半世紀中國中醫兒科臨床文獻題名趨勢之分析

Trends in the Titles of Paediatric Clinical Literature in Traditional Chinese Medicine within the Past Half Century

黃秋勇(Chiu-Yung Huang) ； 蘇奕彰(Yi-Chang Su)

《臺灣中醫醫學雜誌》 9卷1期 (2010/03) Pp. 1-10

https://doi.org/10.30032/TJCM.201003.0001

摘要

本研究主要探討中國近50年來，中醫兒科臨床文獻題名之變化與趨勢。以北京中醫研究院傳統醫學資料庫為研究材料，搜集篇名屬中醫兒科臨床議題之文章進行分析。首先統計文獻中各主題病名（ICD-9病名）出現的百分比，並依比例高低加以排序，同時，為瞭解病名與題名排序的變化趨勢，我們再將所有文獻自1949年迄2005年以每10年為階段進行分析比較。研究結果發現這半世紀以來之中醫兒科臨床文獻報導主題以腹瀉、呼吸系統疾病類與傳染相關的疾病為大宗外，文獻題名之「變化」及「趨勢」特點如下：(1)計畫免疫相關傳染性疾病文獻，如小兒麻痹、百日咳、與蛔蟲病等明顯減少。(2)過敏性疾病，如：哮喘病大幅增加。(3)精神與行為障礙疾病逐漸受到重視。(4)圍產期疾病漸增；且以新生兒、早產兒為題名的文獻，也同步增加。(5)以中西醫結合治療疾病的模式愈來愈受重視。(6)中藥給藥方式在採用原本屬西醫之劑型及途徑後而產生的新療法，如：噴霧療法、灌腸療法、注射滾療法的文獻比例逐漸上升。除「以消化系統與呼吸系統疾病病名為主題之文獻為大宗」之特點在過去半世紀持續不變外，中醫兒科臨床文獻題名隨著時代與客觀環境的進展而有明顯的改變。

關鍵字

中醫兒科 ； 臨床文獻 ； 題名 ； ICD-9病名 ； 趨勢

並列摘要

To investigate the changes and trends in the titles of paediatric clinical literature in traditional Chinese medicine (TCM) within the past 50 years. All literature found in the medical journal database of Beijing Research Institute of TCM with titles pertaining to clinical paediatrics in TCM were investigated. First, statistical analysis was conducted on the ratio of all literature according to their disease names (ICD-9 codes); the literature was then sorted. Next, the disease names found in the literature were sorted by every 10 years, and the trend in the changes of the order of disease names and titles within each decade was analyzed. From 1949 to 2005 the majority of paediatric literature pertained to diseases related to the diarrhea and respiratory systems. As time progressed the changes and trends in paediatric clinical titles in TCM were: (1) literature regarding specific contagious diseases, such as poliomyelitis, pertussis, and ascariasis, significantly decreased in number; (2) allergic diseases, such as asthma, greatly increased in numbe; (3) the literature about Psychiatric disease, gradually increased; (4) the number of perinatalogical conditions gradually increased, and with it the number of articles titled with newborn, and premature infant also gradually increased simultaneously and concurrently; (5) the mode of combining Western and Chinese medicine has been gaining recognition; and (6) the ratio of literature regarding new therapeutic methods resulting from Western medical therapies being modified by Chinese medicinal formulas, such as aerosol therapy, enema therapy, and injection therapy, gradually increased. Paediatrics literature regarding diseases of the digestive and respiratory systems are still of the majority. Nevertheless, titles of pediatric clinical articles about TCM have significantly changed as time has progressed and as the environment has become more objective.

並列關鍵字

Paediatrics in traditional chinese medicine ； Clinical literature ； Title ； ICD-9 code ； Trend