future development of clinical diagnosis and treatment of traditional Chinese medicine. Method: Retrieve relevant literature on traditional Chinese medicine and clinical medicine published in CNKI from 2013 to 2022, and compare and analyze clinical medical diagnosis and treatment related literature from multiple aspects such as publication volume, author, institution, citation frequency, keywords, research disease situation, theme, etc. Result: A total of 522 traditional Chinese medicine literature and 503 clinical medical literature were included. The number of publications in the past decade has shown a fluctuating trend, reaching its peak from 2016 to 2017. There are significant differences between traditional Chinese medicine and clinical medicine in the subject headings of literature. Traditional Chinese medicine focuses more on syndrome differentiation and treatment, diagnosis and treatment plans, and diagnosis and treatment guidelines, while clinical medicine fo-cuses on nursing, clinical outcomes, and clinical pathways. Traditional Chinese medicine often uses “data mining” in the selection of research methods, while clinical medicine often uses “artificial in-telligence”. For the diseases mentioned in the literature, traditional Chinese medicine has conduct-ed more research on bone injuries, cervical and lumbar vertebrae, nervous system, and mental disorders, while clinical medicine has conducted more research on emergency treatment and bac-terial infections. Conclusion: The clinical research of traditional Chinese medicine is receiving in-creasing attention, but the influence and citation frequency of papers are still low. The breadth and depth of applied research still need to be improved. Compared with clinical research, traditional Chinese medicine involves more diseases, and there will be more development space in the future when combined with new information technologies.