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Guidelines for the diagnosis and treatment of influenza in children with integrated traditional Chinese and western medicine WANG Xuefeng, WANG Lining, DENG Li, LIU Hanmin, SHANG Yunxiao, ZHANG Baoqing, ZHAO Shunying Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (2): 93-101.   DOI: 10.3969/j.issn.1674-3865.2024.02.001 Abstract （505）      PDF（pc） （1052KB）（489）       Knowledge map    Save Children are the high incidence population of influenza and the high risk population of severe cases.Early intervention of influenza,especially the intervention with traditional Chinese and western medicine in the mild stage,is of great significance to the prognosis of the disease.Based on the development process of literature retrieval and evaluation,expert interview,group discussion,expert demonstration meeting and public consultation,the guidelines for the diagnosis and treatment of influenza in children with integrated traditional Chinese and western medicine are formed.This version of the guidelines includes the scope of application,normative reference documents,terms and definitions,diagnosis and treatment,aiming to provide an important reference for the clinical practice,diagnosis and treatment norms and quality evaluation of the treatment with integrated traditional Chinese and western medicine for children with influenza. Related Articles | Metrics

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Expert consensus on external treatment for tic disorder in children with traditional Chinese medicine(2024) Wang Xuefeng, Han Xinmin, Sun Kexing, Jiang Yonghong, Rong Ping Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (1): 1-7.   DOI: 10.3969/j.issn.1674-3865.2024.01.001 Abstract （414）      PDF（pc） （1087KB）（353）       Knowledge map    Save Tic disorder is one of the most common neuropsychiatric diseases in children in clinical practice, which does great harm to children's physical and mental health. External therapy with traditional Chinese medicine, represented by acupuncture and massage, has some special advantages in the treatment of tic disorder in children, but it needs to be further standardized. This consensus covers the terms and definitions of tic disorder in children, the diagnosis, etiology and pathogenesis, syndrome differentiation and technological standards of external therapy with traditional Chinese medicine, and summarizes the modern medical experience and the advances in evidence-based medicine of this disease. This consensus highlights the clinical practicality and reflects the latest research progress, which helps to improve the level of clinical standardization of external therapy for tic disorder in children with traditional Chinese medicine. Related Articles | Metrics

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Professor Zhang Baoqing′s experience in treating children with tic disorder with Shenping decoction ZOU Zhiyun, SUI Xiaohui, ZHANG Baoqing. Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (3): 258-261.   DOI: 10.3969/j.issn.1674-3865.2024.03.016 Abstract （374）      PDF（pc） （1012KB）（17）       Knowledge map    Save The incidence of tic disorder has gradually increased in recent years， affecting the daily learning and life of children to varying degrees.In order to achieve better efficacy and reduce the adverse reactions caused by western medicine to the greatest extent， traditional Chinese medicine has gradually shown advantages in the treatment of this disease.This article introduces Professor Zhang Baoqing′s clinical experience in the treatment of children with tic disorder with Shenping decoction.Shenping decoction is from the book The Theory of Three Causes with One Prescription.Professor Zhang Baoqing believes that childhood tic disorder is located in the "liver"， which is closely related to the heart and lung， and the treatment should be based on stopping liver wind， taking the heart and lung into account.Professor Zhang combines the movement of Tiangan and the specific climate of Six Qi to flexibly use Shenping decoction in the treatment of children′s tic disorder,which has achieved remarkable effect.One case is attached for verification. Related Articles | Metrics

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Expert consensus on clinical diagnosis and treatment of simple obesity in Chinese children with integrated traditional Chinese and western medicine He Jingwei, Pei Zhou, Qian Tian, Zhou Yiyao, Luo Feihong, Yu Jian Chinese Pediatrics of Integrated Traditional and Western Medicine    2023, 15 (1): 1-7.   DOI: 10.3969/j.issn.1674-3865.2023.01.001 Abstract （347）      PDF（pc） （889KB）（219）       Knowledge map    Save Obesity is an important risk factor for chronic diseases such as hypertension，hyperlipidemia and type 2 diabetes in children. Childhood obesity in China tends to be at young age and with rapid growth. There is little research on childhood obesity in traditional Chinese medicine，and there is no unified standard for syndrome differentiation and classification. There is still no effective prevention and treatment protocols for childhood obesity. It is urgent to formulate an effective consensus and protocols for clinical diagnosis and treatment of childhood obesity based on Chinese medicine and western medicine. This consensus has been revised repeatedly based on the latest guidelines，consensus and research progress of Chinese and western medicine at home and abroad and combined with the clinical practice and experience of childhood obesity in China，aiming to provide clinical reference decisions for the diagnosis and treatment of childhood obesity，so as to improve the overall control level of childhood obesity. Related Articles | Metrics

