Table of Content

25 December 2015, Volume 7 Issue 6 Previous Issue    Next Issue

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Nursing and observation of complications in very low birth weight infants with peripherally inserted central catheter JIANG Hong 2015, 7 (6):  537-540.  doi: 10.3969/j.issn.1674-3865.2015.06.001 Abstract ( 347 )   PDF (595KB) ( 120 )   Save Objective：To summarize the nursing and observation of complications occurring in 408 low birth weight infants with peripherally inserted central catheter(PICC) dwelled in the elbow vein or elbow downward vein. Methods：Analyze the reasons of complications,such as phlebitis, swelling, blockage and infection.By giving 0.1% Rafe Nurto for wet dressing, applying hydrocolloid dressings, and keeping the punctured upper arm in steady position,we aimed to reduce the incidence rate of venous transfusion complications. Results：All the catheters were removed as planed except 12 cases with severe complications. Conclusion：Taking effective nursing measures and good understanding of PICC catheter maintenance is important to guarantee the infusion safety by PICC. Related Articles | Metrics

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Nursing experience in Curosurf application in neonatal respiratory distress syndrome with persistent NCPAP ventilation HOU Jing,WANG Xuejiao, YU Fengying 2015, 7 (6):  540-542.  doi: 10.3969/j.issn.1674-3865.2015.06.002 Abstract ( 398 )   PDF (468KB) ( 140 )   Save Objective：To explore the method of pulmonary surfactant (PS) curosurf application and its nursing in persistent nasal continous positive airway pressure ventilation(NCPAP). Methods：Seventeen neonates with respiratory distress sydrome (NRDS) were given treatment of nasal continous positive airway pressure ventilation and curosurf;curosurf was given through endotracheal tube in persistent nasal continous positive airway pressure ventilation;observe the drug usage process and effect. Results：In the 17 neonates, 16 cases were treated successfully through indwelling catheter after suctioning once.one case used drug in traditional method because of more secretion after suctioning twice. The 17 neonates had no adverse effect, and were cured and discharged after discontinuing oxygen gradually. Conclusion：Application of cuosurf through endotracheal tube in persistent NCPAP ventilation achieves good clinical results; the method is simple and practical; the neonates feel safe and comfortable. Related Articles | Metrics

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Analysis of QCC in reducing the failure rate of intravenous indwelling catheter in children with severe diarrhea JIANG Hui,XU Ying 2015, 7 (6):  543-545.  doi: 10.3969/j.issn.1674-3865.2015.06.003 Abstract ( 385 )   PDF (583KB) ( 95 )   Save Objective：To analyze the strategies and methods to reduce the failure rate of the children with severe diarrhea. Methods：Collecting the relevant data, combined with the factors such as children and family members, nursing staff and environment.We designed some related measures to perform QCC and summarized the reasons of indwelling failure. Results：The puncture failure rate of the children with severe diarrhea was reduced from 30% to 10%. Conclusion：The failure rate of venous indwelling needle puncture in children with severe diarrhea is decreased, and the ability of communication and team cohesion is improved. Related Articles | Metrics

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Preliminary study of AIMS in guiding the rehabilitation of children with cerebral palsy LU Zhihai,FAN Yanping, ZHAO Yanbo,LUAN Tianming,CHEN Yu,KANG Beibei 2015, 7 (6):  546-548.  doi: 10.3969/j.issn.1674-3865.2015.06.004 Abstract ( 315 )   PDF (362KB) ( 98 )   Save Objective：To apply AIMS to guide the rehabilitation of children with cerebral palsy and evaluate the value of AIMS in clinical application. Methods：A total of 60 children with cerebral palsy (0 to 18 months) were recruited and randomly divided into observation and control group with 30 cases in each group, and both the two groups received traditional rehabilitation. The rehabilitation plans for observation group were made according to the result of AIMS and the plans would be modified monthly. The efficacy was assessed with GMFM and PDMS2.ResultsThere were significant differences on GMFM and GMQ scores between the observation and control group after treatment ( P＜0.05). Conclusion：AIMS has certain advantages in assessing the motor function of children with cerebral palsy and in guiding the rehabilitation, and can be clinically applied. Related Articles | Metrics

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Effect of early fat emulsion usage on weight increase and its clinical safety in very low birth weight infants YU Fang，LI Tong 2015, 7 (6):  548-550.  doi: 10.3969/j.issn.1674-3865.2015.06.005 Abstract ( 316 )   PDF (393KB) ( 67 )   Save Objective：To observe the safety and the effect of fat emulsion on weight increase in very low birth weight infants. Methods：From January 2012 to December 2014,82 very low birth weight infants in our hospital were randomly divided (by means of random number table)into two groups :the treatment group(42 persons) and the control group(40 persons).The treatment group received intravenous nutrition with fat emulsion within 24 hours after birth,the initial dose 0.5～1.0 g/（kg·d） with an increase of 0.5 g/kg daily;the maximum dose was 3.0 g/kg every day. The control group received fat emulsion from the fourth day after birth.The other methods were the same. Compare the weight growth, the time to return to normal weight,biochemical parameters and complications. Results：The daily weight gain of the treatment group was significantly higher than the control group. The time to return to normal weight in the treatment group was shorter than the control group(P＜0.05）.There were no significant differences in biochemical indicators between the two groups(P＞0.05）. The risks of cholestasis, high bilirubin, and infection were increased in the treatment group. Conclusion：Administration of a larger dose of fat emulsion in early premature infants can promote the weight gain, reduce the incidence of EUGR, and shorten the hospital stay, which has no influence on the rates of complications. Related Articles | Metrics

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Ambroxol hydrochloride in the treatment of acute respiratory distress syndrome in the term newborns with severe asphyxia LIU Xiaojuan 2015, 7 (6):  551-553.  doi: 10.3969/j.issn.1674-3865.2015.06.006 Abstract ( 377 )   PDF (356KB) ( 104 )   Save Objective：To observe the clinical effect of ambroxol hydrochloride in the treatment of acute respiratory distress syndrome(ARDS) in term neonates with several asphyxia.Methods：A total of 60 severe asphyxia neonates with ARDS admitted to Jingchuan People's Hospital of Gansu Province from October 2012 to October 2014 were randomly divided into two groups:28 cases in control group and 32 cases in observation group. The control group was given basic treatment, and the observation group was treated with ambroxol hydrochloride in addition to the basic treatment. Observe the time for respiratory distress to get relieved and the NBNA at the end of two weeks of treatment in the two groups. The clinical mortality, complications due to hypoxia, mechanical ventilation and improvement on chest Xray at two days were also observed. Results：The relief time in the observation group was (4.0±1.1)d，which was shorter than that of the control group［（7.0±1.5）d］. The NBNA score at two weeks was 38.15±3.50，which was higher than the control group（35.49±2.19），the difference being of statistical significance（P＜0.05）.The occurrence rate of complications，clinical mortality and rate of mechanical ventilation in the observation group were all lower than those of the control group，and the rate of improvement on chest Xray at two days was higher than the control group，all the differences being of statistically significance(P＜0.05). Conclusion：In the treatment of ARDS children with severe asphyxia，ambroxol hydrochloride can significantly shorten the time for distress symptoms to get relieved，reduce the complication rate and mortality，resulting in the improvement of the child patients. Related Articles | Metrics

