Table of Content

25 June 2020, Volume 12 Issue 3 Previous Issue    Next Issue

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Expert consensus on the prevention and treatment of asthma in children by integrated traditional Chinese and western medicine 2020, 12 (3):  185-191.  doi: 10.3969/j.issn.1674-3865.2020.03.001 Abstract ( 212 )   PDF (961KB) ( 118 )   Save Bronchial asthma(briefed as asthma) is a common heterogeneous disease in children, which is characterized by chronic airway inflammation and airway hyperresponsiveness. The increasing incidence of asthma in children has brought heavy burden to the society. In recent years, the guidelines both at home and abroad provide important instructions for the standardized diagnosis and treatment of asthma, but only in western medicine. Traditional Chinese medicine has a long history in the prevention and treatment of asthma in children; however, western pediatrians usually can’t combine the TCM treatment with western medicine treatment in a proper way. Expert Consensus on the Prevention and Treatment of Asthma in Children by Integrated Traditional Chinese Medicine and Western Medicine is completed after repeated revisions, which refers to the lastest TCM and western guideline, consensus and research progress worldwide, and is based on the important clinical practice and experience in integrated prevention and treatment of asthma in China. It provides important reference for pediatrians to apply integrated treatment properly in the prevention and treatment of asthma and to make clinical decisions, in order to increase the general level in controlling asthma in children. Related Articles | Metrics

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Research on the effect of parent training on parents' anxiety and rehabilitation of children with autism spectrum disorder 2020, 12 (3):  192-195.  doi: 10.3969/j.issn.1674-3865.2020.03.002 Abstract ( 247 )   PDF (474KB) ( 87 )   Save Objective To evaluate the effect of parent training on anxiety state of parents and rehabilitation of children with autism spectrum disorder(ASD). Methods A total of 50 ASD children who received rehabilitation treatment in the Fist Affiliated Hospital of Xinxiang Medical College from July 2018 to June 2019 were chosen as the research subjects, and they were divided into two groups according to visit number: 25 in observation group and 25 in control group. The parents of the children in control group didn't take part in the parent training, while those in observation group did. The groups of children received conventional rehabilitation treatment at the same time, and the treatment lasted for 3 months. Before and after the treatment, the SelfAssessment Scale (SAS) of anxiety was used to evaluate the parents' anxiety in the two groups; the rehabilitation effect was evaluated by Autism Behavior Checklist(ABC) for children and Gesell in ASD children whose parents took part in the training. Results The anxiety was obviously improved in the parents who took part in the training, and there was statistical difference (P<0.05). Comparing the ABC results of the children between the control group and the observation group, the improvement in senses and communication was significant (P<0.05); according to Gesell results, the children in observation group was better in personalsocial aspects, and the difference was statistically significant(P<0.05). Conclusion Parents' training helps to improve the anxiety of parents of ASD children, and it is beneficial to the rehabilitation of ASD children in senses and communication. Related Articles | Metrics

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Application of occupational therapy combined with picture exchange communication system in the rehabilitation therapy for children with autism 2020, 12 (3):  196-199.  doi: 10.3969/j.issn.1674-3865.2020.03.003 Abstract ( 165 )   PDF (450KB) ( 76 )   Save Objective To explore the application for occupational therapy combined with Picture Exchange Communication System (PECS) in the rehabilitation therapy for children with autism. Methods Eightysix children with autism who were treated in our hospital from January 2017 to December 2018 were selected as study subjects and were randomly divided into observation group and control group, with 43 cases in each group. Control group was treated with PECS while observation group was treated with occupational therapy on this basis. Changes in psychological development level, disease recovery and treatment compliance were compared between the two groups before treatment and after 6 months of treatment. Results After 6 months of treatment, the scores of the three items（communication, physical fitness and behavior） in the two groups were significantly improved compared with those before treatment, and the scores of physical fitness and behavior in observation group were significantly higher than those in control group(P<0.05), but there was no significant difference in communication ability score between the two groups(P>0.05). After treatment, the scores of children' s autism behavior scale and children' s autism assessment scale in the two groups were significantly decreased compared with those before treatment, and the scores in observation group were significantly lower than those in control group(P<0.05). After treatment, the overall rate of treatment compliance in observation group was significantly higher than that in control group(P<0.05). Conclusion Occupational therapy combined with PECS can obviously improve the symptoms, enhance the psychological development level and significantly promote the treatment compliance of children with autism. Related Articles | Metrics

