Résumé
Objective:To observe the clinical efficacy of Tongdu Tiaoshen needling combined with cognitive therapy treating post-stroke depression.Method:Sixty patients with post-stroke depression were randomized into observation group and control group,30 cases in each group,using different methods to the two groups of patients based on basic treatment of cerebrovascular disease for 4 weeks.The observation group was intervened by Tongdu Tiaoshen needling combined with cognitive therapy,while the control group was by oral treatment of Paroxetine Hydrochloride Tablets.Cinical effects and side effects were evaluated with Hamilton Depression Scale (HAMD) and Assessment of daily living ability (Barthel index) and National Institute of and Treatment Emergent Side Effect Scale (TESS),and serum levels of 5-HT were measured before and after intervention.Result:The two groups after treatment compared with before treatment,HAMD scores were significantly lower (P＜0.05),Barthel index was increased (P＜0.05),the observation group was significantly better than the western medicine group,with significant differences between the two groups (P＜0.05),The serum 5-HT levels in two groups were significantly higher than those before treatment(P＜0.05),and the increase of 5-HT levels in the two groups was not statistically significant (P＞0.05).The total effective rate was 93.3％ in the treatment group versus 86.7％ in the control group,and the difference was statistically significant (P＜0.05).The adverse reactions in observation group was lower than that in western medicine group,the difference was statistically significant (P＜0.05).Conclusion:Tongdu Tiaoshen needling combined with cognitive therapy intervention for post-stroke depression is an effective approach to improve the depression of patients with PSD,and has good repeatability of clinical operation with low side effects.Its therapeutic mechanism may be related to increase serum 5-HT level.
Résumé
BACKGROUND:Because of deficiency of nerves and blood vessels of articular cartilage, its nutrition is mainly derived from the synovial fluid or synovial vascular osmosis. Limited in their ability to repair itself, so how to repair articular cartilage damage better become medical problems to be solved. OBJECTIVE:To review to the literatures on the repair of cartilage damage method and al ogeneic cartilage in vitro preservation method in recent years, and to find the optimal preservation conditions and the culture medium composition that suitable for in vitro preservation of al ogeneic cartilage tissues, thus enhancing the effect of al ogenic cartilage in vitro preservation. METHODS:A computer-based online search was performed in the PubMed database and the CNKI database to search papers on the in vitro liquid preservation of al ogeneic cartilage graft published from January 1990 to February 2013. The key words were“osteochondral al ograft, tissue culture, chondrocyte survival rate, in vitro”in English and“articular cartilage;al ogeneic transplantation;liquid preservation”in Chinese. The articles published earlier and repetitive researches were excluded. RESULTS AND CONCLUSION:At present, there are two methods for the preservation of al ogenic osteochondral grafts. After cryopreservation, the survival rate of chondrocytes is decreased significantly which can affect the transplantation effect, therefore there is less clinical application. Liquid preservation method can enhance the survival rate of cells, maintain the organization activity, but the preservation time is short that cannot be widely used. Scholars have further improved the environment of liquid preservation and composition of liquid culture medium, extended the in vitro preservation time of cartilage tissue, and improved the effectiveness of cartilage tissue preservation.