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Clinical feasures of atypical hand, foot and mouth disease in 122 children LIU Yan,WANG Dali，SUN Di,GAO Yanhui 2015, 7 (6):  553-555.  doi: 10.3969/j.issn.1674-3865.2015.06.007 Abstract ( 321 )   PDF (403KB) ( 72 )   Save Objective：To study the clinical features of atypical hand, foot and mouth disease. Methods：The clinical data of 122 patients with atypical hand, foot and mouth disease in N0.6 Internal Ward in Dalian Woman and Children's Hospital between Jun. 2013 to Sep. 2013 were collected and analyzed. Results：Peak incidence of atypical hand, foot and mouth disease occurred in Aug. 2013.Frequency of vesicles and papules over ears, faces, trunks and limbs were 62%（76/122）,69%(84/122),66%（81/122）and 100%（122/122）respectively. About 21%（26/122）patients had mucous involved besides oral mucous, and 19%(23/122) patients had severe hand, foot and mouth disease. All patients fully recovered. Positive detection rate on EV71 was 1%(1/91),CA16 1%(1/91),CA10 0(0/93) and CA6 84%(78/93). About 45%(44/97) patients developed onychomadesis 1 week to 2 months after onset of atypical hand, foot and mouth disease.ConclusionCA6 is the main pathogen of 122 patients with atypical hand, foot and mouth disease in Dalian in 2013，and the peak incidence occurs in August. Atypical hand, foot and mouth disease involves skin and mucous extensively. Some patients progress to severe cases and develop onychomadesis during the recovery period, but prognosis is good. Related Articles | Metrics

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A prospective randomized controlled multicenter trial of Xiyanping injection in treatment of children with pneumonia ZHANG Xiuying,WEI Wei,JIANG Yonghong,WANG Mengqing,CHANG Ke,LI Weiwei,WU Zhenqi,LI Xiao 2015, 7 (6):  556-560.  doi: 10.3969/j.issn.1674-3865.2015.06.008 Abstract ( 322 )   PDF (561KB) ( 91 )   Save Objective：To evaluate the effects and safety of Xiyanping injection for treating children with pneumonia. Methods：A prospective randomized controlled multicenter trial was used.298 cases of Children with pneumonia in five centers hospitalization were studied.The experimental group was given Xiyanping injection combined with basic treatment,and the control group only treated by basic treatment,then evaluat these two groups of children with  the disease in general curative effect, Chinese medicine syndrome efficacy, symptoms of fever, cough effect disappear time, before and after treatment of TCM primary symptom integral, discontinuation after 30 d happened respiratory system diseases and primary symptom of TCM. Results：Two groups of children in the overall efficacy of disease, syndromes curative effect, fever, cough effect disappeared time, primary symptom score after therapy , the incidence of respiratory system diseasesl and primary symptom of traditional Chinese medicine after 30 d compared differences were statistically significant (P<0.05). Observation group did not see any adverse reaction. Conclusion：Xiyanping injection combined with basic therapy on the treatment of pneumonia in children is significantly better than the control group,it's safe and effective,the prognosis is good and worthy of promotion inclinical use. Related Articles | Metrics

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Changes of serum inflammatory mediators in children with asthma and its clinical significance ZHANG Hong，WANG Bingzeng，ZHANG Xuya，KUANG Qi, MENG Fanwei,FU Xiaomei 2015, 7 (6):  560-562.  doi: 10.3969/j.issn.1674-3865.2015.06.009 Abstract ( 433 )   PDF (394KB) ( 73 )   Save Objective：To determine the expression of TGF-β1, PAI-1 and MMP-9,and to study their mechanism of action in bronchial asthma airway remodeling in children. Methods：Forty patients with bronchial asthma in children were given budesonide atomization inhalation treatment and serum were collected and detected before and after treatment for TGF-β1, PAI-1 and MMP-9 levels. At the same time we observed changes in lung function, and compared with the control group (healthy children). Results：In the serum samples of children with asthma the TGF-β1, PAI-1 and MMP-9 content increased significantly (compared with the control group), and the differences were statistically significant (P＜0.05); at the same time, percentage of FEV1 and PEF decreased; after budesonide inhalation treatment, TGF-β1, PAI-1 and MMP-9 content decreased, and compared with before treatment, there were significant statistical differences (P＜0.05); the percentage of FEV1 and PEF was significantly improved compared with those before treatment, the difference being statistically significant (P＜0.01). Conclusion：PAI-1, MMP-9 and TGF-β1 changes in children are closely related to bronchial asthma; budesonide inhalation therapy can significantly improve the respiratory condition of the patients, and the possible mechanism may be by reducing the TGF-β1, PAI-1 and MMP-9 level to ihibit airway remodeling and airway inflammation, and achieve the purpose of treating asthma. Related Articles | Metrics

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Observation on the effect of retaining patche after importing Chinese medicine through acupuncture points in the treatment of infantile diarrhea WANG Hong,HAN Xueting 2015, 7 (6):  563-565.  doi: 10.3969/j.issn.1674-3865.2015.06.010 Abstract ( 336 )   PDF (413KB) ( 98 )   Save Objective：To observe the effect of retaining patche after importing Chinese medicine through acupuncture points in the treatment of infantile diarrhea. Methods：Totally 300 cases of children with diarrhea were randomly divided into observation group and control group，150 cases in each. Two groups of children were given conventional treatment and symptomatic treatment such as rehydration， cooling and acidosis correction; conventional nursing and diet guidance were also performed; traditional Chinese medicine for importing through acupuncture points was made as well. In observation group patche was retained for 20~30 min after treatment, while in control group the patche was removed immediately after drug treatment. Observe compliance, treatment effects and pain tolerance in the two groups. Results：In experiments, 145 cases of observation group had complete compliance, while 5 cases did not complete; in control group, 147 cases had complete, while 3 cases didn't complete. The total effective rate had no statistically significant difference(P＞0.05); in observation group efficiency was 66.9%(97/145), significantly higher than that of control, 51.7%(76/147), the difference being statistically significant(P＜0.05). In observation group intolerance occurred in 5 cases, 3 cases in control group， the two groups being similar without statistical significance(P＞0.05). Conclusion：Retaining patche after importing Chinese medicine through acupuncture points has promotion effect in the treatment of infantile diarrhea. Related Articles | Metrics

