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ISSN 1674-3865  CN 21-1569/R
主管:国家卫生和计划生育委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

Table of Content

    25 April 2017, Volume 9 Issue 2 Previous Issue    Next Issue
    Effect of Qingfei Tongluo ointment on the expression of ERK/NF-κB p65 protein in the lung tissues of rats with influenza virus pneumonia
    LIU Shuang,WANG Xuefeng,HAO Oumei
    2017, 9 (2):  93-96.  doi: 10.3969/j.issn.1674-3865.2017.02.001
    Abstract ( 567 )   PDF (448KB) ( 117 )   Save

    Objective:To investigate the mechanism of Qingfei Tongluo ointment in regulating the EPK/NF-κB p65 signal pathway in the lung tissues of rats with influenza virus pneumonia.
    Methods:Thirty Wister rats were randomly divided into 3 groups: normal group(A), model group(B) and Qingfei Tongluo group(C), 10 rats in each group. Influenza virus FM1 strain was inoculated through nose to induce pneumonia in young Wister rats, in group B and C. After infection, Qingfei Tongluo ointment was applied to the projected area of lungs on the back of rats for treatment. The general state of all the rats were observed, including the amount of food and water taken, hair,exercise, mental state and breathing frequency. The morphology of lung tissues was observed under light microscope. The expression of NF-κB p65 and pERK was detected by immunohistochemical assay.
    Results:Compared with group A, the expression of p-ERK and NF-κB p65 protein in the lung tissues of rats in group B was significantly increased, and the difference was statistical(P<0.05);the expression of p-ERK and NF-κB p65 in group C was significantly reduced compared with group B, and there was statistical difference(P<0.05).
    Conclusion:Qingfei Tongluo ointment can reduce the expression NF-κB p65 through inhibiting the phosphorylation of ERK, thus alleviating the pathological damage of lung tissues and achieving the treatment effect.
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    Effect of Xiyanping injection on expression of Bcl-2/Bax protein in adenovirus-infected Hep-2 cells
    ZHANG Xiuying, WANG Xuefeng, WANG Siyuan, PING Jing.
    2017, 9 (2):  96-99.  doi: 10.3969/j.issn.1674-3865.2017.02.002
    Abstract ( 430 )   PDF (474KB) ( 267 )   Save

    Objective:To explore mechanism of antiviral mechanism of Xiyanping injection in vitroby invstigating influence of  Xiyanping injection on expression of Bcl-2/Bax protein in adenovirus-infected Hep-2 cells.
    Methods:The Hep-2 cells were infected with adenovirus, which were interfered with high, medium and low dose of Xiyanping injection and ribavirin. Then expressions of Bcl-2/Bax protein were measured by immunohistochemistry.
    Results:The expressions of Bax protein in model group were significantly higher than normal groups(P<0.05).The expression of Bax protein in all Xiyangping groups and ribavirin control group was lower than that of model group, and it was much lower in the high-dose Xiyanping group and ribavirin control group than in the model group(P<0.05). The expressions of Bal-2 protein in different groups had no significant difference(P>0.05).
    ConclusionXiyanping injection can kill ADV by suppressing the expressions of Bax protein. The high-dose Xiyanping injection is better than others.
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    Value of plasma N terminal brain natriuretic peptide in the diagnosis of heart failure after neonatal asphyxia
    GUO Huiping, JIN Caihong, LIAN Xiyuan,LI Hongke, WU Yang
    2017, 9 (2):  99-102.  doi: 10.3969/j.issn.1674-3865.2017.02.003
    Abstract ( 468 )   PDF (489KB) ( 134 )   Save

    Objective:To investigate the value of plasma N terminal brain natriuretic peptide(NT-proBNP) in the diagnosis of heart failure after neonatal asphyxia.
    Methods:A total of 120 neonates with asphyxia treated in our hospital from Jan. 2014 to Mar. 2015 were divided into two groups according to whether they had heart failure: group A(55 cases of neonates with heart failure) and group B(65 cases without heart failure).NT-proBNP, cardiac troponin(cTnI),lactate dehydrogenase(LDH1) and creatine kinase isoenzyme(CK-MB) were detected in the two groups.
    Results:NT-proBNP,LDH1,CK-MB and cTnI were significantly higher in group A than in group B, the difference being of statistical significance(P<0.05).Unconditioned Logistic regression equation showed that NT-proBNP was the independent risk factor of developing heart failure after neonatal asphyxia(OR=1.482,P<0.05).The area under ROC curve for heart failure in asphyxia neonates diagnosed by NT-proBNP was 0.952,95%CI 0.908-0.995(P<0.05). When the cut off value was (13 181 ng/L, the sensitivity of diagnosis was 90.20% and the specificity was 100.00%. Three-element linear regression analysis showed that LDH1, and cTnI had influence on NT-proBNP level, and the regression equation was NT-proBNP=-403.29+2.20×LDH1+271.04×cTnI.
    Conclusion:Plasma NT-proBNP has some value in the diagnosis of heart failure after neonatal asphyxia, which is of great significance in early detection of heart failure and guiding the treatment.
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    Influence of minimally invasive embedder wire on serum immunoglobulin and plate activating factor of children with cough variant asthma
    JIN Jichao
    2017, 9 (2):  103-105.  doi: 10.3969/j.issn.1674-3865.2017.02.004
    Abstract ( 494 )   PDF (366KB) ( 72 )   Save

