Xiong Yujun, Yan Haoqi, Qu Lang, Wang Shuqi, Meng Xiangda, Zhu Xingyun, Zhang Pan, Yuan Su, Shi Jihua
Department of Gastroenterology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Department of Anesthesiology, Fuwai Hospital, National Center of Cardiovascular Diseases, Chinese Academy of Medical Sciences; Peking Union Medical College, Beijing, 100037, People's Republic of China.
J Pain Res. 2023 Jul 15;16:2393-2406. doi: 10.2147/JPR.S408811. eCollection 2023.
Gastrointestinal (GI) endoscopy becomes more and more common now in order to diagnose and treat GI diseases, and anesthesia/sedation plays an important role. We aim to discuss the developmental trends and evaluate the research hotspots using bibliometric methods for GI endoscopy anesthesia/sedation in the past two decades.
The original and review articles published from 2001 to December 2022 related to GI endoscopy anesthesia/sedation were extracted from the Web of Science database. Four different softwares (CiteSpace, VOSviewer, and Bibliometrix, Online Analysis Platform of Literature Metrology (Bibliometric)) were used for this comprehensive analysis.
According to our retrieval strategy, we found a total of 3154 related literatures. Original research articles were 2855, and reviews were 299. There has been a substantial increase in the research on GI endoscopy anesthesia/sedation in recent 22 years. These publications have been cited 66,418 times, with a mean of 21.04 citations per publication. The US maintained a leading position in global research, with the largest number of publications (29.94%), and China ranked second (19.92%). Keyword burst and concurrence showed that conscious sedation, colonoscopy and midazolam were the most frequently occurring keywords.
Our research found that GI endoscopy anesthesia/sedation was in a period of rapid development and demonstrated the improvement of medical instruments and surgical options that had significantly contributed to the field of GI endoscopy anesthesia/sedation. The US dominates this field, and the selection and dosage of sedative regimens have always been the foci of disease research to improve comfort and safety, while adverse events and risks arouse attention gradually. In the past 20 years, hotspots mainly focus on upper gastrointestinal endoscopy, gastroscopy, and esophagogastroduodenoscopy. These data would provide future directions for clinicians and researchers regarding GI endoscopy anesthesia/sedation.
为了诊断和治疗胃肠道疾病，胃肠道（GI）内镜检查如今越来越普遍，麻醉/镇静起着重要作用。我们旨在运用文献计量学方法探讨过去二十年GI内镜检查麻醉/镇静的发展趋势并评估研究热点。
从Web of Science数据库中提取2001年至2022年12月发表的与GI内镜检查麻醉/镇静相关的原创性文章和综述文章。使用四种不同软件（CiteSpace、VOSviewer、Bibliometrix、文献计量在线分析平台（Bibliometric））进行此项综合分析。
根据我们的检索策略，共找到3154篇相关文献。原创性研究文章有2855篇，综述有299篇。近22年来，GI内镜检查麻醉/镇静的研究有了大幅增长。这些出版物被引用66418次，平均每篇出版物被引用21.04次。美国在全球研究中保持领先地位，出版物数量最多（29.94%），中国排名第二（19.92%）。关键词突现和共现显示，清醒镇静、结肠镜检查和咪达唑仑是最常出现的关键词。
我们的研究发现，GI内镜检查麻醉/镇静正处于快速发展时期，并表明医疗器械和手术选择的改进对GI内镜检查麻醉/镇静领域有显著贡献。美国在该领域占主导地位，镇静方案的选择和剂量一直是疾病研究的重点，以提高舒适度和安全性，而不良事件和风险也逐渐引起关注。在过去20年里，热点主要集中在上消化道内镜检查、胃镜检查和食管胃十二指肠镜检查。这些数据将为临床医生和研究人员在GI内镜检查麻醉/镇静方面提供未来方向。
