基于Cite Space的外治法治疗交感型颈椎病可视化分析OA

Objective:To conduct a visualization analysis of research literature on external therapies for sympathetic cervical spondylosis(SCS)using CiteSpace bibliometric software,and to systematically review the research hotspots,evolutionary paths,and development trends in this field,so as to provide a scientific basis for subsequent clinical research and standardization of diagnosis and treatment.Methods:Computerized searches were performed in four major Chinese databases:CNKI,Wanfang,VIP,and SinoMed,with the retrieval period spanning from the inception of each database to April 7,2025.Retrieval strategies combining subject terms and free terms were constructed,and literature screening was conducted according to predefined inclusion and exclusion criteria.Finally,205 eligible articles were included.CiteSpace 6.4.R1 software was utilized to perform co-occurrence analysis,cluster analysis,and burst detection based on dimensions including authors,institutions,and keywords,while network parameters(Q-value and S-value)were also interpreted.Results:(1)Publication Trends:The annual publication volume showed an overall upward trend,and the research process could be divided into three stages:the initial stage(1993～2003),focusing on massage and traction;the rapid growth stage(2004～2015),marked by the rise of acupuncture and small needle knife therapy;and the fluctuation stage(since 2016),emphasizing functional improvement.(2)Collaboration Networks:The collaboration networks among authors and institutions exhibited a low density(Density=0.0074).Although core teams represented by Du Jianming have formed,overall collaboration remained fragmented,and a national,interdisciplinary,high-yield core author group or institutional network has yet to be established.(3)Research Hotspots:Keyword cluster analysis generated 10 highly credible clusters(Q=0.684,S=0.8966),mainly including"lysis","massage therapy","stellate ganglion block","pattern-specific acupuncture",and"chiropractic therapy".Notably,"chiropractic therapy"and"warm acupuncture"emerged as burst terms in the past five years,indicating a strong development momentum.④Evolutionary Trends:Burst analysis indicated that the research focus has gradually shifted from early"disease mechanism exploration"and"single efficacy observation"to"rehabilitation treatment","quality of life improvement",and"cervical function recovery".Conclusion:External therapies hold broad application prospects in the treatment of SCS,with chiropractic therapy meriting particular attention as an emerging intervention.However,current bottlenecks exist,such as dispersed research efforts,a lack of high-quality evidence-based medical evidence,and inconsistent diagnostic and treatment standards.Future efforts should focus on building multicenter,large-sample clinical research collaboration platforms,strengthening mechanistic studies,and promoting the formulation of relevant clinical guidelines to enhance the standardization and disciplinary influence of external therapies for SCS in Traditional Chinese Medicine.