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Clinical analysis of 116 children with community-acquired pneumonia in Suzhou ZHAO Kai, HE Liping, BAO Lili 2015, 7 (6):  566-568.  doi: 10.3969/j.issn.1674-3865.2015.06.011 Abstract ( 344 )   PDF (397KB) ( 85 )   Save Objective：To analyze the clinical features of community-acquired pneumonia (CAP) in children in Suzhou. Methods：A total of 116 children with CAP were selected and the clinical data were analyzed. Results：Among the 116 cases, 93 cases were diagnosed as bronchial pneumonia and 23 cases were diagnosed as lobar pneumonia by using chest radiographic examination. Patients diagnosed with lobar pneumonia showed higher average age, longer hospitalization time, higher fever ratio(95.65%), and higher mycoplasma infection rate (86.96%)；there was significant difference between the two groups (P＜0.05);however, no significant difference was found among gender, clinical manifestations (the moist rale, wheezing and diarrhea), laboratory tests (white blood cell, alanine transaminase, aspartate amino transferase and myocardial creatine kinase isoenzyme) between the two groups (P＞0.05). Conclusion：Children are susceptible to CAP. However, the clinical manifestations are complicated and lack of specificity. We must be alert to atypical microbial infections such as mycoplasma pneumoniae, and pay great attention to the degree of myocardial injury during the course of the disease. Therefore, efforts should be made to improve clinical cognition, to strengthen research, to obtain early diagnosis and reasonable treatment, to improve prognosis, and then to promote the harmonious relationship between doctors and patients. Related Articles | Metrics

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Imaging diagnosis analysis of infantile acute testicular and appendage torsion with color Doppler LIU Lijun 2015, 7 (6):  569-572.  doi: 10.3969/j.issn.1674-3865.2015.06.012 Abstract ( 295 )   PDF (509KB) ( 81 )   Save Objective：To summarize the value of color Doppler in diagnosis of acute testicular torsion and testicular torsion in children. Methods：Observe the two-dimensional ultrasound imaging and RI and spectrum changes of 26 cases of testicular torsion and 7 cases of appendage torsion, and compare with the operation;analyzed the diagnosis and differential diagnosis features. Results：The imaging features of testicular forsion were obvicus decrease or disappearance of blood flow and enhanced echo of cordlike mass in the upper testicle. There was RI and spectrum change.The imaging features of appendage torsion were low echo of unsmooth mass, appearing round or round-like, and there were enlargement of testicle and increased colored blood flow signals. Conclusion：Color Doppler has a high diagnostic rate of early diagnosis of acute testicular torsion and torsion of testicular appendages, which can guide the early treatment for incomplete testicular torsion. Related Articles | Metrics

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Investigation into the relationship between the platelet count and the severity of pneumonia in infants LIAO Jingwen 2015, 7 (6):  572-574.  doi: 10.3969/j.issn.1674-3865.2015.06.013 Abstract ( 361 )   PDF (375KB) ( 120 )   Save Objective：To investigate the relationship between the platelet count and the severity of pneumonia in infants. Methods：From Nov. 2011 to Feb. 2013,166 cases of infants with pneumonia were divided into three groups（non critical group，critical group and extremely critical group）according to the score of critical illness in children in 24 h after admission. Peripheral blood platelets were collected in 24 h after admission. The number of peripheral blood platelets in three groups was compared.ResultsThe peripheral blood platelets［（427.1±73.6）×109/L］ was higher in critical group than in noncritical group［（343.3±61.2）×109/L］（P＜0.05），and was significantly higher than extremely critical group［（102.1±29.5）×109/L］（P＜0.01）;both differences had statistical significance. Conclusion：The number of peripheral blood platelets in the critical group is significantly increased, and the number of peripheral blood platelets in the extremely critical group was significantly decreased. Close monitoring of the changes of peripheral blood platelet is helpful in judging the severity of illness and the prognosis of disease. Related Articles | Metrics

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Analysis of nerve conduction in hand-foot-mouth disease combined with acute flaccid paralysis LU Na, SHEN Ying, ZHOU Minjie, ZHOU Ling 2015, 7 (6):  575-577.  doi: 10.3969/j.issn.1674-3865.2015.06.014 Abstract ( 333 )   PDF (358KB) ( 77 )   Save Objective：To analyze the clinical features and the examination results of nerve conduction in hand-foot-mouth disease（HFMD） combined with acute flaccid paralysis（AFP）which may be helpful in clinical diagnosis,treatment and the prognosis judgement. Methods：Five cases of HFMD combined with AFP who made regular followup visits to our hospital from June 2012 to June 2014 were selected. The clinical features and followup data of nerve conduction were analyzed retrospectively. Results：Axonal or anterior horn cells injury was the main type in this disease. There was a positive correlation between the decrease of action potential amplitude and limb dysfunction. The return of action potential amplitude was most prominent in the first review.The femoral nerve injury was the most common. The decrease of action potential amplitude of motor conduction was seen. The cases whose amplitude decreased 30% and below during the early onset could be observed limb dysfunction after 6～12 months. Conclusion：In the management of HFMDcombined with AFP,it is important to diagnose and treat in time to reduce the rate of disability. Related Articles | Metrics

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Curative effect evaluation of traditional Chinese medicine in treating repeated respiratory tract infection in infants based on literature research HUANG Ting，XIE Jing，HUANG Naiying 2015, 7 (6):  577-580.  doi: 10.3969/j.issn.1674-3865.2015.06.015 Abstract ( 250 )   PDF (458KB) ( 101 )   Save Objective：To probe the curative effect evaluation method of traditional Chinese medicine in treating repeated respiratory tract infection（RRTI） in infants. Methods：Search the literature of the latest 20 years on traditional Chinese medicine in treating RRTI， to summarize indexes for therapeutic effects and establish a digital information table; through three rounds of expert questionnaire， the method of Delphi Measurement was used to conclude RRTI curative effect evaluation table. Results：The number of onset in a year，days of each onset, the use of immune enhancer，repeated exogenous infection， fever， cough， sweat， sneeze， antibiotic use time and so on were very important in disease curative effect evaluation; the number onset in year， congestion of throat，repeated exogenous infection， mental state， appetite and so on were main components in the syndrome; the number of onset in a year，days of each onset， congestion of throat， repeated exogenous infection and fever，the mean was greater than or equal to 0.90 and the coefficient of variation was less than or equal to 0.35. Conclusion：The curative effect evaluation table can be established by using literature research combined with Delphi method，and it can provide the basis for the clinical study. Related Articles | Metrics

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Clinical study on salbutamol combined with Xingpi Yanger particles in treatment of children with nocturnal enuresis GUO Cuicui, LYU Xueyun,ZHANG Yukun,YANG Qiaozhi 2015, 7 (6):  581-583.  doi: 10.3969/j.issn.1674-3865.2015.06.016 Abstract ( 356 )   PDF (412KB) ( 105 )   Save Objective：To observe the clinical curative effects of salbutamol and Xingpiyanger particles on children with primary nocturnal enuresis. Methods：Totally 78 patients with primary nocturnal enuresis who accepted the treatment for 2 months were randomized into two groups: Chinese medicine group (Xingpiyanger particles), Chinese and western medicine group(Xingpiyanger particles + salbutamol). Both two groups also received psychologicalbehavioral therapy. The curative effect in the two groups was evaluated at the end of the treatment and 3 months after the treatment and statistical analysis was performed. Results：The total effective rate in Chinese and western medicine group was superior to Chinese medicine group at the end of the treatment and 3 months after the treatment (P=0.029 and 0.04), the difference being statistically significant. There was no significant difference in relapse rate between two groups. Conclusion：The clinical curative effects of salbutamol and Xingpiyanger particles in children with primary nocturnal enuresis are relatively high with lower relapse rate. So, it is worth clinical promotion in treating PNE in China. Related Articles | Metrics