    Objective:To study the influence of minimally invasive embedded wire on serum IgE, IgG, IgA and PAF of children with cough variant asthma.
    Methods:A total of 206 children with CVA who received treatment from Mar. 2013 to Dec.2015 were randomly divided into observation group(101 children) and control group(105 children). The observation group was treated with minimally invasive embedded wire and montelukast chewable tablets, while the control group only took montelukast chewable tablets. The treatment course was 3 months for both groups. Observe the clinical effect and the changes of IgE, IgG, IgA and PAF after treatment.
    Results:The total effective rate of the observation group was 93.1%(94/101) and it was 87.6%(92/105) in the control group, the difference between them was of statistical significance(P<0.05).The improvement in serum level of total IgE,IgG,IgA and PAF was better in the observation group after treatment, and there was statistical difference(P<0.05).
    Conclusion:Minimally invasive embedded wire can increase the level of IgA and IgG and the children's immunity.It can inhibit the excessive release of PAF and control inflammation level. It effectively reduce IgE-mediated allergic reaction and airway allergic inflammation.
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    Mechanism of action of nuclear transcription factor kappa B in airway smooth muscle in asthmatic children
    LIU Lu,SUN Liping
    2017, 9 (2):  106-109.  doi: 10.3969/j.issn.1674-3865.2017.02.005
    Abstract ( 386 )   PDF (345KB) ( 184 )   Save

    Nuclear factor kappa B is a transcription-promoting protein, which regulates the gene expression of inflammatory mediators and function of many kinds of cells in airway. It is a core element in the research of asthma prevention and treatment. NF-kappa B can regulate the production of proinflammatory factors after activation,and participates in the transcription of a variety of proinflammatory and chemokine genes. I kappa B is one of the NF- kappa B signal pathways and is inactive in the cytoplasm. The phosphorylation arises after I kappa B is activated by external stimuli, and then NF- kappa B is activated. Tumor necrosis factor α stimulates I kappa B kinase α to enter into the nucleus, which then regulate the expression of specific NF-kappa B response gene.
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    Thinking of traditional Chinese and western medicine in the treatment of children with chronic kidney disease
    GAN Siyu,ZHENG Jian
    2017, 9 (2):  110-114.  doi: 10.3969/j.issn.1674-3865.2017.02.006
    Abstract ( 523 )   PDF (583KB) ( 115 )   Save

    Chronic kidney disease is a common clinical disease in children, causing great harm to the physical and mental health of children and adolescents. In recent years, combined with traditional Chinese and western medicine, the treatment for children with chronic kidney disease has more advantages in improving the quality of life of children, delaying the progress and reducing the economic burden than pure western medicine treatment. In this paper, the current Chinese and western definition of chronic kidney disease, its classification and treatment were summed up in order to provide a reference for its treatment based on Chinese and western medicine.
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    New choices of clinical research methods for treating bronchial asthma in children with Chinese herbs
    LI Wen,WANG Min,WANG Zhiyong
    2017, 9 (2):  115-117.  doi: 10.3969/j.issn.1674-3865.2017.02.007
    Abstract ( 366 )   PDF (350KB) ( 109 )   Save

    Through the introduction of randomized controlled trials,real-world study and their features,we try to bring real-world study into people′s mind.By expounding the deficiency of Chinese herbs in treatment of bronchial asthma in children, we aim to analyze the feasibility of the application of real world study to clinical research of Chinese herbs,which provides a new choice of  using real-world study  in treatment of bronchial asthma in children with Chinese herbs.
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    Fuzheng Dingchuan paste in the treatment of children with asthma in remission stage:observation of curative effect
    MA Chuanzhen,WANG Ying
    2017, 9 (2):  118-120.  doi: 10.3969/j.issn.1674-3865.2017.02.008
    Abstract ( 473 )   PDF (364KB) ( 103 )   Save

    Objective:To observe the clinical effect of Fuzheng Dingchuan paste in the treatment of children with asthma in remission stage.
    Methods:A total of 100 children with asthma were included in the study, who visited or hospitalized in the Pediatric Department of Qiqihar Hospital of Traditional Chinese Medicine between Dec. 2014 and Dec. 2015, and they were divided into observation group and control group, with 50 children in each group. The observation group took Fuzheng Dingchuan paste orally, while the control group was given fluticasone or budesonide aerosol for inhalation. Both groups were treated for 45 days as a course. The effect was observed after one year of follow-up, and the main syndrome scores were compared before and after treatment.
    Results:The total effective rate of the observation group was 92.0%(46/50), significantly higher than that of the control group(78.0%,39/50), and there was statistical difference(P<0.05). The TCM syndrome scores of the two groups were much lower after treatment than before treatment, and the difference was of statistical significance(P<0.05). After treatment, the total scores of the observation groups were significantly lower than those of control group, there being statistical difference(P<0.05).
    Conclusion:Fuzheng Dingchuan paste has significant effect in the treatment of children with asthma in remission stage.
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    Biostime probiotics combined with compound Huangbai solution in treatment of childhood eczema: an observation on the efficacy
    LI Fangfang
    2017, 9 (2):  121-123.  doi: 10.3969/j.issn.1674-3865.2017.02.009
    Abstract ( 764 )   PDF (327KB) ( 352 )   Save

