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机械通气相关性肺炎肠内营养应用的趋势与发展：一项科学计量学研究（1996 - 2018年）

Trends and Development in Enteral Nutrition Application for Ventilator Associated Pneumonia: A Scientometric Research Study (1996-2018).

作者信息

Chen Shengqi, Bie Ruixue, Lai Yunfeng, Shi Honghao, Ung Carolina Oi Lam, Hu Hao

机构信息

State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau, China.

出版信息

Front Pharmacol. 2019 Mar 20;10:246. doi: 10.3389/fphar.2019.00246. eCollection 2019.

DOI:10.3389/fphar.2019.00246
PMID:30949050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6436481/
Abstract

This study aimed to explore the intellectual landscape of the studies investigating the clinical application of enteral nutrition (EN) in patients with ventilator associated pneumonia (VAP), and to identify thematic development trends and research frontiers in this area. Scientometric research was conducted by analyzing bibliographic records retrieved from the Web of Science Core Collection Database dated between 1996 and 2018. Reference co-citation analysis, key words co-occurrence analysis and cooperation network analysis were performed using CiteSpace software. A total of 124 valid records were included in the final dataset. It was found that early studies were mainly focused on the feeding pathways of EN among VAP patients. The risks associated with EN intervention in VAP patients, including gastric nutrition intolerance and aspiration pneumonia, were extensively investigated and reported. While aspiration pneumonia has remained a long-term active research area in the field of EN interventions for VAP patients, with recent research focused more on interventions aiming to improve EN support and to optimize the use of EN for VAP patients. It seems that clinical guidelines on EN interventions for VAP patients need to be established. The advantages of EN for VAP patients have been recognized but still require further investigation on standardizing the use. Strategic cooperation among hospital physicians, university researchers and industrial product developers is required to establish clinical guidelines and to continue developing innovative EN products to tackle VAP.

摘要

本研究旨在探索调查肠内营养（EN）在呼吸机相关性肺炎（VAP）患者中临床应用的研究的知识领域，并确定该领域的主题发展趋势和研究前沿。通过分析从1996年至2018年的科学网核心合集数据库中检索到的文献记录进行科学计量研究。使用CiteSpace软件进行参考文献共被引分析、关键词共现分析和合作网络分析。最终数据集中共纳入124条有效记录。研究发现，早期研究主要集中在VAP患者的EN喂养途径。VAP患者EN干预相关的风险，包括胃内营养不耐受和吸入性肺炎，得到了广泛研究和报道。虽然吸入性肺炎一直是VAP患者EN干预领域的长期活跃研究领域，但最近的研究更多地集中在旨在改善EN支持和优化VAP患者EN使用的干预措施上。似乎需要制定VAP患者EN干预的临床指南。EN对VAP患者的优势已得到认可，但在规范使用方面仍需进一步研究。医院医生、大学研究人员和工业产品开发商之间需要开展战略合作，以制定临床指南并继续开发创新的EN产品来应对VAP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e3/6436481/bfd720703636/fphar-10-00246-g007.jpg
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