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Effect of behavior therapy on communication ability of autistic children 2020, 12 (3):  199-201.  doi: 10.3969/j.issn.1674-3865.2020.03.004 Abstract ( 220 )   PDF (383KB) ( 79 )   Save Objective To explore the effect of behavior therapy on communication ability of autistic children. Methods Eighty autistic children admitted to the hospital between June 2017 and June 2019 were selected as the research subjects. They were randomly divided into the observation group and the control group, with 40 cases in each group. The control group were given conventional treatment, and the observation group were given behavior therapy. The scores of the Autism Behavior Checklist(ABC), the Childhood Autism Rating Scale(CARS), the Psychoeducational Profile third edition(PEP-3) and parents' satisfaction were compared. Results There was no significant difference in ABC, CARS or PEP-3 scores between the two groups before treatment (P>0.05). After treatment, ABC and CARS scores of the observation group were significantly lower than those of the control group, while the PEP3 scores were significantly higher(P<0.05). The parents' satisfaction rate in the observation group(95.0%,38/40) was higher than that in the control group(77.5%,31/40)(P<0.05). Conclusion The behavior therapy for children with autism can strengthen the communication between children and the outside world, which is conducive to the healthy growth of children. It is an effective treatment for autism. Related Articles | Metrics

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Observation on the effect of comprehensive rehabilitation treatment with attention transfer cognitive remodeling and Jiannao Yizhi mixture on children with autism 2020, 12 (3):  202-205.  doi: 10.3969/j.issn.1674-3865.2020.03.005 Abstract ( 309 )   PDF (506KB) ( 79 )   Save Objective To investigate the effects of comprehensive rehabilitation treatment with attention transfer cognitive remodeling and Jiannao Yizhi mixture on autism in children Methods From May 2018 to May 2019,84 patients with autism who were treated in our rehabilitation center were taken as the research subjects According to the order of admission,they were divided into observation group and control group,42 cases each groupBoth groups received sensory integration training and lowfrequency pulse electrotherapy（Double zone）,scalp acupuncture,Jiannao Yizhi mixture and other comprehensive rehabilitation treatmentThe observation group was also treated with attention transfer cognitive remodeling,including the three steps of cold treatment,attention transfer and cognitive training After 3 months,compare the children′s Gesell development scale before and after treatment,and observe the adaptive development quotient(DQ),language,and personalsocial activities,and the improvement in bad behavior Results There were significant differences in the scores of behavioral scale,adaptive development quotient,language,and personalsocial activities before and after treatment in the observation group(P<0.05) The scores of the behavioral scale of the autistic children in the observation group were significantly lower than those in the control group,while the scores in the adaptive development quotient,language,and personal social activities were higher than those in the control group(P<0.05) Conclusion Comprehensive rehabilitation treatments with attention transfer cognitive remodeling combined with Jiannao Yizhi mixture can significantly improve children′s autism Related Articles | Metrics

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Influence of auditory integration training combined with family rehabilitation training on rehabilitation effects of child patients with autism 2020, 12 (3):  205-208.  doi: 10.3969/j.issn.1674-3865.2020.03.006 Abstract ( 173 )   PDF (453KB) ( 59 )   Save Objective To explore the effects of auditory integration training (AIT therapy) on developmental ability and behavioral status of child patients with autism in the context of family rehabilitation. Methods A total of 120 children with autism who were admitted to our hospital from May 2017 to May 2019 were selected as the research subjects, and they were randomly divided into observation group and control group, with 60 cases in each group. The patients in control group were given routine rehabilitation treatment, and those in observation group were given family rehabilitation combined with AIT treatment on the basis of the treatment for control group. Before treatment and after 4 months of treatment, the developmental ability, behavioral status［Chinese Version of PsychoEducational Profile (C-PEP)］ and autism symptoms［Autism Treatment Evaluation Checklist (ATEC)］ were compared between the two groups. Results After 4 months of treatment, the scores of each item and the total score of CPEP function development scale of the two groups were significantly higher than those before treatment, and the scores in observation group were significantly higher than those in control group during the same time period(P<0.05). The scores of each item and the total score of ATEC and CPEP pathological behavior scale were significantly lower than those before treatment, and the scores in observation group were significantly lower than those in control group during the same time period(P<0.05). Conclusion AIT treatment in the context of family rehabilitation can effectively improve the developmental ability and behavioral status of child patients with autism, significantly improve the autism symptoms, and benefit the prognosis. Related Articles | Metrics

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Efficacy of repetitive transcranial magnetic stimulation(TMS) in the treatment of children with autism spectrum disorders aged 2-6 years 2020, 12 (3):  209-211.  doi: 10.3969/j.issn.1674-3865.2020.03.007 Abstract ( 411 )   PDF (386KB) ( 122 )   Save Objective To explore the repetitive transcranial magnetic stimulation(rTMS) combined rehabilitation training，including behaviour analysis therapy，social training，speech therapy，and sensory integration training，on the stereotyped behavior of children with autism spectrum disorder(ASD). Methods Sixty ASD children，who were hospitalized and treated in Henan Provincial Hospital from Sep. 2017 to Sep. 2019, were randomly divided into rTMS group and control group， with 30 cases in each group. The two groups of children received the behavior analysis therapy，speech therapy and sensory integration training. The rTMS group was given additional rTMS therapy(rTMS was performed before rehabilitation training). The course of treatment was 12 weeks. Before and after treatment，the childhood autism rating scale(CARS) and autism behavior check scale(ABC) were used to evaluate. The total improvement rate of core symptoms was compared between the two groups. Results After 12 weeks of treatment，the CARS and ABC scores of the two groups were significantly lower than those before treatment(P<0.05). The CARS and ABC scores in the rTMS group were significantly lower than those in the control group（P<0.05）， and the overall improvement rate of core symptoms in rTMS group(100%,30/30) was significantly higher than that in the control group (86.7%,26/30)(P<0.05). Conclusion The rTMS combined with rehabilitation training and conventional rehabilitation training has certain promoting effects on core symptoms of children with ASD. The efficacy of rTMS combined rehabilitation training is significantly better than conventional rehabilitation training. Related Articles | Metrics