    Objective:To investigate the clinical efficacy of biostime probiotics combined with compound Huangbai solution in the treatment of eczema in children.
    Methods:Totally 82 children with eczema treated in our hospital from Aug. 2014 to Jan. 2016 were selected as the subjects, and they were randomly divided into two groups: observation group(A) and control group(B),41 children in each group. Group A was given biostime probiotics combined with external treatment of Huangbai solution,while Group B was only given external treatment of Huangbai solution.The eczema area, EASI scores and the clinical curative effect of two groups were observed after two weeks of treatment.
    Results:After the treatment of one week and two weeks, the EASI scores were statistically different between the two groups(P<0.05),and the curative effect of Group A was better than that of Group B. The total effective rate in Group A and B was 92.1% and 65.7%, respectively and the difference was statistical(P<0.05).
    Conclusion:For children with eczema, the treatment of oral biostime probiotics combined with compound Huangbai solution for external use can achieve significant effect.
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    Clinical effect and drug safety of Reduning injection combined with ribavirin granules for patients with hand,foot and mouth disease
    LI Bing,WANG Tiansuo,LYU Shaohong,HU Qingnan
    2017, 9 (2):  124-126.  doi: 10.3969/j.issn.1674-3865.2017.02.010
    Abstract ( 483 )   PDF (328KB) ( 115 )   Save

    Objective:To investigate the effect of Reduning injection combined with ribavirin granules in patients with hand-foot-and-mouth disease(HFMD) and the safety of the drug.
    Methods:A total of 98 children with HFMD were randomly divided into control group(49 cases) and observation group(49 cases) according to the digital table method,and the patients in control group were treated with ribavirin, while those in the observation group were treated with Reduning injection combined with ribavirin granules.After 5 days of treatment,the clinical effects of the two groups were compared;the changes of the biochemical indexes before and after treatment and the safety of the medication were compared.
    Results:The total effective rate of the observation group(97.96%) was significantly higher than the control group(75.51%),the difference being statistically significant(P<0.05).After treatment,the WBC,hs-CRP,AST and ALT level of the observation group were significantly lower than those of the control group,the difference being statistically significant(P<0.05).The incidence of adverse reactions in the two groups was similar,and the safety difference was not statistically significant(P>0.05).
    Conclusion:The combination of Rehuning injection with ribavirin granules has a higher clinical effect in the treatment of pediatric hand,foot and mouth disease.It can effectively improve the WBC,hs-CRP,AST and ALT levels in children,with fewer adverse reactions during medication,and higher safety.
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    Effects of nCPAP combined with prone position on recurrent apnea in preterm infants
    WEI Enhuan,YANG Hui,HUANG Jianming
    2017, 9 (2):  127-129.  doi: 10.3969/j.issn.1674-3865.2017.02.011
    Abstract ( 451 )   PDF (317KB) ( 123 )   Save

    Objective:To investigate the clinical curative effect of nCPAP combined with prone position on recurrent apnea in preterm infants.
    Methods:A total of 86 premature infants with gestational age <34 weeks who had recurrent apnea were randomly divided into observation group(46 cases) and control grou(40 cases), observation group was managed by nCPAP combined with prone position on the basis of comprehensive treatment; control group was given simple use of nCPAP treatment on the basis of comprehensive treatment. Observe the clinical curative effect, oxygen use and hospital stay of two groups.
    Results:In the treatment group the total effective rate was 91.3%(42/46) ,which was significantly higher than that in the control group(65%,26/40), the difference being statistically significant(P<0.05). In the observation group, the total oxygen use time was (92.0±12.6)hours and in control group,(126.0±12.6)hours, the difference being of statistical significance(P<0.05);hospital stay of observation group was (25.0±13.6)days, and in control group it was (30.0±15.2)days, and the difference was statistically significant(P<0.05).
    Conclusion:nCPAP combined with prone position has significant effect on premature infants with recurrent apnea, which can shorten the use time of oxygen and hospital stay and is worth promoting.
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    Effect of biofeedback treatment in combination with parents training on children with attention deficit hyperactivity disorder
    JIANG Tingting, ZHU Ping
    2017, 9 (2):  130-133.  doi: 10.3969/j.issn.1674-3865.2017.02.012
    Abstract ( 411 )   PDF (400KB) ( 92 )   Save

