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    结合现代中西医进展探讨中医药治疗慢性失眠研究热点与趋势

    Research Hotspots and Trends of Traditional Chinese Medicine in the Treatment of Chronic Insomnia Based on Advances in Modern Integrated Chinese and Western Medicine

      摘要
    • 摘要:
      目的 分析近30年来中医药治疗慢性失眠的研究热点及前沿趋势。
      方法 检索中国知网数据库(CNKI)和PubMed 1995年1月1日—2025年6月20日中医药治疗慢性失眠相关文献，运用CiteSpace 6.4.R1软件对作者、机构、关键词等进行可视化分析。
      结果 共纳入中文文献1089篇，英文文献302篇，该领域年度发文量总体呈增长趋势，中英文领域核心作者以赵亚楠、王晓秋、吴文忠、刘成勇、Chung Ka-fai、Yeung Wing-fai为代表，均未形成显著核心作者群；发文量较高的机构/机构单元为北京中医药大学、天津中医药大学、黑龙江中医药大学、河南中医学院、Department of Psychiatry和School of Chinese Medicine，机构合作以同地域为主，跨学科协作薄弱；中文领域研究热点聚焦于“睡眠质量评价体系构建”“运用数据挖掘技术探究用药与证候规律”及“失眠-抑郁共病干预与机制探索”，英文领域研究则注重循证医学证据及中枢机制的探索。
      结论 中医药治疗慢性失眠领域正处于转型的关键阶段。辨证论治的规范化、基于数据挖掘技术的中医证候与用药规律探寻以及中西医结合治疗为研究热点，未来需探索多学科协作，加强中西医融合的高质量研究，推动多层次深度发展。

       

      Abstract:
      OBJECTIVE To analyze the research hotspots and cutting-edge trends of traditional Chinese medicine(TCM) in the treatment of chronic insomnia over the past 30 years.
      METHODS Relevant literature on TCM treatment of chronic insomnia was retrieved from the China National Knowledge Infrastructure(CNKI) and PubMed databases, covering the period from January 1, 1995 to June 20, 2025. CiteSpace 6.4.R1 software was used for visual analysis of authors, institutions, keywords, and other elements.
      RESULTS A total of 1089 Chinese articles and 302 English articles were included. The annual number of publications in this field showed an overall upward trend. Core authors in both Chinese and English literatures were represented by Zhao Yanan, Wang Xiaoqiu, Wu Wenzhong, Liu Chengyong, Chung Ka-fai, and Yeung Wing-fai, but no prominent core author groups had been formed. Institutions and institutional units with relatively high publication volumes included Beijing University of Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Heilongjiang University of Chinese Medicine, Henan University of Chinese Medicine, Department of Psychiatry, and School of Chinese Medicine. Inter-institutional cooperation was mainly regional, with weak interdisciplinary collaboration. Research hotspots in the Chinese-language literature focused on “the construction of a sleep quality evaluation system”, “exploring medication and syndrome regularity using data mining technology”, and “intervention & mechanism research on insomnia-depression comorbidity” while the English-language literature focused on evidence-based medical evidence and exploration of central mechanisms.
      CONCLUSION The field of TCM for chronic insomnia is in a critical stage of transformation. Standardization of syndrome differentiation and treatment, exploration of TCM syndrome and medication regularity based on data mining technology, and integrated TCM-western medicine treatment are research hotspots. In the future, it is necessary to explore multidisciplinary collaboration, strengthen high-quality research on the integration of TCM and western medicine, and promote multi-level and in-depth development.

       

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