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Expert consensus on body constitution characteristics and nursing of children in traditional Chinese medicineBody Constitution WANG Qi, WANG Xuefeng, ZHAO Xia, LI Min Chinese Pediatrics of Integrated Traditional and Western Medicine    2023, 15 (4): 277-282.   DOI: 10.3969/j.issn.1674-3865.2023.04.001 Abstract （334）      PDF（pc） （857KB）（856）       Knowledge map    Save Expert consensus on body constitution characteristics and nursing of children in traditional Chinese medicineBody Constitution Research Committee of World Federation of Chinese Medicine Societies Related Articles | Metrics

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Studies on short stature in Chinese and western medicine and the prospects YU Jian, WANG Na Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (5): 372-376.   DOI: 10.3969/j.issn.1674-3865.2024.05.002 Abstract （333）      PDF（pc） （1076KB）（267）       Knowledge map    Save Short stature is affected by many congenital and acquired environmental factors, which involves every stage from pregnancy to adolescence. From the perspective of integrated Chinese and western medicine, this article systematically summarizes the definition and epidemiological features of short stature in clinical practice, as well as its diagnosis and treatment strategies in Chinese and western medicine. It is emphasized that a comprehensive intervention should be performed in order to scientifically cope with the issues on children's growth and development, especially short stature, which includes life style adjustment, nutritional regulation, exercise and sleep management. Researches have shown that the integrated Chinese and western medicine therapy can not only increase the growth rate of children's height effectively, but also adjust the constitution of children in a comprehensive way, which improves the general health level of children. This article aims to provide theoretical support and practical reference for future clinical management of short stature and not-up-tostandard stature. Related Articles | Metrics

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Expert Consensus on the Prevention and Treatment of Children's Recurrent Respiratory Tract Infection by Integrating Traditional Chinese and Western MedicineRespiratory Group of Pediatric Committee of Chinese Association of Integrative Medicine Yunxiao Shang , Xuefeng Wang Chinese Pediatrics of Integrated Traditional and Western Medicine    2022, 14 (6): 461-467.   DOI: 10.3969/j.issn.1674-3865.2022.06.001 Abstract （325）      PDF（pc） （1482KB）（211）       Knowledge map    Save Recurrent respiratory tract infection is a common clinical phenomenon in children，which has a high incidence and brings a heavy burden to society and medical care，and has attracted much attention from pediatricians. The expert consensuses at home and abroad provided important guidance and suggestions for the diagnosis and treatment of children′s recurrent respiratory infections，but they were limited to the field of western medicine and did not include valuable experience in traditional Chinese medicine. The Expert Consensus on the Prevention and Treatment of Children′s Recurrent Respiratory Tract Infection by Integrating Traditional Chinese and Western Medicine integrates the traditional Chinese treatment based on syndrome differentiation with western medicine，revised repeatedly with reference to the latest guidelines，consensus and research progress of Chinese and Western medicine worldwide. This consensus will provide an important basis for pediatricians to reasonably integrate traditional Chinese and western medicine in the prevention and treatment of children′s recurrent respiratory infections. Related Articles | Metrics