    Objective:To explore the intervention effect of biofeedback treatment in combination with parents training on children with attention deficit hyperactivity disorder(ADHD) and to provide evidence for the comprehensive treatment for ADHD children.
    Methods:Eighty children with ADHD were randomly divided into two groups, the intervention group and the control group. Two groups were treated with biofeedback, 20 times as a course for 3 courses. The parents of the intervention group accepted parents training for 4 weeks, 2 hours per time, once a week, which included attention training, behavior modification, establishment of parenthood and training of parenting style. The intervention effect was evaluated using the Psychological Scale, AYP(an index reflecting the brain's performance ability) and parents' satisfaction before and after 3 courses of treatment.
    Results:After the treatment, ADHD children's scores on the Psychological Scale and AYP were all significantly better than those before treatment in both groups, with significantly statistical differences(P<0.05). The control group's score of attention control, the parent-child relationship scores and the total scores of parents satisfaction were lower than those of the intervention group after the treatment, and the difference was statistical (P<0.05).
    Conclusion:Biofeedback treatment in combination with parents training, as a nonpharmacological treatment, can effectively improve the symptoms of children with attention deficit hyperactivity disorder, and increase children's learning ability; furthermore, it can improve the parent-child relationship, and is more likely to be accepted by parents, which is worth promoting.
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    Effect of montmorillonite powder combined with bifid tiple viable on VIP, NPY and 5-HT of children with diarrhea
    MA Huiling
    2017, 9 (2):  133-135.  doi: 10.3969/j.issn.1674-3865.2017.02.013
    Abstract ( 456 )   PDF (315KB) ( 78 )   Save

    Objective:To investigate the clinical effect of montmorillonite powder combined with bifid triple viable capsule in treating infantile diarrhea and its effect on vasoactive peptide(VIP), neuropeptide Y(NPY) and intestinal mucosa 5-hydroxytryptamine(5-HT).
    Methods:A total of 124 child patients(under the age of three) diagnosed with diarrhea in our hospital from March 2014 to March 2016 were selected. They were randomly divided into groups: control group(62 cases) and observation group(62 cases). The children in control group were only given montmorillonite powder for oral treatment, while the children in observation group received bifid tiple viable treatment in addition to montmorillonite powder. Observations the remission situation of patients in the two groups and determine the level of VIP, NPY, intestinal mucosal 5-HT and serum CRP in the groups.
    Results:The indexes of VIP, NPY, 5-HT and CRP in the observation group were significantly better than those before treatment, and the improvement was much greater than that of the control group. The children in observation group were better than those in control group in terms of diarrhea stopping time, fever abatement time and recovery of bowel movement. The above-mentioned differences all showed statistical significance(P<0.05).
    Conclusion:The combined treatment of montmorillonite powder with bifid triple viable capsule has a significant effect on infantile diarrhea. It's worth promoting for it can quickly relieve clinical symptoms, improve the level of VIP, NPY and intestinal mucosa 5-HT and reduce inflammatory reaction.
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    Observation on the effect of budesonide combined with montalukast in the treatment of cough-variant asthma
    WANG Huiqin
    2017, 9 (2):  136-138.  doi: 10.3969/j.issn.1674-3865.2017.02.014
    Abstract ( 500 )   PDF (312KB) ( 100 )   Save
    Objective:To observe the effect of budesonide combined with montelukekast in the treatment of children with cough-variant asthma.
    Methods:A total of 86 children admitted to the Pediatric Department of Dengfeng People's Hospital and treated for cough-variant asthma from April 2015 to May 2016 were chosen as the research subjects, and they were randomly divided into observation group and control group, 43 in each group. The control group was treated with budesonide, which the observation group was treated with montelukast in addition to budesonide, 7 days as a course of treatment. After two courses, the clinical effect was evaluated, and the changes of IL-8 and IL-4 level were detected before and after treatment.
    Results:The total effective rate was 97.7%(42/43) in the observation group and 86.0%(37/43) in the control group, the difference was of no statistical significance(P>0.05). The level of IL-8 and IL-4 before treatment had no statistical difference(P>0.05), but after treatment, their levels in the observation group were significantly lower than those in the control group, and there was statistical difference(P<0.05).
    Conclusion:The combination therapy with montelukast and budesonide has good effect in the treatment of children with cough-variant asthma; the children recovered sooner and the inflammation is relieved earlier.
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    Clinical effect of Ganciclovir in the treatment of children with epidemic parotitis complicated with meningitis
    JIN Yanxia
    2017, 9 (2):  138-140.  doi: 10.3969/j.issn.1674-3865.2017.02.015
    Abstract ( 536 )   PDF (330KB) ( 100 )   Save
    Objective:To explore the clinical effect of Ganciclovir in the treatment of children with epidemic parotitis complicated with meningitis.
    Methods:Totally 134 children with epidemic parotitis complicated with meningitis treated from July 2014 to June 2015 in our hospital were selected. The subjects were randomly divided into two groups: observation group(A) and control group(B), 67 cases in each group. Group B was treated with conventional treatment, while for group A, on the basis of routine treatment, they were treated with ganciclovir. The treatment lasted for 6 days for both groups. Compare and analyze the improvement of clinical signs and symptoms and the clinical effect after treatment between the two groups.
    Results:The total effective rate of group A(98.51%,66/67) was better than that of group B(80.60%,54/67) with statistical difference(P<0.05). The fewer disappearance time after treatment in group A showed no statistical difference compared with group B(P >0.05). After treatment, with regard to headache disappearance, parotid swelling subsidence, neurological symptoms remission and average hospitalization stay group A was better than group B, and the difference between the two groups was of statistical significance(P<0.05).
    Conclusion:For epidemic parotitis children complicated with meningitis, Ganciclovir can effectively improve the clinical effect and reduce the adverse event rate. It is of great importance in clinical practice.
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    Diagnostic value of triptorelin stimulation test for early puberty in girls
    HONG Qingrong,GU Shaoqing,XU Liqin,YE Yuanfeng
    2017, 9 (2):  141-144.  doi: 10.3969/j.issn.1674-3865.2017.02.016
    Abstract ( 856 )   PDF (436KB) ( 138 )   Save