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Observation on the clinical efficacy of Xiaoer Chiqiao Qingre granule for herpangina in children ZHANG Hua 2015, 7 (6):  584-586.  doi: 10.3969/j.issn.1674-3865.2015.06.017 Abstract ( 487 )   PDF (416KB) ( 310 )   Save Objective：To observe the clinical curative effect and drug safety of Xiaoer Chiqiao Qingre granule in the treatment of child herpangina. Methods：A total of 156 cases of herpangina were randomly divided into control group and observation group, with 78 cases in each group. The control group was given conventional treatment of ribavirin antiviral therapy, while the observation group was given Xiaoer Chiqiao Qingre granule on the basis of ribavirin antiviral treatment；observe the clinical efficacy and drug safety of the two schemes. Results：The total effective rate of observation group was 96.2%(75/78), which was significantly higher than the 84.6% of control group(66/78), the difference being statistically significant (P＜0.05).The time for appetite to return to normal had no statistically significant difference between the two groups(P＞0.05). The incidence of drug reactions was 3.8%(3/78) in the control group, and compared with the 5.1%(4/78) of observation group, there was no statistically significant difference(P＞0.05). Conclusion：The scheme of combining Xiaoer Chiqiao Qingre granules with the conventional antiviral treatment to treat child herpangina has quick and significant effect, and its drug safety is not lower than conventional antiviral drugs. Related Articles | Metrics

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Analysis of relationship between ultrasound grading of fetal hydronephrosis and prognosis LIU Shuxia，LIU Yanli，ZHAO Hongli，YAN Xiaohong，FANG Hongxia 2015, 7 (6):  586-588.  doi: 10.3969/j.issn.1674-3865.2015.06.018 Abstract ( 520 )   PDF (419KB) ( 137 )   Save Objective：To evaluate the pregnancy outcome and prognosis of fetuses with hydronephrosis by ultrasonography，then to provide help for clinical intervention. Methods：Totally 124 fetuses(140 kidneys) with hydronephrosis received ultrasonography at pregnancy period.They were divided into five groups，gradeⅠ，Ⅱ，Ⅲ，Ⅳ and Ⅴaccording to the renal pelvis anteroposterior diameter(APD)，morphology of renal calyces and renal parenchyma thickness.Pregnancy outcome were followed up. Results：(1) The rate of induced labor in gradeⅠ，Ⅱ，Ⅲ，Ⅳ and Ⅴ group was3.45%，11.75%，26.32%，75.00% and 100.00%(χ2=51.062，P=0.000)，respectively.(2) Among the normal birth fetasus，in gradeⅠ，Ⅱ，Ⅲ，Ⅳ group，the prenatal improvement rate was 87.69%，69.44%，46.67% and 0.00%，the postpartum improvement rate was 12.31%，25.00%，33.33% and 50.00%，and the rate of operation treatment was 0.00%，5.56%，20.00% and 50.00%，respectively(χ2=23.382，P=0.000). Conclusion：The prenatal ultrasonography is of great value in judging the pregnancy outcome and prognosis of fetuses with hydronephrosis. Related Articles | Metrics

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Analysis on clinical ambulatory electroencephalogram of 46 children with Tic disorders ZHOU Minjie, SHEN Ying, LU Na, ZHOU Ling 2015, 7 (6):  589-590.  doi: 10.3969/j.issn.1674-3865.2015.06.019 Abstract ( 398 )   PDF (259KB) ( 98 )   Save Objective：To summarize the clinical and ambulatory electroencephalogram （AEEG） features of Tic disorders in 46 children and to explore the relationship between the clinical manifestation and AEEG. Methods：Totally 46 cases of Tic disorders who took the AEEG examation more than 20 hours from Mar.2014 to Nov. 2014 were selected. Analyze the clinical and AEEG features. Results：Eleven out of all the patients (23.9%) had abnormal AEEG. Six of them presented as slowwave and five of them presented as epileptiform discharges. Three cases of epileptiform waves appeared only in the period of sleep. Conclusion：Tic disorders patients have abnormal AEEG. The more serious the disease,the more common the abnormal EEG. Related Articles | Metrics

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Clinical analysis of 30 cases of newborn pneumothorax and prevention and treatment strategies LE Yan 2015, 7 (6):  591-592.  doi: 10.3969/j.issn.1674-3865.2015.06.020 Abstract ( 357 )   PDF (257KB) ( 110 )   Save Objective：To summarize the causes and prevention measures of newborn pneumothorax. Methods：Retrospectively analyze the clinical data of 30 cases of newborn pneumothorax. Results：In the 30 cases,there were 20 cases of premature infants and 10 cases of full term infants. Thoracic uplift of diseased side were in 6 cases, decreased breathing sounds in 5 cases,and breathing sounds disappeared in 3.There were percussion sounds in 3 cases, heart shift in 3 cases; there are two or more than two kinds of symptoms in 2 cases. There were 28 cases of unilateral pneumothorax,with 8 cases on the left and 20 cases on the right and 2 on both sides. The triggers were: mechanical ventilation in 10 cases, continuous positive airway pressure in 6 cases, oxygen gasbag pressurized in 8 cases, no obvious cause in 6 cases. Twenty cases got cured, 4 cases were improved, 3 cases died, and 3cases gave up the treatment. Conclusion：Neonatal pneumothorax is more often seen in premature infants, mostly secondary to primary disease, and incorrect airway pressure may induce the occurrence of pneumothorax. Prevention of premature birth and suffocation, avoidance of improper airway pressure, adequate knowledge of cesarean section indications, and proper application of breathing machine can reduce the incidence rate of pneumothorax; strengthening the comprehensive treatment can improve the cure rate. Related Articles | Metrics

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Observation on clinical effects of Xiaoer Changweikang granules combined with MedilacVita in treatment of indigestion diarrhea LIU Xin 2015, 7 (6):  593-595.  doi: 10.3969/j.issn.1674-3865.2015.06.021 Abstract ( 452 )   PDF (359KB) ( 89 )   Save Objective：To observe the clinical effects of Medilac-Vita combined with Xiaoer Changweikang granules in treatment of indigestion diarrhea. Methods：A total of 72 patients with indigestion diarrhea were selected and were randomly divided into the control group and the observation group, with 36 patients in each group. In the control group, they were treated with the Medilac-Vita, while in the observation group, they were treated with the Xiaoer Changweikang granules combined with Medilac-Vita. Then, the treatment effects of these two groups of patients were compared. Results：The response rate in the observation group was 94.44%, and the response rate in the control group was 72.22%, the differences being statistically significant (P<0.05). In addition, the pain disappearing time, diarrhea remission time and hospitalization time in the observation group were shorter than those in the control group, and the difference was statistically significant between the two groups (P<0.05). Conclusion：The treatment effect of Xiaoer Changweikang granules combined with Medilac-Vita in treatment of indigestion diarrhea is remarkable, which can quickly promote the body recovery and reduce the body burden, and thus it should be promoted in the clinical application. Related Articles | Metrics