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Effects of group language training on children with autism spectrum disorders 2020, 12 (3):  212-214.  doi: 10.3969/j.issn.1674-3865.2020.03.008 Abstract ( 225 )   PDF (369KB) ( 84 )   Save Objective To investigate the effect of group language training on children with autism spectrum disorder. Methods Totally 68 children with autism spectrum disorders admitted to our hospital from May 2018 to May 2019 were randomly divided into control group and observation group, each with 34 cases. The control group received routine rehabilitation training, and the observation group received group language training besides the training for the control group. The scores in the autism behavior scale as well the autism treatment assessment scale and the satisfaction of family members were compared between the two groups. Results After the training, the score in autism behavior scale in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in the scores in autism treatment assessment scale between the two groups before or after training(P>0.05), and the difference in the observation group between before and after training was higher than that in the control group(P<0.05). The satisfaction of the family members in the observation group was 94.12%(32/34), higher than that in the control group(76.47%, 26/34), and the difference was statistically significant (P<0.05). Conclusion Group language training combined with routine rehabilitation training can effectively improve the behavior of children with autism spectrum disorder, and increase the treatment effect and family satisfaction. Related Articles | Metrics

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Analysis of the experience in children's bronchiolitis obliterans based on the theory of collateral diseases 2020, 12 (3):  215-217.  doi: 10.3969/j.issn.1674-3865.2020.03.009 Abstract ( 212 )   PDF (428KB) ( 98 )   Save Bronchiolitis obliterans in children is a kind of irreversible obstructive pulmonary disease. Clinically the disease is difficult to be cured and the prognosis is poor. Traditional Chinese medicine has its unique advantage in the treatment of this disease. Based on the theory of collaterals, this paper first discusses the relationship between the disease characteristics and collateral disease and concludes that the disease has the characteristics of collateral disease. Based on the theory of collateral diseases, the etiology and pathogenesis of the disease are analyzed. It is believed that the positive deficiency is the root cause of the disease. The phlegm stasis toxin is both the pathogenic factor and the pathological product, and the lung pulmonary collateral depression and numbness is the basic pathogenesis. Therefore, the treatment for this disease should follow the principle of a comprehensive treatment, giving consideration to both causes and symptoms. Related Articles | Metrics

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Application experience of Xuanbai Chengqi decoction in treatment for children with pneumonia 2020, 12 (3):  218-221.  doi: 10.3969/j.issn.1674-3865.2020.03.010 Abstract ( 170 )   PDF (619KB) ( 73 )   Save Lung heat is most common in children with pneumonia. Its pathogenesis is mainly as follows: pathogens invade the lung defensive system and can not be eradicated in the case of prolonged invasion and further invade large intestine. Clinical signs of lung heat and fuviscera excess are common, such as fever, cough and asthma, shortness of breath, phlegm, constipation, etc. Xuanbai Chengqi decoction is a representative prescription created by Wu Jutong to treat febrile diseases in Yangming meridian with constipation. It is usually used in the treatment of children with pneumonia and visceraqi obstruction of the lung heat and fuviscera excess syndrome. Oral administration of this decoction can diffuse the lung, clear the hollow viscera and discharge heat. External application on skin can relax channels and dredge collaterals, with its effects reaching the disease site directly. Xuanbai Chengqi decoction for internal and external use in the treatment of pediatric pneumonia has a remarkable effect, which is worthy of our indepth thinking. Related Articles | Metrics

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Rood technique combined with core muscle group stability training on motor function and mobility of children with spastic hemiplegia cerebral palsy 2020, 12 (3):  221-224.  doi: 10.3969/j.issn.1674-3865.2020.03.011 Abstract ( 200 )   PDF (484KB) ( 57 )   Save Objective To investigate the effect of Rood technique combined with core muscle group stability training on motor function and mobility of children with spastic hemiplegia cerebral palsy(CP). Methods A total of 85 children with spastic hemiplegia cerebral palsy spastic hemiplegia admitted to our hospital from April 2018 to May 2019 were selected as research subjects, and were randomly divided into observation group(43 cases) and control group(42 cases). The control group was given rehabilitation training based on Rood technique, and the observation group was given additional core muscle group stability training on the basis of the treatment for control group. The children in the two groups were observed in six months of rehabilitation training based on the scores of gross motor assessment scale, fine motor assessment scale and spasticity scale(MAS) and functional independence. Results The scores of gross motor assessment scale and fine motor assessment scale in the observation group were higher than those in the control group after rehabilitation training, and the difference was statistically significant(P<0.05). There was no significant difference in MAS scores between the observation group and the control group after rehabilitation training(P>0.05). The scores of cognitive function and motor function in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusion Rood technique combined with core muscle group stability training can improve the motor function and mobility of children with spastic hemiplegia cerebral palsy, the muscle tension and the functional independence, which plays an important role in improving the prognosis of children. Related Articles | Metrics