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Expert consensus on the diagnosis and treatment of pharyngitis and tonsillitis in children WANG Xuefeng, SHANG Yunxiao, XIONG Lei, ZHANG Jianhua, QIN Yanhong, LIU Changshan, ZHANG Baoqing, CAO Ling, XU Hua, WANG Lining, YANG Nan, LI Miao, YANG Yungang, ZHANG Xiuying Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (5): 399-403.   DOI: 10.3969/j.issn.1674-3865.2024.05.009 Abstract （298）      PDF（pc） （1047KB）（363）       Knowledge map    Save Pharyngitis and tonsillitis are common respiratory infectious diseases in childhood,and are highly prevalent in spring and fall.They can be categorized into acute and chronic stages.The acute stage is characterized by rapid onset and progression of the disease,and in severe cases,hoarseness and even respiratory difficulties may occur.In the chronic stage,the disease is prolonged due to the lack of proper treatment.Repeated pharyngitis and tonsillitis can lead to voice changes in children.At present,there are not many western medicines that can effectively treat childhood pharyngitis and tonsillitis,which are mainly antibiotic drugs,and although there are many types of traditional Chinese medicines used to clear the throat,western pediatricians are not standardized in the selection,syndrome differentiation and application of traditional Chinese medicines.Therefore,it is particularly important to explore the treatment for pharyngitis and tonsillitis in children with integrated Chinese and western medicine.This consensus firstly systematizes the Chinese and western medical understanding of pharyngitis and tonsillitis in children;secondly,it discusses its staging,etiology and main risk factors;thirdly,it clarifies its diagnostic criteria;finally,it gives a detailed elaboration on the principle of integrated Chinese and western medicine treatment for pharyngitis and tonsillitis in children and the Chinese and western medicine treatment methods.This consensus provides Chinese and western pediatricians,especially western physicians,with ideas on integrated Chinese and western medicine treatment,and further standardizes the rational selection and application of Chinese and western medicines. Related Articles | Metrics

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Progress in TCM treatment for childhood simple obesity SONG Qinli, ZHAO Jun, JIN Ying, YANG Chuwen, LU Xiaoye, ZHOU Fangyuan Chinese Pediatrics of Integrated Traditional and Western Medicine    2023, 15 (4): 301-304.   DOI: 10.3969/j.issn.1674-3865.2023.04.005 Abstract （297）      PDF（pc） （832KB）（288）       Knowledge map    Save With the development of social economy and the change of lifestyle, more and more children are overweight and obese. If the obese children are not treated in time, they will gradually develop obesity syndrome, which will lay the groundwork for hypertension, hyperlipidemia, diabetes and other diseases in adulthood, and also bring burden to the social economy and medical resources. Traditional Chinese medicine has its unique advantages in the treatment of simple obesity in children. This article reviews the research progress in the treatment of simple obesity in children from the aspects of etiology, pathogenesis, syndrome differentiation and internal and external treatment of traditional Chinese medicine. The syndrome differentiation of simple obesity generally follows "phlegm, deficiency and stasis". The main treatment methods are to strengthen spleen and supplement qi, remove dampness and eliminate phlegm, and activate qi and blood circulation to remove blood stasis. Single Chinese medicine, compound Chinese medicine and external treatment of Chinese medicine all play an important role in the treatment of simple obesity in children. Related Articles | Metrics

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Current situation and prospect of TCM research in autism spectrum disorder ZHANG Yuehua, XIE Yuanyuan Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (4): 301-304.   DOI: 10.3969/j.issn.1674-3865.2024.04.006 Abstract （295）      PDF（pc） （1073KB）（207）       Knowledge map    Save Autism spectrum disorder(ASD) is a group of neurodevelopmental disorders with a high rate of mental disability and an increasing incidence in recent years.The etiology of ASD is unknown,and there are no specific drugs or specific treatment methods.At present,the mainstream international treatment methods mainly rely on behavioral intervention and education to improve the core symptoms,and auxiliary drug therapy to improve the co-morbidity.In recent years,the research and exploration of TCM in the field of autism have been further.TCM therapy has unique advantages in improving the core disorders and comorbidities of autism,but it also faces difficulties and challenges.In this paper,the exploration of traditional Chinese medicine in the field of autism in recent years is reviewed to provide a certain theoretical basis and evidence for the treatment of autism by traditional Chinese medicine. Related Articles | Metrics