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WASSEL classification of and surgical treatment for congenital duplicated thumb deformities in 170 children JIN Chengyou,XI Wang 2015, 7 (6):  595-597.  doi: 10.3969/j.issn.1674-3865.2015.06.022 Abstract ( 369 )   PDF (401KB) ( 102 )   Save Objective：To sum up the clinical WASSEL classification of complex thumb, and to clarify the advantages of surgical treatment. Methods：A retrospective analysis was made in 170 cases of complex thumb deformity. Through the skin incision design, skeleton establishment, joint repair and functional reconstruction of thumb abduction, congenital thumb deformities were treated surgically. Results：The score of 45 after operation were in 100 cases,3 points in 65 cases and under 2 points in 5 cases. The shape and function of the thumb were satisfactory in 170 cases. After a followup of 636 months, except 2 cases of scoliosis, 3 cases of joint movement limitation and 6 cases with fingers bigger than the healthy one, all basically met the needs of daily life after rehabilitation training. Conclusion：In the treatment of congenital thumb deformities, choosing appropriate surgery time according to WASSEL classification can achieve good effect. Related Articles | Metrics

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Injectable root canal filling agent in the treatment of deciduous periapical disease: clinical effect evaluation WANG Ge 2015, 7 (6):  598-599.  doi: 10.3969/j.issn.1674-3865.2015.06.023 Abstract ( 355 )   PDF (252KB) ( 69 )   Save Objective：To summarize the clinical effect of injectable root conal filling agent in the treatment of deciduous periapical disease. Methods：Fifty children with deciducus periapical diseases were chosen as the research subjects,and were randomly divided into two groups: observation group and control group, with 25 cases in each. The control group was treated with conventional root canal filling material, and the observation group was treated with injectable root canal filling material. The clinical effect of two groups of children were compared. Results：The total effective rate of observation group was 96%, significantly higher than the control group(72%),and the difference between the two groups was statistically significant (P＜0.05). Conclusion：The curative effect of injectable root canal filling agent for deciduous periapical disease is remarkable, with high clinical value. Related Articles | Metrics

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Zhi Yuan Qing treatment for children with Mycoplasma pneumoniae pneumonia: observation on the curative effect and its influence on Tlymphpcyte subsets BAI Yueshuang,SHI Yinong,ZHU Yue,GAO Yan,ZHU Shuli 2015, 7 (6):  600-603.  doi: 10.3969/j.issn.1674-3865.2015.06.024 Abstract ( 425 )   PDF (532KB) ( 103 )   Save Objective：To observe the effect of TCM prescriptions of "Zhi Yuan Qing" on Mycoplasma pneumoniae pneumonia in children and its influence on the T lymphocyte subsets (CD3+、CD4+、CD8+、CD4+/CD8+) value changes. Methods：Totally 60 cases of children with Mycoplasma pneumoniae pneumonia were randomly divided into treatment group and control group. The treatment group was treated with Zhi Yuan Qing orally for 21 days. The control group was given azithromycin granules and Jizhi Syrup orally for 21 days, Compare clinical curative effect of two groups, and observe the changes of serum value of T lymphocyte subsets before and after the treatment.ResultsIn treatment group and control group, total effective rate was 100%;the clinical control rate was 86.66% in treatment group, and 40% in control group, which showed extremely significant difference (P＜0.01). In the treatment group CD3+ and CD4+ cells in peripheral blood were significantly higher than in the control group, with significant difference (P＜0.05).In the treatment group the peripheral blood CD8+ cells were lower than in the control group, showing significant difference (P＜0.05). Conclusion：Traditional Chinese medicine prescription of "Zhi Yuan Qing" for children with Mycoplasma pneumoniae pneumonia is safe and effective, and the regulation of T lymphocyte subgroup level is better, which helps to improve the cellular immune function. Related Articles | Metrics

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Curative effect of Kangfuxin solution in the treatment of oral ulcer in children XUE Yan 2015, 7 (6):  604-606.  doi: 10.3969/j.issn.1674-3865.2015.06.025 Abstract ( 449 )   PDF (402KB) ( 128 )   Save Objective：To evaluate the effect of Kangfuxin solution in treatment of children with oral ulcer. Methods：Fifty cases of oral uler in children were randomly chosen and divided in to two groups.The experiment group were treated with Kangfuxin solution.The control group were treated with Bingpeng powder.The effective rate of the two groups was compared after seven days. Results：Comparing the two groups,the effective rate of the experiment group(88.89%) was much higher than the control group(70.69%).The difference of the effective rate between the two groups was statistically significant(P＜0.05). Conclusion：Kangfuxin solution has a good clinical effect on children with oral ulcer and can be used in clinic. Related Articles | Metrics

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Clinical observation on the effect of pidotimod in preventing infantile recurrent respiratory infection ZHENG Wenli,GUAN Xue,BAI Binbin,LONG Feng 2015, 7 (6):  606-608.  doi: 10.3969/j.issn.1674-3865.2015.06.026 Abstract ( 401 )   PDF (369KB) ( 128 )   Save Objective：To observe the effect of pidotimod in the treatment of infantile recurrent respiratory infection and its influence on the immune function. Methods：We collected 96 patients diagnosed with recurrent respiratory infection from April, 2013 to April,2014,and divided them randomly into observation and control group with 48 patients in each one. The control group was given with antiinfection and symptomatic treatment, while the other group was added pidotimod with 0.4 g qd or b.i.d, to improve their immune function. The whole treatment lasted for 3 months. We observed the effect in the two groups and the change of immune function before and after the treatment. Results：The total effective rate of observation group was 85.41%, which was obviously higher than the control group（62.40%）；the course of secondary infection, times of recurrent infection and the duration of antibiotics use in the observation group obviously decreased；the level of IgG, IgA and IgM in the serum after using pidotimod was remarkably higher than before and higher than the level in the control group；all the difference had statistical significance（P＜0.05）. No effect was shown in the control group.ConclusionPidotimod can improve the immune function of children with recurrent infection of respiratory tract，decrease the possibilities of infection and enhance the efficiency. Related Articles | Metrics

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Early clinical characteristics of nosocomial infection in premature infants LIAN Xiyuan 2015, 7 (6):  609-611.  doi: 10.3969/j.issn.1674-3865.2015.06.027 Abstract ( 294 )   PDF (346KB) ( 158 )   Save Objective：To observe the early clinical characteristics of nosocomial infection in premature infants. Methods：A total of 354 patients, who were hospitalized within 24 h of birth, stayed in the hospital for ＞48 h and had not experienced prenatal bacterial infection, were selected. The clinical symptoms of early infection (within 24 h) were analyzed based on hematology, highsensitivity reactive protein and calcitonin tests. Based on the presence or absence of nosocomial infection, patients were divided into the infection group including 206 patients and the non-infection group including 148 patients. Taking the 16 factors, including pyrexia, apnoea, and jaundice, as suspicious early clinical characteristics, the early clinical characteristics were determined using Chi-square test and multivariate stepwise logistic regression. Results：Nine clinical manifestations, including apnoea, gastric retention, shortness of breath, increased heart rate, vomiting, abdominal distension, pyrexia, body temperature failing to rise, and jaundice, were assessed as correlated with the early clinical characteristics; further multivariate logistic regression identified apnoea（OR=0.288，95%CI 0.065~0.795） and increased heart rate （OR=0.068，95% CI 0.027~0.168） as the early clinical characteristics of nosocomial infection in premature infants. Conclusion：Increased heart rate and apnoea are the most common and earliest clinical manifestations of nosocomial infection in premature infants. Related Articles | Metrics