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Analysis of the rules of WANG Xuefeng's medication rules in the treatment of children with allergic cough by data mining technology 2020, 12 (3):  225-228.  doi: 10.3969/j.issn.1674-3865.2020.03.012 Abstract ( 176 )   PDF (629KB) ( 71 )   Save Objective To analyze professor WANG Xuefeng' s medication rules in the treatment of children with allergic cough based on data mining technology． Methods The data of 224 cases of allergic cough in children were mined, who were treated in Pediatric Outpatient Department of Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from November 2016 to May 2018, and the results of drug frequency rules were summarized by frequency analysis. Results Data analysis showed that there were 42 traditional Chinese medicines with a frequency of more than 50. The core prescriptions were Cortex mori radices, bitter almond, reed root, Platycodon grandiflorum, scutellaria, Qianhu, Ophiopogon japonicas, Roasted loquat leaves, uncaria, Schisandra chinensis and lily, and the drug properties were mainly cold, warm and flat, with the cumulative frequency reaching 92.23%. The main meridian involved is that of lung, stomach and spleen, accounting for a total of 58.99%. The main types of traditional Chinese medicines are expectorant, antitussive and antiasthmastic drugs, heatclearing drugs and drugs for relieving exterior syndrome, accounting for 59.77% of the total drugs used. Conclusion Professor Wang Xuefeng's treatment for allergic cough is mainly clearing and lowering, as well as moistening, using antiallergic drugs and processed Chinese medicines properly. The nature of the drugs is mild, and the treatment can achieve the effect of treating both manifestations and root cause of the disease, providing care for the lung and spleen at the same time. Related Articles | Metrics

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Effect of acupuncture method of "SU cave and HE cave" on motor function and muscle tension of children with spastic cerebral palsy 2020, 12 (3):  229-232.  doi: 10.3969/j.issn.1674-3865.2020.03.013 Abstract ( 144 )   PDF (513KB) ( 58 )   Save Objective To investigate the effect of acupuncture method of "SU cave and HE cave" on motor function and muscle tension of children with spastic cerebral palsy. Methods From July 2016 to December 2019,104 children with spastic cerebral palsy were treated in our hospital, and they were selected as subjects. According to the random number table method, the children were divided into observation group and control group, with 52 cases in each group. In the control group, conventional acupuncture was used on the basis of comprehensive rehabilitation function training, For observation group, in addition to comprehensive rehabilitation function training, the acupuncture method of"SU cave and HE cave" was also used. The motor function and muscle tension levels of the two groups were compared respectively before treatment, and 1 month, 2 months and 3 months after treatment. Results After 3 months of treatment, motor function and muscle tension of children in the two groups were improved, and the difference was statistically significant compared with those before treatment（P<0.05）；in the comparison among different time points, the difference was statistically significant between the two groups at the end of 1 month and two months of treatment(P<0.05), while the difference was not statistically significant between the two groups at the end of 3 months(P>0.05). Conclusion The acupuncture method of "SU cave and HE cave" can effectively improve the motor function of children with spastic cerebral palsy and significantly reduce the muscle tension; the recovery effect is good; it is clinically proved to be better than conventional acupuncture in the onset time and the effect with the advantage of fewer acupuncture points selected and quicker effect, which is worth promoting and applying in clinical rehabilitation. Related Articles | Metrics

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Clinical effect of immunoglobulin in the treatment of refractory Mycoplasma pneumoniae pneumonia in children 2020, 12 (3):  233-236.  doi: 10.3969/j.issn.1674-3865.2020.03.014 Abstract ( 247 )   PDF (470KB) ( 70 )   Save Objective To observe the clinical effect of intravenous injection of immunoglobulin in the treatment of refractory Mycoplasma pneumoniae pneumonia (RMPP) in children. Methods A total of 80 RMPP children treated in our hospital from Jan. 2018 to May 2019 were randomly divided into two groups: 40 children in observation group and 40 in control group. All children in the two groups were given azithromycin sequential antiinfection treatment plus corticosteroid therapy; the observation group also received intravenous injection of immunoglobulin. The recovery time of clinical symptoms and signs, the recovery time of imaging symptoms, length of hospital stay and the clinical effect after treatment were compared between the two groups. Results The recovery time of clinical symptoms and signs, the recovery time of imaging symptoms and hospitalization time in the treatment group were shorter than those in the control group with statistically significant differences(P<0.05). Meanwhile, the total effective rate of the experimental group (85.0%,34/40) was significantly higher than that of the control group(50.0%,20/40) after 2 weeks of treatment, and the difference was statistically significant(P<0.05). Conclusion The application of immunoglobulin can accelerate the recovery of clinical symptoms and signs of RMPP children, accelerate the recovery of imaging symptoms, shorten the total hospital stay, improve the overall clinical effect on children with refractory Mycoplasma pneumoniae pneumonia, and reduce the incidence of complications. Related Articles | Metrics

