中国组织工程研究 ›› 2017, Vol. 21 ›› Issue (36): 5830-5834.doi: 10.3969/j.issn.2095-4344.2017.36.016

• 组织构建临床实践 clinical practice in tissue construction • 上一篇    下一篇

超声电导经皮透药作用于星状神经节治疗亚健康状态

黄舒婷1,曾  庆2,唐新群3,黄颖怡4,邵小惠4,王英杰5,黄国志2   

  1. 1南方医科大学康复医学院,广东省广州市  510282;南方医科大学附属珠江医院,2康复医学科,3儿科,广东省广州市  510282; 4广州市第一人民医院神经内科,广东省广州市  510515;5南方医科大学第二临床医学院,广东省广州市  510282
  • 收稿日期:2017-07-25 出版日期:2017-12-28 发布日期:2018-01-04
  • 通讯作者: 黄国志,博士,主任医师,教授,博士生导师,南方医科大学附属珠江医院康复医学科,广东省广州市 510282
  • 作者简介:黄舒婷,女,1990年生,广东省广州市人,汉族,南方医科大学康复医学院康复治疗专业本科生,主要从事亚健康状态康复治疗方面的研究。
  • 基金资助:

    广东省大学生创新实验项目(1212110006);广东省医学科学技术研究基金(20161198360341)

Ultrasound-induced transdermal drug delivery to the stellate ganglion as a countermeasure to sub-health state

Huang Shu-ting1, Zeng Qing2, Tang Xin-qun3, Huang Ying-yi4, Shao Xiao-hui4, Wang Ying-jie5, Huang Guo-zhi2   

  1. 1School of Rehabilitation Medicine, Southern Medical University, Guangzhou 510282, Guangdong Province, China; 2Department of Rehabilitation Medicine, 3Department of Pediatrics, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, Guangdong Province, China; 4Department of Neurology, Guangzhou First People’s Hospital, Guangzhou 510515, Guangdong Province, China; 5the Second Clinical Medical School of Southern Medical University, Guangzhou 510282, Guangdong Province, China
  • Received:2017-07-25 Online:2017-12-28 Published:2018-01-04
  • Contact: Huang Guo-zhi, M.D., Chief physician, Professor, Doctoral supervisor, Department of Rehabilitation Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, Guangdong Province, China
  • About author:Huang Shu-ting, School of Rehabilitation Medicine, Southern Medical University, Guangzhou 510282, Guangdong Province, China
  • Supported by:

    the Undergraduate Innovation Project of Guangdong Province, No. 1212110006; the Medical Science Research Foundation of Guangdong Province, No. 20161198360341

摘要:

文章快速阅读:


文题释义:
超声电导靶向给药治疗:是近年来美国等西方国家兴起的新的药物治疗技术。它是通过物理手段使药物透过皮肤进入体内病变组织和器官,直接发挥药物治疗作用,被医学界称为第三代给药方法。它的基本原理是:采用激光微孔、电致孔、超声空化等现代高技术手段,在一定范围和深度内使皮肤和组织对药物的通透性显著增加,形成药物进入靶器官的人工生物通道,在特定的动能驱动下,使药物粒子沿生物通道透过皮肤、组织和包膜,定向、定量、定速地进入病变组织和器官,靶组织内形成药物高浓度浸润区,直接发挥药物治疗作用。
亚健康:是指非病非健康的一种临界状态,是界乎健康与疾病之间的次等健康状态,故又有“次健康”、“第三状态”、“中间状态”、“游移状态”、“灰色状态”等的称谓。世界卫生组织将机体无器质性病变,但是有一些功能改变的状态称为“第三状态”,中国称为“亚健康状态”;处于亚健康状态的人,虽然没有明确的疾病,但却出现精神活力和适应能力的下降,如果这种状态不能得到及时的纠正,非常容易引起身心疾病。
摘要
背景:
用星状神经节阻滞的方法治疗亚健康状态是切实可行的手段,但星状神经节阻滞是一种有创的治疗手段,患者的依从性较差。
目的:观察超声电导经皮透药作用于星状神经节治疗亚健康状态的临床效果。
方法:根据不同的年龄层及职业随机筛选69例亚健康受试者,其中治疗组31例,对照组38例,治疗组进行超声电导经皮透药作用于星状神经节的治疗,对照组采用亚健康教育的方法进行心理疏导及行为干预。所有受试者在治疗前后均接受亚健康评定量表(SHMS V1.0)、健康调查简表(SF-36)两份量表的评定以及临床疗效的观察。
结果与结论:①治疗组中有29例受试者经超声电导经皮透药治疗后亚健康症状消失或明显好转,有效率达93.5%,且治疗组治疗前后的评分差异均明显较对照组治疗前后的评分差异大;②结果表明,超声电导经皮透药作用于星状神经节,对改善亚健康状态人群的躯体及心理症状具有明显的效果。

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程
ORCID: 0000-0002-5889-0603(黄国志)

关键词: 组织构建, 组织工程, 超声电导, 星状神经节, 亚健康

Abstract:

BACKGROUND: Stellate ganglion block is feasible for the patients in sub-health status, but it is invasive and the patient compliance is poor.
OBJECTIVE: To investigate the clinical effectiveness of ultrasound-induced transdermal drug delivery for reducing the hyperactivity of the cervical sympathetic ganglia in the sub-health status.
METHODS: Sixty-nine participants in sub-health state from different age levels and professions were recruited and were randomly divided into treatment (n=31) and control (n=38) groups. The treatment group underwent ultrasound-induced transdermal drug delivery to the cervical sympathetic ganglia, while the control group received psychological counseling on sub-health education and behavior intervention. All patients were assessed with Sub-Health Measurement Scale Version1.0, and the Medical Outcomes Study 36-Item Short-Form Health Survey prior to and post treatment, along with clinical curative effect assessment.
RESULTS AND CONCLUSION: After treatment, 29 participants in the treatment group were improved or recovered from sub-health, with an effective rate of 93.5%. Compared with the control group, the scores were significantly improved in the treatment group. To conclude, ultrasound-induced transdermal drug delivery to the stellate ganglion has a significant effect on sub-health state.

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

Key words: Pulse Therapy, Drug, Stellate Ganglion, Health Status, Tissue Engineering

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