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Objective To observe the therapeutic efficacy of paired needling in treating insomnia with depression after cerebral stroke. Method Eighty patients with insomnia plus depression after cerebral stroke were randomized into a treatment group and a control group, 40 cases in each group. The treatment group was intervened by paired needling at Xinshu (BL15), Juque (CV14), Ganshu (BL18), and Qimen (LR14), once a day, 20 min each session;the control group was by oral administration of Paroxetine hydrochloride tablet 20 mg, 1 tablet each time prior to sleep at night. Two treatment courses were observed in the two groups (successive 2-week treatment as a course). The Pittsburgh Sleep Quality Index (PSQI) was adopted to observe the two groups before treatment, after 2-week treatment, and after 4-week treatment, and the clinical efficacy was also evaluated. Result Respectively after 2-week and 4-week treatment, the PSQI scores and Hamilton Depression Scale (HAMD) scores dropped significantly in the two groups compared to that before the intervention (P<0.05);the improvements of the PSQI and HAMD scores in the treatment group were more significant than that in the control group;the scores were markedly improved in the 2nd week in the treatment group and were significantly different from that in the control group (P<0.05);the significant differences were maintained in the following 2 weeks;the total effective rate was respectively 90.0%(36/40) in the treatment group and 15.0%(6/40) in the control group, and the therapeutic efficacy of the treatment group was markedly superior to that of the control group (P<0.05). Conclusion The results show that paired needling is safe and effective in treating insomnia with depression after cerebral stroke, and its therapeutic efficacy is superior to that of Paroxetine hydrochloride tablets.
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Objective To synthesize the artificial antigen methylparaoxon （M1600）.Methods Methylparaoxon was reduced into amino-methylparaoxon by using acetic acid-zinc power-hydrochloric acid. Artificial antigens M1600-BSA， M1600-TTH were synthesized by conjugating amino-methylparaoxon to bovine serum albumin （BSA）and tachypleus tridentatus hemocyanin （TTH）directly after diazotization.Results Rabbits had been immunized with M1600-BSA for 10 weeks， and the high titer and high specificity antiserum from those rabbits was testified by doubled agar gel diffusion and indirect ELISA．Conclusion An artificial antigen was obtained successfully and this made it possible to establish the immunoassay of M1600.