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Effect of albumin on neonates with severe hyperbilirubinemia of unknown cause 2020, 12 (3):  236-238.  doi: 10.3969/j.issn.1674-3865.2020.03.015 Abstract ( 242 )   PDF (382KB) ( 63 )   Save Objective To study the treatment effect of albumin combined with blue light phototherapy on neonates with severe hyperbilirubinemia of unknown cause. Methods Totally 60 neonates with severe hyperbilirubinemia of unknown cause treated in our hospital from Dec. 2017 to Dec. 2019 were included as research subjects．A retrospective analysis was performed. The subjects were assigned into observation group(30) and control group(30) according to whether the patients would like to receive albumin treatment on doctors’ advice. The control group was treated only with blue light phototherapy, while the observation group received albumin besides the phototherapy. The following items were compared between the two groups: clinical effect after treatment, and the Creactive protein, total bilirubin and reduction rate of bilirubin before and after treatment, and length of hospital stay. Results The total effective rate of observation group was 93.3％（28/30），which was significantly higher than that of control group was(73.3％, 22/30)（P<0.05）．The total bilirubin, Creactive protein and length of hospital stay in observation group were significantly lower than those in control group, and the reduction rate of bilirubin was significantly higher, the difference being statistically significant(P<0.05)． Conclusion The blue light phototherapy combined with albumin has significant effect in the treatment of neonates with severe hyperbilirubinemia of unknown cause without increasing the potential risk of infection. Related Articles | Metrics

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Effect of acupoint application on intestinal flora in the treatment of acute diarrhea in infants and young children 2020, 12 (3):  239-242.  doi: 10.3969/j.issn.1674-3865.2020.03.016 Abstract ( 207 )   PDF (545KB) ( 38 )   Save Objective To observe the effect of acupoint application on intestinal flora in the treatment of acute diarrhea in infants and young children. Methods Totally 194 children with acute diarrhea treated in our hospital from Aug. 2018 to Dec. 2019 were included in the study, and they were divided into observation group(96) and control group(98) by random number table method. The control group took montmorillonite orally, and it was suggested that liquid be taken orally and systematic treatment be performed, and intravenous fluid was given if necessary. Based on this, the observation group was also given acupoint application of Chinese medicines, and the medicines included: cinnamon, dried ginger, Rhizoma atractylodis, Fructus evodiae, Radix aucklandiae and pomegranate bark. These medicines were ground into powder and made into little medicinal pies for use. The acupoints were as follows: Shenque, Tianshu, Zhongwan and Piyu. The application was performed once a day, two hours each time. The course of treatment was 3 days for both groups. During the treatment, the symptoms related to diarrhea were recorded each day to evaluate the symptoms related to diarrhea were recorded each day to evaluate the therapeutic effect. The fresh feces specimen was collected respectively before treatment and 3 days after treatment in both groups. The 165 rRNA fluorescence PCR was used to detect the content of lactobacilli, bifidobacteria, enterobacteria and enterococcus, and the value of bifidobacteria/enterobacteria(B/E value) was calculated. Results The cure rate of the observation group was higher than that of the control group, and there was statistical difference in the overall therapeutic effect (P<0.05).After treatment, the content of lactobacilli and bifidobacteria and B/E value were higher in observation group than in control group, while the content of enterobacteria was lower(P<0.05). There was no statistical difference in the content of enterococcus between the two groups(P<0.05). Conclusion Acupoint application therapy can improve the content of endogenous lactobacilli, bifidobacteria and other specific anaerobic bacteria in children's intestinal tract, and improve the resistance of intestinal tract colonization, and play a role in regulating the balance of intestinal flora by affecting the internal environment of intestinal flora colonization. Related Articles | Metrics

