Wang Gang, Zhen Biao, Li Jia-Jun, Jin Chun-Nv, Jia Jun, Liu Bo-Hai, Bai Yan-Hui
Department of Anesthesiology, Baoding First Central Hospital, Baoding 071000, Hebei Province, China.
World J Gastrointest Endosc. 2025 Jan 16;17(1):101382. doi: 10.4253/wjge.v17.i1.101382.
Administering anesthesia to elderly patients undergoing gastroenteroscopy necessitates careful attention due to age-related physiological changes and an increased risk of complications.
To analyze the research trends in anesthesia management for elderly patients undergoing gastroenteroscopy.
We performed a literature search using the Web of Science database to identify articles published between 2004 and 2023. Bibliometric and visual analyses were conducted using CiteSpace, R, and VOSviewer to explore the current research landscape of anesthesia administration in painless gastroenteroscopy for elderly patients and to identify future research directions by examining trends and emerging hotspots in this domain.
A total of 800 articles were examined, revealing a rising trend in annual publication counts. The United States led with 181 articles, followed by China with 112, collectively contributing over 35% of the studies among the top ten countries. The majority of publications appeared in the United States journals, with the top three being [impact factor (IF) = 7.7, H-index = 26], (IF = 3.1), and (IF = 9.3). Six primary research clusters were identified: Obstructive sleep apnea and airway management, surveillance and risk factors, colorectal cancer examination and treatment, sedation and safety of propofol and midazolam, patient satisfaction, and mortality and complications. These findings underscore the pivotal focus areas in anesthesia for elderly patients undergoing gastroenteroscopy.
A comprehensive understanding of current research trends and hotspots will aid anesthesiologists in developing more evidence-based practices, thereby improving the safety and outcomes for elderly patients undergoing gastroenteroscopy.
由于与年龄相关的生理变化以及并发症风险增加，对接受胃镜检查的老年患者实施麻醉需要格外谨慎。
分析老年患者胃镜检查麻醉管理的研究趋势。
我们使用科学网数据库进行文献检索，以确定2004年至2023年期间发表的文章。使用CiteSpace、R和VOSviewer进行文献计量和可视化分析，以探索老年患者无痛胃镜检查麻醉管理的当前研究状况，并通过研究该领域的趋势和新兴热点来确定未来的研究方向。
共审查了800篇文章，显示年发表量呈上升趋势。美国以181篇文章领先，其次是中国，有112篇，这两个国家在前十大国家的研究中合计占比超过35%。大多数出版物出现在美国期刊上，排名前三的期刊分别是[影响因子（IF）=7.7，H指数=26]、（IF=3.1）和（IF=9.3）。确定了六个主要研究集群：阻塞性睡眠呼吸暂停与气道管理、监测与危险因素、结直肠癌检查与治疗、丙泊酚和咪达唑仑的镇静与安全性、患者满意度以及死亡率和并发症。这些发现强调了老年患者胃镜检查麻醉的关键重点领域。
全面了解当前的研究趋势和热点将有助于麻醉医生制定更具循证依据的实践方法，从而提高老年患者胃镜检查的安全性和治疗效果。