    Objective:To assess the diagnostic value of triptorelin stimulation test for early puberty in girls.
    Methods:Triptorelin stimulation test data were collected and analyzed in 47 girls with early puberty(EP group) and 62 girls with precocious puberty(PP group) in the Department of Pediatrics of the First People's Hospital of Zhenjiang between Jun.2013 and Aug.2016.
    Results:Take peak luteinizing hormone level(>5.05 IU/L) as the diagnosis point, the sensitivity for diagnosing early puberty and precocious puberty was 89.4%(42/47) and 90.3%(56/62),respectively,there being no significant difference between two groups(P>0.05).
    Conclusion:The triptorelin stimulation test is of value to the diagnosis of early puberty in girls. The peak luteinizing hormone value of triptorelin provocation stimulation mostly focuses on the time period of 30 to 60 min after overdose.
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    Clinical observation on treatment for respiratory syncytial virus bronchiolitis with Huaiqihuang granule
    WANG Hongfeng
    2017, 9 (2):  144-146.  doi: 10.3969/j.issn.1674-3865.2017.02.017
    Abstract ( 497 )   PDF (335KB) ( 121 )   Save

    Objective:To observe the clinical effect of Huaiqihuang granule in the treatment of respiratory syncytial virus(RSV) bronchiolitis in children.
    Methods:Totally 70 children with RSV bronchiolitis were randomly divided into the observation group(n=35) and the control group(n=35), who received treatment from May 2014 to February 2016. The patients in the control group were treated with inhaling oxygen, relieving cough and asthma, reducing phlegm and other conventional treatment, while patients in the observation group were treated with Huaiqihuang granule on the basis of the treatment for control group for 7 days as a course of treatment. The effect and time for clinical symptoms and signs to disappear and hospitalization time were compared between the two groups, and the changes of IL-17 and IL-23 in serum were detected by ELISA method.
    Results:The total effective rate of the observation group was 94.29%(33/35), which was significantly higher than 74.29%(26/35) of the control group, and the difference was statistically significant(P<0.05). The time for clinical symptoms and signs to disappear and hospital stay in the observation group were significantly shorter than those in the control group, the difference being statistically significant(P<0.05). After treatment, the expression of IL-17 and IL-23 in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05).
    Conclusion:Huaiqihuang granule can significantly improve the therapeutic effect on RSV bronchiolitis in children, and its mechanism may be related to the decrease of the expression of IL-17 and IL-23.
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    Combined adjuvant therapy with pulmicort respulas and methylprednisolone in the treatment of children with capillary bronchitis
    MENG Yahui
    2017, 9 (2):  150-152.  doi: 10.3969/j.issn.1674-3865.2017.02.019
    Abstract ( 574 )   PDF (301KB) ( 117 )   Save

    Objective:To study the clinical curative effect of pulmicort respulas combined with methylprednisolone in the treatment of children with capillary bronchitis.
    Methods:Totally 94 cases of children with capillary bronchitis admitted to our hospital from February 2015 to May 2016 were divided into control group(47 cases) and treatment group(47 cases) according to the random number table method. The patients in control group were treated with pulmicort respulas for drug therapy on the basis of conventional therapy, and the treatment group was given methylprednisolone intervention on the basis of treatment for control group, 5 days as course. The therapeutic effect and the disappearance time of corresponding symptoms in the two groups were observed.
    Results:The total effective rate of the control group was 78.72%(37/47), which was significantly lower than that in the treatment group(97.87%,41/47). The time for asthma, cough and lung rales to disappear in the control group was longer than in the observation group, the difference being statistical(P<0.05).
    Conclusion:The combined treatment of methylprednisolone and pulmicort respulas has better therapeutic effect in most of the children with capillary bronchitis with less remission time spent on children with the symptoms of cough and asthma.
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    Conservative treatment for chronic sinusitis in children
    JING Yunlong, LI Yun, HUANG Min, TAO Lihua, ZHAO Sijun
    2017, 9 (2):  152-154.  doi: 10.3969/j.issn.1674-3865.2017.02.020
    Abstract ( 556 )   PDF (374KB) ( 120 )   Save