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Effect of montelukast sodium on wheezing in children with acute upper respiratory tract infection GUO Yanhui, WANG Qiuhua, LI Meng 2015, 7 (6):  611-613.  doi: 10.3969/j.issn.1674-3865.2015.06.028 Abstract ( 529 )   PDF (335KB) ( 78 )   Save Objective：To observe the prevention effect of montelukast sodium on wheezing in children with acute upper respiratory tract infection. Methods：Totally 126 cases of children of 1-to 3-year-old with previously wheezing attack for more than two times after acute upper respiratory tract infection were divided into two groups: 66 cases for A group, 60 cases for B group. After basic symptomatic treatment, children in A group were treated with oral montelukast sodium at 4 mg once daily within 24 hours after the disease attack, and the treatment lasted for 10 days. Children in B group were treated with oral montelukast sodium at 4 mg once daily after the appearance of wheezing symptom, and the treatment also lasted for 10 days. According to crossover principle, we performed cross comparison of the two groups if children were diagnosed with acute upper respiratory tract infection again 3 months after stopping taking montelukast sodium. The cases of wheezing were observed and recorded. Results：The number of children in A group with wheezing and serious wheezing was lower than that in B group before cross comparison. However, after cross comparison, the number of children with wheezing and serious wheezing in A group was higher than that in B group. Conclusion：Montelukast sodium has preventive effect on wheezing in children between 1- to 3-year-old with acute upper respiratory tract infection. Early application can reduce the rate of wheezing attack and alleviate the severity. Related Articles | Metrics

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Observation on the clinical efficacy of budesonide nebulising solution combined with bronchodilator inhalation in treating infant bronchiolitis LEI Jing 2015, 7 (6):  614-616.  doi: 10.3969/j.issn.1674-3865.2015.06.029 Abstract ( 527 )   PDF (378KB) ( 82 )   Save Objective：To observe the curative effect of budesonide nebulising solution combined with bronchodilator inhalation in treating infant bronchiolitis. Methods：Totally 134 cases of infant bronchiolitis were divided into two groups randomly: treatment group (72) and control group (62). The comprehensive treatment was given to both groups, while the treatment group was given budesonide and bronchodilator inhalation based on the comprehensive treatment. The improvement time of signs and sypnptoms and the total effective rate were observed.ResultsThe significant efficiency rate and total efficiency rate in treatment group were both obviously higher than the control group.The disappearance time of cough,asthma and pulmonary signs was shorer than the control grup,the difference being statistically significant(P＜0.01). Conclusion：Budesonide nebulising solution combined with bronchodilator can effectively relieve the symptoms of infants' cough and breath holding, improve the curative effect, shorten the treatment time,and prevent recurrence of infantile asthmatic disease. Related Articles | Metrics

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Observation on the therapeutic effect of flash cupping therapy on children with bronchial pneumonia LIN Yu 2015, 7 (6):  616-618.  doi: 10.3969/j.issn.1674-3865.2015.06.030 Abstract ( 418 )   PDF (420KB) ( 93 )   Save Objective：To summarize the clinical effect of flash cupping therapy on children with bronchial pneumonia. Methods：Totally 180 cases of children with bronchial pneumonia were randomly divided into observation group and control group. In the control group, 90 cases were treated by routine method, and the observation group 90 cases was treated with flash cupping therapy on the basis of the control group. The treatment effect of two groups was compared after the treatment of 7 d. Results：The total effective rate of the observation group was 95.55%, and the total effective rate was 72.22% in the control group, the difference being statistically significant (P＜0.05). Pulmonary rales disappearing time and hospitalization time in observation group were shorter than the control group, and there was significant difference between two groups (P＜0.05). The complication rate of observation group was 6.66%, and the control group was 26.67%, the difference being statistically significant (P＜0.05). Conclusion：Flash cupping therapy has good effect in treatment of children with bronchial pneumonia,and it can shorten the disappearance time of lung rale and hospitalization time with fewer complications and simple operation, which is worthy of clinical application. Related Articles | Metrics

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Clinical analysis of 42 cases of acute mesenteric lymphadenitis in children SHI Jingjing,WANG Dongmei 2015, 7 (6):  619-621.  doi: 10.3969/j.issn.1674-3865.2015.06.031 Abstract ( 367 )   PDF (377KB) ( 127 )   Save Objective：To summarize clinical features of pediatric acute mesenteric lymphadenitis, treatment experience and outcome. Methods：A retrospective analysis of 42 cases of children with acute mesenteric lymphadenitis was made regarding the clinical manifestations and treatment course. Results：Abdominal pain was the main symptom of all the 42 cases of children, and the common age of onset was before seven years old,mostly in winter and spring. Most cases were caused by upper respiratory tract infection; ultrasonography could improve the detection rates. After antiinflammatory and antiviral treatment, 35 cases were cured, 5 cases got better, and 2 cases relapsed. Conclusion：Pediatric acute mesenteric lymphadenitis is a common disease in children; ultrasonography is a reliable method for diagnosing the disease; early detection and treatment will result in good prognosis. Related Articles | Metrics

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MEBO plus rhEGF and ionic silver dressing in treatment of children with Ⅱ scald TANG Xianglian, ZHANG Tian, WEN Haitao, WEN Jiabing 2015, 7 (6):  621-624.  doi: 10.3969/j.issn.1674-3865.2015.06.032 Abstract ( 522 )   PDF (438KB) ( 167 )   Save Objective：To investigate the therapeutic effect of MEBO plus recombination human epidermal growth factor(rhEGF) and ionic silver dressing in the treatment of children with Ⅱ scald wound. Methods：Totally 116 cases of children with scald wound were randomly divided into five groups;the wound healing time,healing rate,pigmentation degree and scar index were observed. Results：With different treatments,the healing time and healing rate were as follows:MEBO plus rhEGF and ionic silver dressing group＜MEBO plus rhEGF group＜MEBO group。MEBO plus rhEGF and ionic silver dressing had better effect than MEBO in the treatment of children with Ⅱ scald wound,and significantly shorten the average healing time by 3 to 5 days(P＜0.01). MEBO plus rhEGF and ionic silver dressing group was better than the MEBO plus rhEGF group(P<0.01). MEBO plus rhEGF and ionic silver dressing group had good healing effect;less pigmentation and fewer scars were seen in some patients after half a year of followup. Conclusion：MEBO plus rhEGF and ionic silver dressing has good effect in the treatment of children with Ⅱ scald wound and the prognosis is good,which is worthy of being recommended in clinical practice. Related Articles | Metrics

