目的:用于治疗帕金森病的胚胎或干细胞移植方法尚未有标准化操作模式,分析与临床预后有关的因素为该方法的标准化提供预期依据。资料来源:应用计算机检索Medline 1998—01/2005-01与帕金森病及移植治疗相关的文献,检索词为“Parkinson’s disease,cell transplantation”,并限定文献语言种类English。同时,计算机检索CHKD2002-01/2005-01相关文献,检索词为“帕金森氏病,移植”,并限定语言种类为中文。资料选择:对资料进行初审,选取包括帕金森病及组织移植的文献。开始查找全文。纳入标准:①与帕金森病相关。②与移植治疗相关。排除标准:重复研究、综述、Meta分析。资料提炼:共收集到37篇符合标准的文献。37篇文献包括临床实验22例,随机对照实验8例,其中动物6例,临床实验2例。纳入13篇,分别对其所用实验方法及l临床预后进行讨论分析。资料综合:组织移植治疗帕金森病的方法多样,包括干细胞移植,胚胎组织移植等。而治疗效果也因所取标本位置及具体处理方法不同而有一定的差异。研究者通过结合取材、标本处理、移植部位、移植方式等多种方法和技术细节的探讨,试图分析移植结果与具体操作细节之间的关系。结论:细胞移植是帕金森病治疗的有效方法之一,但方法的标准化将使治疗预后更加安全有效。
OBJECTIVE: Embryonic or stem cell transplantation has been applied to the rehabilitation of Parkinson disease, but there still have been no standardized method for the operation. Thereby, to analyze the clinical prognosis related factors so as to provide prospective basis for the standardization of the methods. DATA SOURCES: We computer-searched Medline for Parkinson disease and transplantation therapy related articles which were published from January1998 to January 2005 , with the key words of "Parkinson's disease, cell transplantation" in English. Meanwhile, we also computer-searched CHKD for Parkinson disease and transplantation therapy related articles which were published from January 2002 to January 2005, with the key words of above in Chinese. STUDY SELECTION: The articles were selected primarily, and those were related to Parkinson disease and tissue transplantation were adopted and their full-texts were searched for. Inclusive criteria: (1) Related to Parkinson disease. (2) Related to transplantation therapy. Exclusive criteria: repetitive, review or Meta analytical study. DATA EXTRACTION: Totally 37 articles met the criteria. Thirtyseven articles include clinical trials of 22 cases and randomized control trials of 8 cases (animals: 6 cases; clinical trial: 2 cases). We enrolled 13 articles and discussed and analyzed the experimental methods and clinical prognosis. DATA SYSTHESIS: There are many methods in the treatment of Parkinson disease with tissue transplantation, including stem cell transplantation, embryonic tissue transplantation and so on. But the curative effects are different due to different parts of specimens and treating methods. We are in an attempt to analyze the relationship between transplantation result and concrete operations through combination of specimen choosing, specimen treating, transplantation site, transplantation method as well as investigation of skill details. CONCLUSION: Cell transplantation is one of the effective methods for the tr