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从烧伤和败血症之间液体复苏的相似之处和差异中吸取教训:一个文献计量分析
Dongxu Zhou1, LuLu He1, Wei Shi1
1Department of Critical Care Medicine, Guiqian International General Hospital, Guiyang, China.
Frontiers in medicine
|March 19, 2025
概括
这份图书统计分析显示,败血症的液体复苏研究侧重于血液动力学,而烧伤研究则强调公式. 这两个领域都优先考虑结果和并发症,但很少有研究将血动力学和微血管方面的考虑整合在一起.
科学领域:
- 临界护理医学 临界护理医学
- 复苏科学复苏科学 复苏科学
- 图书统计分析 图书统计分析
背景情况:
- 液体复苏对于败血症和烧伤至关重要,但最佳定位策略尚不清楚.
- 进行了文献计量分析,以比较败血症和烧伤的液体复苏研究.
- 这项研究检查了最近关于这些疾病的液体复苏的出版物中的相似之处和差异.
研究的目的:
- 为了比较研究趋势和优先事项在流体复苏的败血症与烧伤.
- 在两种条件的文献中确定关键主题和不断变化的重点领域.
- 突出研究中的差距,特别是关于同时考虑血液动力学和微血管透性的差距.
主要方法:
- 在科学网络数据库中从1992年到2022年进行了全面的文献搜索.
- 使用CiteSpace和VOSviewer进行了图书统计分析.
- 分析了高频关键词和引用数据,以确定研究集群和趋势.
主要成果:
- 分析了1549份败血症和468份烧伤的出版物,揭示了不同的研究集群.
- 败血症研究优先考虑"目标导向的复苏",流体反应能力和流体平衡,而烧伤研究则侧重于"微血管交换"和腹腔综合征 (ACS).
- 死亡率是这两种疾病的首要关注点,但"配方"和"管理"是最近烧伤的关键术语,与败血症的"dobutamine"和"心脏输出"形成鲜明对比.
结论:
- 关于败血症中液体定位的研究集中在血液动力学上,而烧伤研究则专注于改进复苏公式.
- 败血症和烧伤液体复苏研究都在一致关注结果和并发症.
- 很少有研究同时解决了这些关键条件的液体复苏中的血液动力学和微血管方面的问题.
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