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Clinical observation on the effect of Reduning injection in the treatment of bronchial pneumonia in children ZHAO Juan, ZHU Yuanyuan 2015, 7 (6):  625-627.  doi: 10.3969/j.issn.1674-3865.2015.06.033 Abstract ( 389 )   PDF (377KB) ( 92 )   Save Objective：To analyze the clinical effect of Reduning Injection in the treatment of bronchial pneumonia in children. Methods：Two hundred children with bronchial pneumonia treated in our hospital from August 2013 to February 2015 were selected and divided into observation group (100 cases) and control group (100 cases).All the cases were given conventional treatment,and the observation group also received Reduning Injection. The treatment effet of two groups was compared and analyzed. Results：The observation group was superior to the control group in the defervescence time, cough,asthma and pulmonary rales disappearing time and chest Xray absorption time, which had statistical significance(P＜0.05).The effective rate in the control group was 83.00%,and that of the observation group was 96.00%，which had statistical difference（P＜0.05）. Conclusion：Reduning Injection in the treatment of bronchial pneumonia in children has a significant effect in relieving patients' symptoms, and its curative effect is reliable,which is worthy of clinical promotion. Related Articles | Metrics

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Clinical observation on the effect of Tanreqing injection combined with azithromycin in the treatment of children with Mycoplasma pneumoniae pneumonia PENG Qiuxiang 2015, 7 (6):  627-629.  doi: 10.3969/j.issn.1674-3865.2015.06.034 Abstract ( 390 )   PDF (399KB) ( 137 )   Save Objective：To observe the effect of Tanreqing injection combined with azithromycin in treatment of children with Mycoplasma pneumoniae pneumonia (MPP). Methods：Totally 126 cases of children with Mycoplasma pneumoniae pneumonia were randomly divided into two groups. Control group (n=60)was given azithromycin sequential therapy, 10 mg/(kg·d), once a day, through intravenous drip for the first 3 days,and later it was changed to oral taking and treatment lasted for 7 d; observation group (66 cases), in addition to the above treatment,was treated with Tanreqing injection at 0.3 to 0.5 mL/(kg·d), once daily by intravenous infusion; treatment lasted for 7 d, and the second course might be performed 3days after the first course if needed. After the treatment, observe the curative effect of the two groups, fever and cough disappearing time,and pulmonary rales disappearing and lung Xray improvement time. Before discharge the adverse drugs reaction of two groups was analyzed. Results：The fever and cough disappearing time, pulmonary rales disappearance time, and lung Xray improvement time were significantly better in the observation group than in the control group,and the difference between the two groups had statistical significance (P＜0.05 or P＜0.01). The total effective rate in the observation group was 96.9% (64/66), which was better than that of the control group, 85% (51/60). The adverse reactions of the two groups were mild, and the difference was not statistically significant (P＞0.05) between the two groups. Conclusion：Tanreqing injection combined with azithromycin can alleviate clinical symptoms quickly in children with Mycoplasma pneumoniae pneumonia. Curative effect is significant,and no adverse drug reactions occur. Compared with single use of azithromycin it has certain advantages, and is worthy of popularization and application. Related Articles | Metrics

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Introduction to the regulation and care for chidren of stagnant constitution. OUYANG Hui,HOU Jianghong 2015, 7 (6):  630-631.  doi: 10.3969/j.issn.1674-3865.2015.06.035 Abstract ( 395 )   PDF (309KB) ( 102 )   Save Pediatric stag nation is common in clinic.Professor HOU Jianghong, after years of clinical experience, summarizes that children may have stagnant physique, and a stagnant constitution is extremely likely to cause stagnation, so the clinical study on pediatric stagnant physique is even more necessary. Through the literature review and the clinical summary, this paper summarizes regulating method of stagnant constitution, which is simple, practical, and is worth promoting. Related Articles | Metrics

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Experience in treating infantile anorexia with traditional Chinese medicine DING Lizhong，SUN Liping，WANG Yanbo 2015, 7 (6):  632-633.  doi: 10.3969/j.issn.1674-3865.2015.06.036 Abstract ( 595 )   PDF (293KB) ( 81 )   Save Anorexia is a common disease of the spleen and stomach diseases in children. Professor WANG Lie thinks that the disease is in the spleen and stomach, which is related to diet disorders. The key pathogenesis is spleen deficiency resulting in indigestion, or the indigestion resulting in the injury of spleen， the spleen deficiency and closed stomach. In the treatment of the disease, we used selfmade Kaiwei Jinshi decoction with the addition and subtraction, combined with adjusting diet structure, which brought about satisfactory curative effect in the clinical application. Related Articles | Metrics

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Clinical experience in the treatment of infants with abdominal pain of cold accumulation by point pressing method of Zangfu diagram DU Junwei,GE Meifei, WANG Fengwei 2015, 7 (6):  634-635.  doi: 10.3969/j.issn.1674-3865.2015.06.037 Abstract ( 287 )   PDF (288KB) ( 79 )   Save Abdominal pain of cold accumulation is a common disease in infants, named intestinal spasm by western medicine. Abdominal pain of cold accumulation has a great threat to the health of infants, which may cause serious consequences, and may even be lifethreatening if not managed properly. Point pressing method of Zangfu diagram attaches great importance to abdominal massage, taking the treatment of abdominal Ren Channel as main line. It adjusts the meridianqi of Chong Channel and Ren Channel and Du Channel to cure the disease. Clinically, the combination of the pathogenesis of abdominal pain of cold accumulation and point pressing method of Zangfu diagram can quickly and effectively relieve or eliminate abdominal pain and promote the early recovery of infants. Related Articles | Metrics

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Superficial discussion about cough and diarrhea treated through Middle Jiao WU Jinyong,CHEN Lu 2015, 7 (6):  636-638.  doi: 10.3969/j.issn.1674-3865.2015.06.038 Abstract ( 353 )   PDF (410KB) ( 117 )   Save Cough and diarrhea are two common pediatric disorders.The pathogenesis of cough is the upward reversal of the lung qi while the pathogenesis of diarrhea is the sinking of the clear qi.The pathogenesis partly results from either the phlegm or the dampness and both are related to qiactivity disorder syndrome.The treatment should be to harmonize the rising and the sinking of the qi.For cough we should lower the adverse qi while for diarrhea we should raise the clear qi.To treat cough we should resolve phlegm while to treat diarrhea we should dispel dampness.In the treatment of both disorders we should regulate the metabolism of body fluid.There is consistency as well as contradictions in the pathogenesis and treatment of these two disorders.Therefore,we should regulate the qiactivity or harmonize the body fluid.When both occur,the preferred method of treatment is to regulate the Middle Jiao. Related Articles | Metrics