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Clinical study on the treatment for diarrhea of spleen deficiency type in children by acupoint application of umbilicuswarming powder 2020, 12 (3):  243-246.  doi: 10.3969/j.issn.1674-3865.2020.03.017 Abstract ( 217 )   PDF (543KB) ( 63 )   Save Objective To observe the clinical effect of acupoint application of umbilicuswarming powder on diarrhea of spleendeficiency type in children. Methods According to the principle of randomized control, 96 cases of diarrhea of spleendeficiency type were divided into treatment group and control group, 48 cases in each group. The treatment group was treated with acupoint application of umbilicuswarming powder，once a day, while the control group was treated with routine treatment. After 7 days of intervention, the main symptom score, abdominal pain relief time, clinical efficacy and safety of the disease were statistically analyzed. Results The improvement in main symptom score in treatment group was better than that in control group(P<0.01); the relief time of abdominal pain in treatment group was better than that in control group(P<0.01); the total effective rate in treatment group was 97.9%(47/48), which was better than that in control group(83.3%，40/48)(P<0.05). Conclusion Acupoint application of umbilicuswarming powder has significant clinical effect on diarrhea of spleendeficiency type in children. Related Articles | Metrics

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Evaluation of the clinical curative effect of integrated traditional Chinese and western medicine on spleen deficiency syndrome after respiratory tract infection in children 2020, 12 (3):  246-249.  doi: 10.3969/j.issn.1674-3865.2020.03.018 Abstract ( 176 )   PDF (565KB) ( 30 )   Save Objective To evaluate the clinical curative effect of integrated traditional Chinese and western medicine on spleen deficiency syndrome after respiratory tract infection in children. Methods From October 2017 to December 2018, 104 children with spleen deficiency syndrome after respiratory tract infection were treated in Shanghai East Hospital, and they were randomly divided into experimental group(52 cases) and control group(52 cases). The control group(western medicine group) was treated with probiotics Bifico, and the experimental group(integrated Chinese and western medicine group) was treated with probiotics and traditional Chinese medicine(selfdesigned Jianyi formula). The course of treatment in both groups was one month. Observe and compare the changes in main syndrome score and laboratory examination indexes before and after treatment in the two groups. Results The total effective rate of the experimental group was 94.2%(49/52), which was higher than that of the control group(80.8%,42/52), and the difference was significant(P<0.05). The clinical symptoms and signs of the children were improved faster and better in the experimental group, the hemoglobin content was increased, the value of trace elements(iron and zinc) was increased, and the value of blood lead was decreased. Conclusion The combination of traditional Chinese and western medicine is effective in the treatment of spleen deficiency syndrome after respiratory tract infection in children, which is worth to be used clinically. Related Articles | Metrics

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Clinical effect of repeated transcranial magnetic stimulation therapy on the balance function and life quality of children with spastic hemiplegia 2020, 12 (3):  250-253.  doi: 10.3969/j.issn.1674-3865.2020.03.019 Abstract ( 152 )   PDF (447KB) ( 57 )   Save Objective To explore the effect of highfrequency combined with lowfrequency transcranial magnetic stimulation(TMS) therapy on balance function and daily living ability of children with spastic hemiplegia. Methods Totally 40 children with spastic hemiplegia，who were diagnosed and treated in Guangdong Women and Children’s Hospital from June 2018 to December 2019, were randomly divided into experimental group(n=20) and control group(n=20). On the basis of routine rehabilitation training, the experimental group was treated with highfrequency TMS in the damaged hemisphere, while the undamaged hemisphere was treated with lowfrequency TMS; the control group was treated with highfrequency TMS in the damaged hemisphere, while the undamaged hemisphere was treated with pseudostimulation; both groups were treated for 3 months. Before and after the treatment, all patients were assessed with Berg Balance Scale(BBS), Functional Independence Measure Children’s Edition(WeeFIM) and Pediatric Quality of Life Inventory Measurement(PedsQLTM). Results After treatment, the BBS score, WeeFIM score and PedsQLTM score of the two groups were higher than those before treatment, and the scores of the experimental group were higher than those of the control group(P<0.05). Conclusion Highfrequency combined with lowfrequency TMS therapy can improve the balance function and functional independence of children with spastic hemiplegia, and improve their ability of daily life activities and quality of life. Related Articles | Metrics

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Evaluation of safety and efficacy of tulobuterol patch(Amiaid) in improving pulmonary function of children with wheezing disorders 2020, 12 (3):  253-257.  doi: 10.3969/j.issn.1674-3865.2020.03.020 Abstract ( 132 )   PDF (689KB) ( 89 )   Save Objective To evaluate the safety and effect of conventional therapy combined with tulobuterol patch in improving lung function of children with wheezing disorders. Methods A total of 200 children with wheezing disorders were treated in Guangzhou Women and Children’s Medical Center from January to December of 2018, who were randomly divided into observation group (100 children) and control group (100 children). The observation group was given tulobuterol patch for external use, and the control group took procaterol hydrochloride oral solution, the treatment course being 7 days for both groups. The flowvolume loop was determined by tidal breathing method in the infants; the changes in the lung function of infants were observed before and after treatment, and the adverse reactions and medication compliance were also observed. Results (1) The results of lung function showed that all pulmonary indexes were significantly improved after treatment in observation group(P<0.05), and the improvement in airway obstruction was more obvious in observation group than in control group(P<0.05). (2) The comparison of the willingness in taking drugs showed that the observation group was better than the control group, which proved that the special way of administration in observation group had its advantage, and there was statistical difference(P<0.05). (3) In terms of Safety, there was no statistical differences between tulobuterol patch and procaterol hydrochloride oral solution（P>0.05）, and their safety was similar. Conclusion It is believed that tulobuterol patch has significant effect in improving lung function of children with wheezing disorders, and it is very safe. Related Articles | Metrics

