Li Peize, Zheng Huanchi, Chen Yuanfang, Liu Zhaoxi, He Jun
The First Clinical School of Medicine, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, People's Republic of China.
Guangdong Provincial Key Laboratory of Traditional Chinese Medicine and Acupuncture, Guangzhou, People's Republic of China.
J Pain Res. 2022 Aug 18;15:2405-2426. doi: 10.2147/JPR.S379699. eCollection 2022.
Fibromyalgia is a rheumatic disease with no specific laboratory markers and is insensitive to hormonal drugs and nonsteroidal anti-inflammatory drugs commonly used to treat rheumatism. Guidelines recommend that non-pharmacological therapy should be the first-line treatment for fibromyalgia. Since the publication of the first diagnostic criteria for fibromyalgia in 1990, studies on acupuncture for fibromyalgia have been reported periodically. This study aims to explore the intellectual landscape of acupuncture for fibromyalgia since 1990, and to identify research trends and fronts in this field.
The Web of Science Core Collection Database was searched for publications on acupuncture for fibromyalgia from 1990 to 2022. VOSviewer and CiteSpace were used to analyze the annual publication, countries, institutions, authors and cited authors, journals and cited journals, references and keywords.
A total of 280 publications were retrieved, and the number of publications showed an overall upward trend. The United States was the most productive country. China Medical University was the institution with the most publications. Lin Yi-wen was the most prolific author, while Wolfe was the most cited author. was the journal in which most of the research was published, while was the most cited journal. An article by Wolfe (1990) had the most citations, but an article by Crofford (2001) had the highest centrality. The four most frequently used keywords in the included articles were mechanism, spinal cord, activation and sensitivity.
Acupuncture can effectively relieve pain in patients with fibromyalgia and improve accompanying symptoms such as anxiety and depression. However, the design of clinical trials still needs to be optimized to better verify the efficacy of acupuncture on various clinical symptoms of fibromyalgia. Exploring the central analgesic mechanism of acupuncture on fibromyalgia is also the focus research direction now and future.
纤维肌痛是一种没有特定实验室标志物的风湿性疾病，对常用于治疗风湿病的激素药物和非甾体抗炎药不敏感。指南建议非药物治疗应作为纤维肌痛的一线治疗方法。自1990年首次发布纤维肌痛诊断标准以来，关于针灸治疗纤维肌痛的研究时有报道。本研究旨在探讨1990年以来针灸治疗纤维肌痛的学术概况，并确定该领域的研究趋势和前沿。
在科学网核心合集数据库中检索1990年至2022年关于针灸治疗纤维肌痛的出版物。使用VOSviewer和CiteSpace分析年度出版物、国家、机构、作者和被引作者、期刊和被引期刊、参考文献和关键词。
共检索到280篇出版物，出版物数量总体呈上升趋势。美国是发文量最多的国家。中国医科大学是发文量最多的机构。林一文是发文最多的作者，而沃尔夫是被引次数最多的作者。 是发表研究最多的期刊，而 是被引次数最多的期刊。沃尔夫（1990年）的一篇文章被引次数最多，但克罗福德（2001年）的一篇文章中心性最高。纳入文章中最常用的四个关键词是机制、脊髓、激活和敏感性。
针灸可有效缓解纤维肌痛患者的疼痛，并改善焦虑和抑郁等伴随症状。然而，临床试验的设计仍需优化，以更好地验证针灸对纤维肌痛各种临床症状的疗效。探索针灸对纤维肌痛的中枢镇痛机制也是当前和未来的重点研究方向。