    Objective:To study the clinical efficacy of conservative treatment for children with chronic sinusitis.
    Methods:Sixty-two children with chronic sinusitis were enrolled in the study, who were treated in Hunan Children Hospital from March 2014 to March 2016. All patients were treated conservatively after admission. The patients were treated with nasal corticosteroids, mometasone, for nasal spray, azithromycin, eucalyptus pinene, pidotimod and nasal negative pressure treatment, which lasted for 8 weeks. Observe and analyze the clinical effect, change of symptom score and adverse reactions of these children.
    Results:After completing the treatment of all children, it was shown the total effective rate of the 62 cases was 90.32%(56/62). The symptom scores of the children after treatment were significantly lower than those before the treatment(P<0.05). No serious adverse reactions were found in all the children.
    Conclusion:Azithromycin, eucalyptus pinene and nasal negative pressure have good curative effect in the treatment of children with chronic sinusitis.
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    Analysis of the risk factors related to acute kidney injury after cadiopulmonary bypass for cyanotic congenital heart disease in children
    LIU Jian, YI Liwen, YANG Guangxian, CHEN Renwei, HUANG Peng
    2017, 9 (2):  155-158.  doi: 10.3969/j.issn.1674-3865.2017.02.021
    Abstract ( 437 )   PDF (359KB) ( 101 )   Save


    Objective:To investigate the risk factors related to acute kidney injury after cardiopulmonary bypass for non-cyanotic congenital heart disease in children.
    Methods:A total of 450 children with non-cyanotic congenital heart disease were included as the research subjects, who received cardiopulmonary bypass in the Hunan Children's Hospital from Aug.2013 to Aug.2016.These children were divided into two groups based on whether AKI occurred after operation: AKI groups(80 children) and non-AKI group(370 children).The general and clinical data of the children were collected, and single factor analysis and logistic regression analysis were performed to investigate the related risk factors.
    Results:there was no statistical difference in gender, body weight, urea nitrogen, left ventricular ejection fraction or hemoglobin between the two groups(P>0.05). There was statistical difference in age, serum creatinine, history of pneumonia or heart failure, cardiopulmonary bypass time and aortic clamping time or postoperative hypotension between the two groups(P<0.05). The Logistic regression analysis showed that the risk factors were as follows: age≤1 year old, history of pneumonia or heart failure, cardiopulmonary bypass time and aortic clamping time.
    Conclusion:During the cardiopulmonary bypass surgery for children with non-cyanotic congenital heart disease, it is effective in controlling the disease to choose the proper age for operation, shorten the cardiopulmonary bypass time as well as the aortic clamping time, and to prevent complications, which can reduce the morbidity of AKI in children.

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    Clinical observation on treatment effect on children with allergic asthma with sublingual drops
    JIN Shijie
    2017, 9 (2):  158-160.  doi: 10.3969/j.issn.1674-3865.2017.02.022
    Abstract ( 393 )   PDF (315KB) ( 91 )   Save

    Objective:To observe the clinical effect of sublingual Dermatophagoides Farinae drops on allergic asthma in children.
    Methods:A total of 104 cases of children with allergic asthma who were treated from January 2012 to May 2014 in the Department of Respiration of Hunan Children's Hospital were selected, and were randomly divided into observation group and control group, with 52 cases in each group. The observation group was treated by inhaled corticosteroids combined with sublingual use of Dermatophagoides Farinae drops, while the control group were treated by inhaled corticosteroids. The therapeutic effect and safety of the two groups were compared.
    Results:After the treatment, the frequency of asthma attacks and duration of each attack of observation group were significantly fewer and shorter than the control group, the difference being statistically significant(P<0.05). After treatment, the pulmonary function score of observation group was significantly higher than the control group. The dust mite skin prick test was negative in 94.2%(49/52) of the patients, significantly higher than the control group(80.7%, 42/52), and the difference was statistically significant(P<0.05). After 1 year of treatment, asthma control rate of the observation group was significantly higher than the control group, and the difference was statistically significant(P<0.05). Two patients in the observation group had adverse drug reaction, 3 in the control group, and there was no statistically significant difference between the groups(P>0.05).
    Conclusion:The use of sublingual Dermatophagoides Farinae drops has significant curative effect on children with allergic asthma.
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    Observation on the effect of dopamine and dobutamine on Children with severe pneumonia complicated by heart failure
    CAI Zili
    2017, 9 (2):  161-163.  doi: 10.3969/j.issn.1674-3865.2017.02.023
    Abstract ( 571 )   PDF (341KB) ( 148 )   Save

