中医药治疗良性阵发性位置性眩晕研究热点及趋势可视化分析*

作者：侯明凯1,2，秦靖涵1,2，张道培1,3，韩亚洲2，周林雪1,2，张怀亮1,3

单位：1.河南中医药大学第一附属医院，河南 郑州 450000； 2.河南中医药大学，河南 郑州 450000； 3.河南省眩晕病诊疗中心/河南中医药大学眩晕病研究所，河南 郑州 450000

引用：引用：侯明凯，秦靖涵，张道培，韩亚洲，周林雪，张怀亮.中医药治疗良性阵发性位置性眩晕研究热点及趋势可视化分析[J].中医药导报,2025,31(2):131-137.

DOI：10.13862/j.cn43-1446/r.2025.02.024

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摘要：目的：探讨中医药治疗良性阵发性位置性眩晕的研究状况及发展前景。方法：检索中国知网、维普数据库、万方数据库、中国生物医学文献服务系统、Web of Science核心集和PubMed收录的2004年1月1日至2024年2月29日中医药治疗良性阵发性位置性眩晕的相关文献。采用NoteExpress3.8.0.9500软件对检索文献进行规范化管理，运用CiteSpace7.8.1、VOSviewer1.6.19、R4.3.3及Origin 2022可视化工具对作者、发文量、机构、关键词等信息进行统计分析并进行可视化展示。结果：纳入379篇文献，涉及核心作者83位。20年来发文量呈上升趋势，其中刊载量最高的期刊为《实用中医药杂志》，发文量最多的机构为广州中医药大学。形成了以王久敏、王玉祥、蔡汉潮等为代表的作者合作网络；研究机构主要为中医药院校及其附属医院；高频关键词包括手法复位、残余症状、临床研究、针刺疗法。结论：中医药治疗良性阵发性位置性眩晕的方法以中药汤剂、针刺研究、耳穴压豆、灸法等为主；泽泻汤、定眩汤、小柴胡汤、归脾汤为常见方剂；研究类型以临床研究为主。目前仍需开展更多、更规范的大样本临床研究和长期随访，为该领域提供循证医学支持，并深入探索疾病发生的病理机制，以期为该领域的研究夯实基础并提供思路。

关键词：良性阵发性位置性眩晕；耳石症；可视化分析；中医药；文献计量学

Abstract：

Objective: To explore the research status and development prospects of traditional Chinese medicine in the treatment of benign paroxysmal positional vertigo. Methods: The relevant literatures on the treatment of benign paroxysmal positional vertigo in the field of traditional Chinese medicine from January 1, 2004 to February 29, 2024 were searched by CNKI, VIP, Wanfang, China Biomedical Literature Database, Web of Science Core Collection and PubMed. NoteExpress3.8.0.9500 software was used to standardize the management of the retrieval literature, and CiteSpace7.8.1, VOSviewer1.6.19, R4.3.3 and Origin2022 visualization tools were used to analyze and visually display the author, volume of articles, organization, keywords and other information. Results: A total of 379 articles were obtained, involving 83 core authors. The number of articles published in this field has shown an upward trend in the past 20 years, in which the journal with the highest volume of publication is the Journal of Practical Traditional Chinese Medicine, and the institution with the largest volume of publication is Guangzhou University of Chinese Medicine. This field has initially formed a cooperative network of authors represented by WANG Jiumin, WANG Yuxiang, CAI Hanchao, etc. The research institutions are mainly universities of traditional Chinese medicine and their affiliated hospitals. High-frequency keywords include manual reduction, residual symptoms, clinical research, and acupuncture therapy. Conclusion: In the treatment of benign paroxysmal positional vertigo in the field of traditional Chinese medicine, traditional Chinese medicine decoction, acupuncture study, auricular point pressing bean, moxibustion and so on are mainly used in the treatment of benign paroxysmal positional vertigo. Zexie Decoction (泽泻汤), Dingxuan Decoction (定眩汤), Xiaochaihu Decoction (小柴胡汤) and Guipi Decoction (归脾汤) are common prescriptions. Clinical research is the main type of research. At present, more standardized large-sample clinical studies and long-term follow-ups are still needed to provide evidence-based medical support for this field, and the pathological mechanism of the disease should be explored in depth, so as to lay a solid foundation and provide ideas for the research in this field.

Key words：benign paroxysmal positional vertigo; otolithiasis; visual analysis; traditional Chinese medicine; bibliometrics

发布时间：2025-12-08

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