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The therapeutic effect of Yinchen Wuling powder on children with acute jaundice hepatitis 2020, 12 (3):  258-260.  doi: 10.3969/j.issn.1674-3865.2020.03.021 Abstract ( 210 )   PDF (372KB) ( 35 )   Save Objective To investigate the therapeutic effect of Yinchen Wuling powder on children with acute jaundice hepatitis. Methods A total of 60 pediatric patients with acute jaundice hepatitis who were treated in our hospital from March 2017 to November 2019 were selected as the observation objects of this study. They were randomly divided into a control group and an observation group with 30 cases each. The control group was treated with the routine treatment to protect liver and eliminate jaundice. The children in the observation group were treated to apply Yinchen Wuling powder on the basis of routine treatment methods. To observe the clinical therapeutic effect and symptom improvement of the two groups after 4 weeks of treatment. Results After treatment of applying Yinchen Wuling powder, the total effective rate of the observation group was 96.7%(29/30), which was significantly higher than that of the control group(73.3%,22/30). The difference was statistically significant(P<0.05). The digestive tract symptom regression time, jaundice fading time and liver recovery time of the observation group were shorter than that of the control group. The difference was statistically significant(P<0.05). Conclusion After adding Yinchen Wuling powder to children with acute jaundice hepatitis, it can significantly improve the clinical symptoms of the children, so as to improve the clinical therapeutic effect of the children, and promote the recovery of the children's condition to a certain extent. Related Articles | Metrics

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Analysis of traditional Chinese medicine syndromes in convalescent carriers of Salmonella typhimurium enteritis in infants 2020, 12 (3):  260-263.  doi: 10.3969/j.issn.1674-3865.2020.03.022 Abstract ( 273 )   PDF (567KB) ( 71 )   Save Objective To explore the characteristics of TCM syndromes in convalescent carriers of Salmonella typhimurium enteritis in infants, in order to provide clinical ideas for TCM differential treatment. Methods Relevant investigation and analysis were carried out in the convalescent carriers of Salmonella typhimurium enteritis in infants who were diagnosed and treated from June 2016 to December 2018, and the symptoms and signs of TCM were collected by filling in questionnaires of TCM syndromes, which were summarized and analyzed to make differential typing. Results Totally 40 cases of convalescent carriers of Salmonella typhimurium enteritis in infants were included in the study, whose main TCM symptoms and signs were poor appetite, mucus in stool, abdominal distention, loose stool, pale tongue quality, lean body shape, mental fatigue，and greasy tongue coating, and the TCM syndromes included syndrome of spleen denciency and damp trap（35%）,spleen insufficiency syndrome（20%）,syndrome of deficiency of spleen and stomachqi（20%）,syndrome of deficiencycoldness of spleen and stomach（10%）,syndrome of deficiency of spleen and stomachyin（7.5%） and syndrome of dampness stagnation of Middle Jiao（7.5%）. Conclusion The main pathogenesis of convalescent carriers of Salmonella typhimurium enteritis in infants is consumption due to diarrhea and drug effects, which causes damage to the function of spleen and stomach. The basic principle of treatment is to invigorate spleen, promote digestion and remove dampness by giving full play to the treatment advantages of TCM at multiple levels and links, in order to achieve the goal of eliminating Salmonella typhimurium in intestinal tract. Related Articles | Metrics

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Effects of transcranial magnetic stimulation combined with visual music therapy on cognitive function and motor development in children with mental retardation 2020, 12 (3):  264-267.  doi: 10.3969/j.issn.1674-3865.2020.03.023 Abstract ( 190 )   PDF (473KB) ( 59 )   Save Objective To study the effects of transcranial magnetic stimulation combined with visual music therapy on the scores of Wechsler Preschool and Primary Scale of Intelligence (WPPSI) and Peabody Developmental Motor ScaleFine Motor (PDMSFM) in children with mental retardation. Methods A retrospective analysis was made; 64 children with mental retardation who were admitted to our hospital from February 2017 to February 2019 for visual music therapy were selected as control group, and 56 children with mental retardation who were admitted to the hospital for transcranial magnetic stimulation combined with visual music therapy during the same period were selected as observation group. Before treatment and after 6 months of treatment, the scores of developmental level［Denver Development Screening Test (DDST), PDMS-FM］, daily behavioral ability［Achenbach Child Behavior Checklist (CBCL)］ and WPPSI were compared between the two groups. Results After 6 months of treatment, the scores of each item and the total scores of DDST, CBCL, WPPSI and PDMS-FM in the two groups were significantly higher than those before treatment, and the scores in observation group were significantly higher than those in control group during the same time period (P<0.05). Conclusion Transcranial magnetic stimulation combined with visual music therapy can improve the developmental level, daily behavior ability and intelligence level of children with mental retardation, and it is conducive to the rehabilitation. Related Articles | Metrics