    Objective:To observe the therapeutic effect of dopamine and dobutamine on children with severe pneumonia complicated with heart failure.
    Methods:Seventy patients with severe pneumonia complicated with heart failure were admitted to the ICU of Hunan Children's Hospital from January 2015 to January 2016, and were randomly divided into observation group and control group, with 35 cases in each group. The control group was routinely treated with tonic, antibiotics and oxygen therapy. The observation group was treated with dopamine and dobutamine on the basis of routine treatment. The levels of troponin, creatine kinase isoenzyme(CK-MB) and B-type natriuretic peptide(BNP) were measured before and after treatment, and the therapeutic effect was observed.
    Results:The total effective rate was 97.2%(34/35) in the observation group, significantly higher than the control group(77.2%,27/35),and these was statistical difference(P<0.05).The levels of BNP, troponin and CK-MB in the observation group were significantly lower than those in the control group(P<0.05). The time for symptoms to disappear and the hospitalization time in the observation group were lower than those in the control group(P<0.05).
    Conclusion:Dopamine combined with dobutamine can better improve the clinical indexes of children with severe pneumonia complicated with heart failure on the basis of conventional symptomatic treatment, and alleviate the symptoms of children in a shorter time. It shortens the hospitalization time, ensures the children compliance with treatment and reduces their family financial burden.
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    Clinical related risk factors affecting the recurrence of allergic purpura in children and preventive measures
    WEI Zhu, CHANG Jing, LIANG Xiaoting, TANG Jianping
    2017, 9 (2):  164-166.  doi: 10.3969/j.issn.1674-3865.2017.02.024
    Abstract ( 529 )   PDF (367KB) ( 166 )   Save

    Objective:To analyze the risk factors affecting the recurrence of Henoch-Schonlein purpura(HSP) in children and to explore the preventive measures.
    Methods:Twenty patients with recurrent allergic purpura who were treated from May 2015 to May 2016 in Hunan Children's Hospital were enrolled in this study as the observation group. Fifty healthy children from Hunan Children's Hospital were selected as the control group. Logistic regression analysis was used to analyze the recurrence risk factors of allergic purpura in children, and the corresponding preventive measures were discussed.
    Results:There was no significant difference in sex and age between the two groups(P>0.05). There were significant differences in immunological parameters, routine blood test, urinary protein, blood lipid and food intolerance(P<0.05). Logistic regression analysis showed that food intolerance and pathological proteinuria were independent risk factors for recurrence of allergic purpura in children(P<0.05).
    Conclusion:Specific IgG antibody detection and elimination of inflammation of the body will help reduce the recurrence rate of allergic purpura in children.
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    Clinical diagnosis and treatment of urethral injury in 38 children
    YIN Zhifeng
    2017, 9 (2):  167-169.  doi: 10.3969/j.issn.1674-3865.2017.02.025
    Abstract ( 502 )   PDF (339KB) ( 99 )   Save

    Objective:To analyze the clinical diagnosis Methods and therapeutic effect in 38 cases of children with urethral injury.
    Methods:The clinical data of 38 children with urethral injury admitted to the Department of Urology of Hunan Children's Hospital from June 2012 to October 2015 were retrospectively analyzed, and the clinical diagnosis methods and treatment effects were summarized.
    Results:The surgery results showed that in the 38 cases of urethral injury, there were 5 cases of urethral injury(female), 2 cases of bladder neck injury(female), 6 cases of penile urethral injury(male), 10 cases of bulbous urethral injury(male) and 15 case of posterior urethral injury(male). The sensitivity of the diagnosis by retrograde urography was 97.37%, the specificity was 100% and the accuracy was 97.37%.The urodynamic indexes of the children before and after treatment had statistical difference(P<0.05).
    Conclusion:Retrograde urography can make the type of urethral injury clear, on which targeted treatment can be carried out to achieve good clinical effect.
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    Observation on the effect of transitional nursing model in discharge nursing for children with Henoch Schonlein purpura nephritis
    FU Xiaohong
    2017, 9 (2):  169-171.  doi: 10.3969/j.issn.1674-3865.2017.02.026
    Abstract ( 473 )   PDF (355KB) ( 112 )   Save

    Objective:To investigate the clinical effect of transitional nursing model for children with Henoch Schonlein purpura nephritis during discharge nursing.
    Methods:Sixty children with Henoch Schonlein purpura nephritis were randomly divided into observation group and control group(n=30),who received treatment from January 2015 to June 2016 in Nanshan District Shekou People's Hospital of Shenzhen. The observation group was given transitional nursing model, while the control group was given routine nursing intervention. The nursing satisfaction, average hospital stay and hospitalization frequency of two groups were observed.
    Results:The satisfaction rate of the observation group was 90%(27/30), which was significantly higher than that of the control group(70.0%,21/30), and the difference was statistically significant(P<0.05).The average length of stay in hospital and the hospitalization frequency in the observation group were significantly lower than those in the control group, the difference being statistically significant(P<0.05).
    Conclusion:In the clinical nursing of children with Henoch Schonlein purpura nephritis, the transitional nursing model can improve the satisfaction of children, and shorten the hospital stay some extent, which is worth promoting.
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    Analysis of epidemiology and drug resistance in 200 children with mycoplasma pneumonia
    WU Juntian, ZHANG Jiabin, ZHOU Shuming
    2017, 9 (2):  172-174.  doi: 10.3969/j.issn.1674-3865.2017.02.027
    Abstract ( 440 )   PDF (312KB) ( 272 )   Save

