近10年针灸Cochrane系统评价文献可视化分析

[目的] 通过可视化分析评估针灸系统评价的现状，分析针灸临床研究存在的问题。[方法] 通过检索Cochrane Library数据库中2011年1月—2021年11月收录的针灸相关系统评价文献。主要干预方式为针灸、电针、穴位按压、经皮电刺激、艾灸，根据纳排标准筛选、建库统计。采用Excel、Cytoscape、Gephi软件进行可视化分析。[结果] 共检索到329篇针灸系统评价文献，符合纳入标准88篇。文献发表国家集中在中国、澳大利亚、英国；发文机构主要集中在中国香港玛丽医院、澳大利亚帕克维尔皇家妇女医院等，机构间合作不紧密；作者以Daniel KL Cheuk、Car－oline A Smith发文最多，作者间合作交流较少；以针灸防治疼痛管理的文献引用次数最多，其次是针灸防治偏头痛、穴位按压防治恶心呕吐等；治疗结果以针灸治疗痛症、泌尿生殖系统疾病、神经系统疾病为主；干预方式仍然以传统针灸为主；结果分布主要是阴性结果；证据充分度以低等证据为主。[结论] 针灸低质量临床研究将影响针灸临床疗效和安全性评价，要不断明确针灸的最佳参数；不断完善针灸临床设计方案、选择合理的对照，完善针灸病种的核心指标集及针灸临床评价体系，提高针灸临床研究及论文的质量。

Visual analysis of Cochrane systematic review of acupuncture in recent 10 years

[Objective] To evaluate the status of systematic evaluation of acupuncture and moxibustion through visual analysis,and analyze the existing problems in clinical research of acupuncture and moxibustion.[Methods] Systematic reviews of acupuncture were searched in the Cochrane Library database from January 2011 to November 2021.The main intervention methods were acupuncture,electroacupuncture,acupressure,transcutaneous electrical nerve stimulation (TENS) and moxibustion.Excel,Cytoscape and Gephi were used for visual analysis.[Results] A total of 329 articles were retrieved,88 of which met the inclusion criteria.The publications are mainly in China,Australia and the United Kingdom;published institutions are mainly concentrated in Queen Mary Hospital,Hong Kong,China,and Royal Women''s Hospital;parkville,Australia.The authors are Daniel KL Cheuk and Caroline A Smith,and there is little cooperation and communication among the authors.Acupuncture were cited the most frequently for pain management,followed by acupuncture for migraine,acupressure for nausea and vomiting,etc.The treatment results were mainly pain,diseases of urogenital system and diseases of nervous system treated by acupuncture.Traditional acupuncture are still the main intervention methods.The distribution of results was mainly negative;the sufficiency of evidence is mainly low evidence.[Conclusion] Low quality clinical studies of acupuncture will affect the clinical efficacy and safety evaluation of acupuncture and moxibustion.To improve the clinical design of acupuncture and moxibustion,select reasonable control,improve the core index set of acupuncture and moxibustion diseases and clinical evaluation system of acupuncture,improve the quality of clinical research and papers on acupuncture.