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Professor Ma Rong's experience in the treatment of children with tic disorder through the "Three-step syndrome differention" mode NIE Lianghui, MA Rong, RONG Ping, ZHANG Xilian Chinese Pediatrics of Integrated Traditional and Western Medicine    2023, 15 (5): 369-373.   DOI: 10.3969/j.issn.1674-3865.2023.05.001 Abstract （279）      PDF（pc） （954KB）（305）       Knowledge map    Save The etiology of tic disorder in children is complicated, the symptoms are various, and it is easy to be affected by social environment, so the treatment is challenging. Based on many years of clinical experience and through the combination with the theory of TCM and the characteristics of the disease, Professor Ma Rong first established the "Three-stem syndrome differentiation" mode for the treatment of children with tic disorder. The main content is as follows. The first step is disease differentiation, which is to take the root cause as the main point and make clear diagnosis. The second step is syndrome differentiation, which is to classify the syndrome and give prescription based on rules. The third step is symptom differentiation, which is to be clear with the symptoms and make modification. The differentiation of the disease is mainly the diagnosis and differential diagnosis of Chinese and western medicine, and the clinical descriptive diagnosis is used to exclude the symptoms of eye tutting and nose shrugs caused by allergic conjunctivitis and allergic rhinitis. The syndrome differentiation is mainly based on the TCM syndromes of the children, and the main treatment principle is to calm the wind and stop movement. The patients with exogenous wind evil were the syndrome of exogenous wind and were treated with Yinqiao powder with modification. The patients with both beating other people and destroying objects and obscene language were the syndrome of phlegm-fire disturbing the heart, and were treated with Ditan decoction. The patients with irritability were qi stagnation turning into fire, and Xieqing pills were used with modification. The patients who were sensitive with too many doubts and much anxiety were qi stagnation activating wind, and they were treated with Chaihu Guizhi Longgu Muli decoction with modification. Symptom differentiation is based on disease differentiation and syndrome differentiation, and the drugs for treatment are selected according to different parts of twitches and different vocal manifestations, which plays the role of guiding meridians and directly eliminating symptoms. The "Three-step syndrome differentiation" mode has clear diagnosis and treatment plan, and can be adjusted flexibly according to disease-syndrome-symptom of the patients, which is effective in clinical practice. Related Articles | Metrics

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Diagnosis and treatment guideline for functional dyspepsia in children with the integrated traditional Chinese and western medicine WANG Xuefeng, WU Jie, GONG Sitang, XIONG Lei, JIANG Mizu, WANG Baoxi, XU Hua, PENG Yu Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (6): 461-468.   DOI: 10.3969/j.issn.1674-3865.2024.06.001 Abstract （276）      PDF（pc） （1049KB）（351）       Knowledge map    Save Functional dyspepsia,as one of the most common functional diseases of upper digestive tract,seriously affects the quality of life and growth and development of children in China.Due to the changing definition and symptom spectrum of functional dyspepsia in children,its diagnosis and treatment are controversial.In order to standardize the diagnosis and treatment of children with functional dyspepsia with integrated traditional Chinese and western medicine,and effectively solve the clinical problems in the diagnosis and treatment of children with functional dyspepsia,this guideline is formulated to guide the standardized diagnosis and treatment of children with functional dyspepsia with integrated traditional Chinese and western medicine. Related Articles | Metrics