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Experience analysis of traditional Chinese medicine in treatment of children with multiple Tic disorders CHEN Liangzhen,XIAO Heyin,GUO Kai 2015, 7 (6):  638-640.  doi: 10.3969/j.issn.1674-3865.2015.06.039 Abstract ( 457 )   PDF (506KB) ( 100 )   Save Professor Xiao Heyin believes that Tourette syndrome in children is mainly caused by heartfire hyperactivity,or wind stirring due to liver stagnation.Clinical differential treatment is based on heart,liver and lung.The primary therapeutic principle is to clear heart fire or calm liver wind,which achieves good curative effect. Related Articles | Metrics

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Research of PBL method combined with traditional ones in the teaching of pediatric nursing WANG Xiaoju,SUN Yanan 2015, 7 (6):  641-643.  doi: 10.3969/j.issn.1674-3865.2015.06.040 Abstract ( 358 )   PDF (430KB) ( 103 )   Save Objective：To summarize the scientific and practical teaching methods in nuring suitable for Chinese students to find the appropriate method to improve the teaching quality in pediatric nursing field. Methods：Compare the two teaching methods of PBL and traditional way by the theoretical examinations,questionnaires and the casecontrol study. Results：The result showed that the combination of PBL with traditional teaching could better achieve the teaching goal than single teaching method of PBL. Conclusion：The combination of PBL with traditional teaching is more appropriate in our country,and is more helpful in improving the comprehensive ability of the nursing students. Related Articles | Metrics

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Investigation into cytomegalovirus infection of hospitalized children in the northwest areas of Shenzhen ZHANG Anquan,WU Qingfei,PENG Wenjuan,XUE Lijun 2015, 7 (6):  644-646.  doi: 10.3969/j.issn.1674-3865.2015.06.041 Abstract ( 293 )   PDF (442KB) ( 123 )   Save Objective：To investigate the current situation of cytomegalovirus infection of hospitalized children in the northwest areas of the city. Methods：Totally 5245 cases of children with suspected cytomegalovirus infection admitted to Fuyong People's Hospital of Baoan District, Songgang People's Hospital of Baoan District, and People's Hospital of Guangming New District in the northwest areas of the city from July 2013 to June 2015 were investigated by CMV infection survey. Blood specimens were taken to perform CMVIgG and CMVIgM antibody detection. Results：Among the 5245 cases of hospitalized children with suspected cytomegalovirus infection, there were 733 cases confirmed with cytomegalovirus infection and the infection rate was 14.0% (733/5245), of which 37.5% (275/733) was primary infection and 62.5% (458/733) was active infection. There were certain differences in the incidence rates of clinical manifestations, such as jaundice, liver function damage, pneumonia and blood system and the differences were statistically significant (P＜0.05). In 733 cases of infected children, the infected female was significantly more than the infected male (P＜0.05). Conclusion：The infection rate of cytomegalovirus infection in hospitalized children in the northwest areas of Shenzhen is about 14.0%. The infection rate of the female is higher than that of the male and the main clinical manifestations are different in patients of different age. Related Articles | Metrics

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Observation on the effect of epinephrine for hemostasis of puncture sites in preterm infants with PICC JIN Xin,HAN Xueting 2015, 7 (6):  647-649.  doi: 10.3969/j.issn.1674-3865.2015.06.042 Abstract ( 335 )   PDF (390KB) ( 135 )   Save Objective：To explore the effect of applying epinephrine to the hemostasis of puncture sites in premature infants with PICC.MethodsA total of  100 preterm infants with PICC were chosen who were hospitalized from Jan. 2011 to Nov. 2013 in Shenyang Children's Hospital.They were randomly divided into observation group and control group, with 50 cases in each group. The observation group was given  epinephrine gauze for hemostasis; the control group was given ordinary gauze for hemostasis. Compare bleeding degree between the two groups of patients.ResultsThe bleeding severity at 24 h and 48 h after PICC operation had statistical difference (P<0.05) between the groups, while there was no statistical difference at 72 h (P>0.05).ConclusionEpinephrine can effectively reduce bleeding after PICC operation in preterm infants. Related Articles | Metrics

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Clinical effect of North apricot asarum powder by acupoint application in the treatment of exogenous cough in children with cerebral palsy and the nursing observation LI Yuxiu,JIN Bingxu, XUN Jingping, XIE Jieshan, YAN Xiaolan, LI Nuo, QIAN Xuguang 2015, 7 (6):  649-651.  doi: 10.3969/j.issn.1674-3865.2015.06.043 Abstract ( 363 )   PDF (465KB) ( 93 )   Save Objective：To summarize the clinical effect in treating exogenous cough of cerebral palsy with acupoint application of Apricot Asarum Powder, and introduce the corresponding nursing countermeasures. Methods：The 60 cases of children with exogenous cough of cerebral palsy were randomly divided into observation group and control group, 30 cases in each group; the control group was given conventional treatment, including antibiotic therapy, aerosol inhalation, patting the back to remove phlegm,and symptomatic and supportive treatment; observation group was given Apricot Asarum Powder for acupoint application in addition to the conventional therapy; treatment lasted for 3 days and 7 days for assessment of the therapeutic effect. Results：The total effective rate of the observation group and the control group after 3 and 7 days was 90%, 60% and 100%, 83.3%,respectively. The difference between the two groups was statistically significant (P＜0.01). Conclusion：Apricot Asarum Powder for acupoint application in treating cough in children with cerebral palsy has the advantages of convenient operation and obvious curative effect,which is worthy of promotion. Related Articles | Metrics

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Humanized nursing service in surgical operation in children WU Mingyu 2015, 7 (6):  652-654.  doi: 10.3969/j.issn.1674-3865.2015.06.044 Abstract ( 547 )   PDF (412KB) ( 89 )   Save Objective：To summarize the application of humanized nursing concept to surgical nursing. Methods：A total of 146 cases of children receiving surgical treatment were divided into two groups, the observation group and the control group, by odd and even numbers. The two groups both received the traditional nursing, and the observation group was also given humanized nursing, the individualized nursing. After treatment, two groups of patients were investigated concerning the degree of treatment cooperation and satisfaction of medical care.ResultsThe satisfaction and cooperation degree of the observation group was better than that of the control group, the difference being statistically significant (P＜0.05). Conclusion：The humanized nursing is beneficial to the health of the children, providing physical and mental pleasure for children and their families in the treatment. Related Articles | Metrics

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Emergency nursing in pediatric febrile seizures YI Shuyu， YANG Qin， DING Fen 2015, 7 (6):  654-656.  doi: 10.3969/j.issn.1674-3865.2015.06.045 Abstract ( 300 )   PDF (460KB) ( 90 )   Save Objective：To summarize the emergency nursing measures in febrile seizures. Methods：A total of 44 cases of febrile seizures in children were included in the study.Retrospective analysis of clinical data was made. Emergency nursing measures for febrile seizures in children were analyzed and summarized. Results：In the 44 patients,through effective emergency treatment and intensive care, seizure symptoms were effectively controlled, and the child patients were ultimately discharged; the average length of hospital stay was(6.9±1.3) d. Conclusion：Effective emergenency nursing measures enables us to bring febrile seizures under control,which can improve the therapeutic effect, helping children to recover sooner. Related Articles | Metrics