Systematic Review on Curative Effect of Small-needle-knife Therapy Combined with Manipulation on Frozen Shoulder / 中国中医药信息杂志

Objective To systematically evaluate the efficacy of small-needle-knife therapy combined with manipulation in treating frozen shoulder. Methods Articles about small-needle-knife therapy combined with manipulation treating frozen shoulder clinical randomized controlled trials in CNKI, CBM, VIP, Wanfang Data, Embase, Cochrane Library and Pubmed database were searched. Retrieval time was from the establisment of the database to February 2017. Two researchers screened literature, extract materials independently. The quality of the included studies was evaluated according to the Cochrane System Evaluation Manual 5.1.0. Meta-analysis was performed by using RevMan 5.3 software. Results 12 articles were included in a systematic review, a total of 1118 cases of patients. Meta-analysis showed that, compared with small-needle-knife therapy alone, small-needle-knife therapy combined with manipulation in the treatment of frozen shoulder could significantly improve the total effective rate [OR=5.07, 95%CI(3.07, 8.37), P<0.000 01] and cure rate [OR=2.89, 95%CI(2.21, 3.78), P<0.000 01], enhance motor function score [MD=63.98, 95%CI(38.61, 89.35), P<0.000 01], with statistical significance. Conclusion Small-needle-knife therapy combined with manipulation had definite efficacy in the treatment of frozen shoulder. However, the quality of included research is relatively low, so large-sample, multi-center and high-quality randomized controlled trials are required for verification.

Dermal hypoesthesia surrounding the incision after total knee arthroplasty: how to treat? / 中国组织工程研究

BACKGROUND: Dermal hypoesthesia surrounding the incision usually occurs after total knee arthroplasty (TKA), which severely affects the patients' life quality. But the relevant studies are still immature, and its prevention methods and prognosis remain controversial.OBJECTIVE: To review the research and progress of dermal hypoesthesia following TKA.METHODS: A computer-based online research of CJFD, WanFang, VIP and Medline databases was performed for the literature addressing the dermal hypoesthesia surrounding the incision after TKA published from December 2001 to December 2016. The keywords were "total knee arthroplasty, incision, numbness, abnormal sensation" in English and Chinese, respectively. Finally, 36 eligible articles were selected for result analysis after excluding the repetitive ones.RESULTS AND CONCLUSION: (1) Dermal hypoesthesia surrounding the incision following TKA is commonly seen, but the related researches are few. Most of researches concentration on protecting against cutaneous nerve injury by modifying surgical approach, nerve conduit, neural nutrients and surgical repair, but all possess certain shortcomings, so there is a lack ideal prevention scheme. (2) The repairing methods for peripheral nerve injury, including biomolecular, cell and catheter therapies, have been applied in the repair of cutaneous nerve injury following TKA, but still on initial stage,and its effectiveness and safety need to be confirmed in depth. (3) Therefore, whether dermal hypoesthesia surrounding the incision following TKA needs treatment or not, and how to treat is an urgent problem for joint surgeon.

The responses of moxibustion and the countermeasures / 中国针灸

To make a distinction among the local response of body, the moxibustion sensation, its influence on the disease, adverse reaction and others during and after the moxibustion treatment, and explore the countermeasures to these reactions in order to guide the clinical practice. Of them, the responses of the body surface and local acupoints are usual one of the bases to assess the moxibustion effect, while the occurs of moxibustion sensation and its influence on the disease are normal, which is not necessary to deal with, and the adverse reaction and others could be handled according to the different situations.

Study on catgut implantation therapy compared with Deanxit for treatment of depression / 中国针灸

<p><b>OBJECTIVE</b>To compare the therapeutic effect of catgut implantation and Deanxit for treatment of depression.</p><p><b>METHODS</b>Ninety-four cases of depression were randomly divided into a catgut implantation group (50 cases) and a medication group (44 cases). Catgut implantation group was applied with catgut implantation at Hanyan (GB 4), Baihui (GV 20), Shenmen (HT 7), Fenglong (ST 40), Taichong (LR 3), once two weeks, and 4 times in total. Medication group was treated with oral administration of Deanxit, for eight weeks in total. The the-rapeutic effects of both groups were compared with Hamilton Depression-17 Items Scale (HAMD-17) before and after treatment.</p><p><b>RESULTS</b>The scores of HAMD-17 were decreased after treatment in both groups (both P<0.05), and there was no significant difference between two groups after treatment (P>0.05). The total effective rate was 87.8% (43/49) in catgut implantation group and 90.7% (39/43) in medication group, with no significant difference between two groups (P>0.05).</p><p><b>CONCLUSION</b>Catgut implantation can effectively improve the symptoms of depression patients, with a similar therapeutic effect with Deanxit, and it has a better clinical compliance without any adverse effects.</p>

Correlation analysis on changes between cognitive ability and brain fMRI after acupoint thread embedding in Alzheimer's disease patients / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To explore the mechanism of acupoint thread embedding (ATE) in treating Alzheimer's disease (AD) by means of brain functional magnetic resonance imaging (fMRI).</p><p><b>METHODS</b>Twenty-six patients with mild to moderate AD were assigned to the tested group and the control group in pairing, 13 in each group. ATE was performed in patients of the tested group at Shenmen (HT7), Fenglong (ST40), Taixi (KI3) and Zusanli (ST36) acupoints, once every month for 6 times in total; but for patients of the control group only sham operation was done at the same acupoints. The correlation between cognitive ability and fMRI were assessed by comparing the scores of Mini-Mental State Examination (MMSE) and Alzhemer's Disease Assessment Scale-Cognitive section (ADAS-Cog), monitored at two time points, namely, in one week before starting treatment and 1 week after terminating 6-month treatment. Furthermore, fMRI was detected to obtain the data of the cerebral blood oxygen content before treatment and 6 months after completing the 6-month therapeutic course. Correlation analysis was conducted on the obtained data using software SPM.</p><p><b>RESULTS</b>After treatment, changes of MMSE score significently increased in the test group (P < 0.01) and decreased in the control group (P < 0.01), and ADAS-Cog decreased in the test group (P < 0.01) and increased in the control group (P < 0.05), showing statistical significance between the two groups (P < 0.01, P < 0.05). The activated regions related with the change of MMSE were mainly inferior frontal gyrus, middle frontal gyrus, superior frontal gyrus, transverse temporal gyrus, on the left cerebrum and superior frontal gyrus, middle frontal gyrus, precentral gyrus, hippocampal gyrus, cingulate gyrus, postcentral gyrus, paracentral lobule on the right cerebrum; those related with change of ADAS-Cog were superior frontal gyrus, middle frontal gyrus, fusiform gyrus, inferior temporal gyrus, hippocampal gyrus on the left cerebrum, and superior frontal gyrus, middle frontal gyrus, precentral gyrus, fusiform gyrus, transverse temporal gyrus, postcentral gyrus, middle occipital gyrus on the right cerebrum.</p><p><b>CONCLUSION</b>ATE could improve the cognitive ability of AD patients, its possible mechanism may be through the activation on the cognition related regions of frontal, temporal lobe and marginal system, as well as those of cerebellum.</p>