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Traditional Chinese medicine understanding of short stature in children and syndrome differentiation and treatment for the disease WANG Xuefeng, ZHANG Xiuying Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (5): 380-383.   DOI: 10.3969/j.issn.1674-3865.2024.05.004 Abstract （273）      PDF（pc） （1026KB）（454）       Knowledge map    Save Because children with short stature are shorter than children of the same age,they may suffer from low self-esteem,which seriously affects their mental health and has different degrees of impact on their future learning and lives.Traditional Chinese medicine has some advantages in the treatment of this disease because its syndrome differentiation and treatment can improve the growth and development of children.This paper first sorts out the historical development of short stature,which,as an independent name of the disease,was firstly seen in the textbook of Integrated Traditional Chinese and Western Medicine Pediatrics edited by Prof.Wang Xuefeng.Then,the etiology and mechanism of short stature are summarized.Its etiology is the deficiency of innate endowment and the lack of nutrition in later life.The disease is located in the spleen and kidneys,and it is closely related to the heart,liver and lungs. The nature of the disease is mostly deficiency.The primary mechanism of the disease is the deficiency of the five organs and the deficiency of essence and qi.The basic treatment principle is determined again,which is to support the spleen and nourish kidneys and also to take into account other organs.Among the treatment methods,the method of tonifying the kidneys and nourishing the liver is suitable to those with deficiency of yin in the liver and kidneys and loss of nourishment of the muscles and bones;the method of supporting the spleen and strengthening the stomach is suitable to those with weakness of the spleen and stomach and deficiency of qi and blood;the method of nourishing the kidneys and clearing the heart is suitable to those with deficiency of the heart and kidneys and imbalance of water and fire;the method of strengthening the spleen and nourishing the lungs is suitable to those with deficiency in the lungs and spleen and loss of qi of the mother;the method of warming and tonifying the kidney-yang is suitable to those with insufficiency of the kidney-yang and dysfunction of warming.Finally,the strategy of multi-dimensional care and prevention before the onset of disease is put forward.For children with short stature,attention should be paid to balanced nutrition,moderate increase in exercise,reasonable arrangement of sleep,and adjustment of the body in line with the four seasons. Related Articles | Metrics

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Paying attention to the standardized diagnosis and treatment for children with short stature LUO Xiaoping, WU Wei Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (5): 369-371.   DOI: 10.3969/j.issn.1674-3865.2024.05.001 Abstract （272）      PDF（pc） （1010KB）（258）       Knowledge map    Save Short stature has a significant impact on the physical and mental health of children, and it is a common disease in the endocrine department of pediatrics. Due to the rapid changes in children's growth and development and the complex etiology of short stature, there have always been such issues as missed diagnoses, misdiagnoses and insufficient intervention or overtreatment. This necessitates the strengthening of standardized diagnosis and treatment. This article discusses the challenges faced in the clinical diagnosis and treatment of children with short stature, especially emphasizing two aspects: one is to find out the etiology and make precise diagnosis, and the other is to perform individualized treatment strictly based on the indications. Meanwhile, the future direction of diagnosis and treatment of short stature is prospected, and suggestions are put forward for further standardization of diagnosis and treatment behavior of short stature, in order to provide useful reference for clinicians and policy makers. Related Articles | Metrics

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Discussion on the application of regulating intestinal microflora in children with pneumonia based on the relationship between lung and large intestine LI Guang, ZHAI Wensheng Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (2): 119-122.   DOI: 10.3969/j.issn.1674-3865.2024.02.005 Abstract （269）      PDF（pc） （985KB）（364）       Knowledge map    Save Pneumonia is a common disease in children and one of the main causes of death in children under 5 years old.Bacteria are the most common pathogen in pneumonia among children in developing countries,and antibiotics are the main treatment drugs in clinical practice.However,the global situation of bacterial resistance is severe,which has become a great threat to human health.In traditional Chinese medicine it is believed that "the lungs and large intestine are related externally and internally," emphasizing the principle of "treating the lungs and intestines together." Modern medicine proposes the "lung gut axis," which reveals that changes in intestinal microbiota affect the occurrence,development,and prognosis of pulmonary diseases.It also proposes the method of treating pulmonary diseases by intervening in the microbiota.This article aims to demonstrate the role of probiotics in the treatment of lung and intestine simultaneously in children withpneumonia,providing new ideas for clinical treatment of pediatric pneumonia. Related Articles | Metrics