    Objective:To analyze the epidemiology and drug resistance in 200 children with mycoplasma pneumonia and to provide reference for clinical treatment.
    Methods:Throat swabs were collected from 652 children with respiratory infection in out-patient department in our hospital. The swabs were cultured to detect MP. The MP infection was recorded according to seasons, ages and gender. The drug resistance to multiple antibiotics was detected.
    Results:MP culture showed that the positive rate was 30.67%;the infection rates in different seasons had differences, and the infection rate was the lowest in winter(15.00%), which was significantly lower than that in other seasons(P<0.05),and it was the highest in fall(38.50%);the infection rate in male children was slightly lower than the female patients(30.02% vs 31.80%,P>0.05);the infection rates in different age groups were significantly different(P<0.05):0-1-year-old group was higher than the 6-14-year-old group(P<0.008 3). Susceptibility test showed that drug resistance rates were significantly different to different antibiotics(P<0.05).ERY and ROX resistance rates were significantly higher than AZI(P<0.05).
    Conclusion:MP infection in children with respiratory tract infection has high proportion, which is age-related; it doesn't often occur in winter, and in the clinical treatment MP throat swab culture and drug sensitivity testing are required to guide the clinical administration.
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    Detection and analysis of 9 pathogens in hospitalized children with acute respiratory infection in 1 214 cases
    WANG Minhua
    2017, 9 (2):  175-177.  doi: 10.3969/j.issn.1674-3865.2017.02.028
    Abstract ( 476 )   PDF (285KB) ( 135 )   Save

    Objective:To analyze the pathogen characteristics among hospitalized children with acute respiratory infections(ARI) and provide the basis for early etiology diagnosis and rational use of drugs.
    Methods:Total1y 1 214 cases of hospitalized ARI children from May 2014 to July 2015 were included as research subjects. Indirect immunofluorescence assay(IFA) was applied to detect serum IgM antibodies of nine kinds of common pathogens, and the above-mentioned pathogen spectrum and prevalence state were analyzed.
    Results:Among 1 214 cases of ARI children, positive rate of pathogen IgM antibody was 30.5% (371 cases). Positive rate of mycoplasma pneumoniae(MP) was the highest(16.8%), followed by influenza B virus(Flu B)(5.8%) and parainfluenza virus(PIV)(2.7%).A total of 205 cases of children had  MP infection mixed with another one kind or more than one kind of infection, accounting for 55.2% of total  mixed infections. There was statistical significance on infection rate of MP between different seasons (P<0.008 3). The number of 1 to 3-year old children with pneumonia mycoplasma and hepatitis b virus infection was higher than that of children < 1 year old and > 3 years old(P<0.017). There was statistical significance on infection rate of Flu B between different seasons(P<0.008 3).The number of 1 to 3-year old children with flu viruses infection was higher than that of children < 1 year old and > 3 years old, but there was no statistically significant difference(P>0.017).
    Conclusion:The major pathogens of hospitalized ARI children in our hospital are MP, Flu B and PIV; the mixed infection of MP with other pathogens is relatively common; MP and Flu B infections mainly occur  in summer; the infection rate of MP in children between 1 and 3 years old is high.
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    Experience of Prof. Ren Xianqing on in the treatment of chronic cough in children based on the wind, phlegm and deficiency theory
    SUN Yuying, REN xianqing
    2017, 9 (2):  178-180.  doi: 10.3969/j.issn.1674-3865.2017.02.029
    Abstract ( 422 )   PDF (381KB) ( 92 )   Save

    Prof. Ren Xianqing is good at treating children with chronic cough, recurrent respiratory infection and on based on traditional Chinese medicine. He puts forward that the main pathogeny of chronic cough in children is wind, phlegm and deficiency. He pays attention to differentiated treatment, taking it as treatment principle to invigorate lung, benefit spleen and dispel wind and phlegm. He considers it important to nurse body condition and to use antitussive medicine with care. The comprehensive treatment should be performed by taking the change of modern social environment into account in order to achieve significant effect.
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    Treatment for early-onset narcolepsy with anti-aggressive therapy by Prof. Wang Xuefeng
    GUAN Zhenglong, WANG Xuefeng
    2017, 9 (2):  180-182.  doi: 10.3969/j.issn.1674-3865.2017.02.030
    Abstract ( 560 )   PDF (423KB) ( 94 )   Save

    Early-onset of narcolepsy, if lasting for long, will do great harm to the children to their parents and the society. Based on the basic TCM theories and his many years of clinical experience, Prof. Wang Xuefeng use some tranquilizing and refreshing to treat the disease, which shortens the disease course, improves the symptoms and thus achieves better clinical effect.
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