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Application of the quality control circle in the screening of nutritional risks in hospitalized children 2020, 12 (3):  267-270.  doi: 10.3969/j.issn.1674-3865.2020.03.024 Abstract ( 171 )   PDF (1085KB) ( 43 )   Save Objective To explore effect of quality control circle (QCC) activity in the screening of nutritional risks in hospitalized children. Methods Based on QCC procedure, we established the activity theme as "improving the screening rate of nutrition risk in hospitalized children". Targeted questions were designed for multiple divisions to carry out surveys, including Division of General Surgery, Division of Gastroenterology, Division of Rheumatology Immunology and Division of Neurology. The factors were analyzed and discussed in detail concerning why nutritional risk screening was not performed for hospitalized children. Subsequently, the rate of conducting nutritional risk screening before and after QCC was compared in the abovementioned four divisions. Results In view of the improvement focus, through the implementation of QCC protocol, the improvement rate of Pareto comparing before with after the activity was 88.83%, and the goal achievement rate was 93.35%. The rate of nutritional risk screening in hospitalized children was significantly improved. The screening rate after the activity was 84.4%(1 207/1 430), higher than that before the activity(40.5%，530/1 309), and the difference was statistically significant(P<0.05). Intangible results showed positive growth, the circle members were more skilled in the use of quality control techniques, and team cohesion was also significantly improved. Conclusion QCC can effectively increase the rate of nutritional risk screening in hospitalized children. The PDCAbased QCC protocol can effectively improve the screening rate of nutrition risk in hospitalized children, thus solve the clinical practical problems. While improving the rate of nutritional risk screening in hospitalized children, nutritional intervention and nutrition management should be provided for children with nutritional risks, so as to provide evidence for clinical nutritional support. Related Articles | Metrics

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Analysis of risk factors of temporomandibular disorder in middle school students in some urban areas of Zhengzhou 2020, 12 (3):  271-273.  doi: 10.3969/j.issn.1674-3865.2020.03.025 Abstract ( 168 )   PDF (419KB) ( 26 )   Save Objective To analyze the risk factors of temporomandibular disorder (TMD) in middle school students in some urban areas of Zhengzhou. Methods Totally 1 800 middle school students with TMD who were admitted to the hospital between August 2016 and August 2019 were selected as the observation group. Meanwhile, 1 800 healthy middle school students who completed routine physical examination during the same period were selected as the control group. The relationship between the possible risk factors and TMD in middle school students was analyzed. Results There were no statistically significant differences in the following items between the control group and observation group: the proportions of students often staying up late (44.44% vs.47.22%), with study pressure(58.06% vs.61.22%), chewing hard objects (51.94% vs.54.56%), and with history of maxillofacial injury(19.78% vs.21.94%)(P>0.05). The proportions of students with bruxism or tooth clinching, unilateral chewing and history of orthodontic treatment in the control group (36.22%, 51.78%, 20.00%) were significantly lower than those in the observation group (41.44%, 57.11%, 25.11%) (P<0.05). The selfrating anxiety scale(SAS) scores and selfrating depression scale(SDS) scores of the observation group were higher than those of the control group(P<0.05). Conclusion There are many risk factors for TMD, and junior high school students with unilateral chewing habits, history of orthodontic treatment, bruxism or tooth clinching, anxiety and depression symptoms are more prone to having TMD. Related Articles | Metrics

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Clinical application of TCM nursing in pediatrics based on bibliometrics: analysis of the current situation 2020, 12 (3):  274-276.  doi: 10.3969/j.issn.1674-3865.2020.03.026 Abstract ( 121 )   PDF (395KB) ( 31 )   Save Objective Based on bibliometrics, this paper analyzes the current situation of clinical application of traditional Chinese medicine nursing in pediatrics, in order to lay a foundation for the clinical application and scientific research. Methods The literatures related to the clinical application of TCM nursing in pediatrics were retrieved in CNKI(published between 1983 and 2019). A statistical analysis was performed on the following data: the unit where the authors worked, the province where they came, the annual number of publication, the frequency of citation, the rate of co-authorship, and the disease distribution. Results A total of 134 literatures were included, which were published in 32 journals. The number of literature published was generally on the rise. The first authors were from 19 provinces, two municipalities and 3 autonomous regions. The research organizations were mainly TCM hospitals. There were 6 literatures with citation frequency being over 10, and the highest frequency was 18. The rate of co-authorship and the overall citation frequency were relatively low. Conclusion Traditional Chinese medicine nursing has been paid more and more attention by paediatric nurses, but the depth and breadth of the research are not good, and the communication and contact among the staff need to be strengthened. Related Articles | Metrics