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Experience and reflection on traditional Chinese medicine treatment for precocious puberty in children and impaired height XIONG Lei, HE Xiying, CAO Ting Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (5): 377-379.   DOI: 10.3969/j.issn.1674-3865.2024.05.003 Abstract （265）      PDF（pc） （1016KB）（320）       Knowledge map    Save The clinical manifestation of precocious puberty is the premature development of secondary sexual characteristics, which can cause increased growth rate, rapid skeletal maturation, premature epiphyseal closure, etc. If not treated in time, it may cause children to be short in adulthood and increase the risk of endocrine diseases. Gonadotrophin releasing hormone analogue is the first choice in the treatment of this disease in western medicine, which can significantly inhibit the sexual development process by regulating the hypothalamicpituitarygonadal axis, but there is still controversy in terms of benefits to children's height. Traditional Chinese medicine therapy has been proven to be safe and effective in improving children's symptoms, regulating sex hormone levels, delaying gonadal development, improving height impairment, and increasing adult height. Professor Xiong Lei believes that the core pathological mechanism of this disease is kidneyyin deficiency and hyperactivity of liveryang fire. The treatment should be nourishing yin to strengthen the root, and lowering fire to clear sources. At the same time, for the patients with stagnated heat of liver channel, the method of dispersing stagnatedliver qi and clearing fire is used; for those with internal retention of phlegmdampness, the method of invigorating spleen to dissipate phlegm is used; for those with disharmony in the middle jiao, the method of invigorating spleen and harmonizing stomach is used. For children with rapid progression, gonadotrophin releasing hormone analogue can be used at the same time; for children with growth retardation and height impairment, recombinant human growth hormone should be considered to maximize their benefits to the height. Related Articles | Metrics

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Expert consensus on traditional Chinese medicine intervention program for atopic dermatitis in children Zhao Yun, Ma Chunyan, Deng Dan, Wu Liqun, Zhang Huimin, Zhao Xia, Ye Qingyan, Zhu Shengguo, Yao Ting Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (3): 185-190.   DOI: 10.3969/j.issn.1674-3865.2024.03.001 Abstract （264）      PDF（pc） （851KB）（144）       Knowledge map    Save Atopic dermatitis in children is a common skin disease in infants and young children under the age of 3.Its recurrent itching and skin lesions affect the quality of life of the children.In order to further strengthen the clinical application and promotion of traditional Chinese medicine intervention in children with atopic dermatitis,the Pediatric Committee of Shanghai Association of Traditional Chinese Medicine and Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine have taken the lead in formulating this consensus,aiming to provide guidance for practitioners in traditional Chinese medicine pediatrics and better assist children. Related Articles | Metrics

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Application of external treatment of Chinese medicine in children's growth and development WANG Lining, SUN Kexing, LIANG Yi Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (5): 384-387.   DOI: 10.3969/j.issn.1674-3865.2024.05.005 Abstract （257）      PDF（pc） （1006KB）（340）       Knowledge map    Save Short stature and not-up-to-standard stature belong to the category of "Wu Chi" and "Wu Ruan" in Chinese medicine, and Chinese medicine believes that the pathogenesis of them is deficiency in the spleen and kidney, which gets the heart and liver involved. External treatment of Chinese medicine is a unique natural and green therapy under the guidance of Chinese medicine theory, which has certain advantages in the treatment of short stature and not-up-to-standard stature. This article summarizes the treatment methods such as massage, acupuncture, moxibustion and acupoint application, as well as the mechanism of external treatment of Chinese medicine for children with short stature and not-up-to-standard stature, with a view to guide the early and timely clinical intervention, improve the function of children's internal organs and promote their growth and development. Related Articles | Metrics

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Treatment for pediatric adenoid hypertrophy by Professor Ye Weicheng using Xu′s pediatric theory of strengthening the spleen and resolving phlegm and masses ZHOU Junhui, ZHAO Jun, YE Weicheng, CUI Chen Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (4): 339-341.   DOI: 10.3969/j.issn.1674-3865.2024.04.014 Abstract （255）      PDF（pc） （1040KB）（157）       Knowledge map    Save The clinical incidence of adenoid hypertrophy in children is increasing year by year.At present,surgery is the first choice in clinical treatment,but the disease is likely to recur after surgery,and the patients often have adenoid facial expression and secretory otitis media;in severe cases,it may cause complications such as obstructive sleep apnea hypopnea syndrome,which may seriously affect the children′s growth,physical and mental health,and the quality of their lives in the long run.Professor Ye Weicheng applies Xu′s pediatric theory of strengthening the spleen and resolving phlegm and masses to the treatment of adenoid hypertrophy,and uses Erchen decoction to strengthen the spleen and resolve phlegm;in addition,Xia Ku Cao is used for resolving masses;the treatment has achieved great clinical effects. Related Articles | Metrics

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Consistency of Infanib scales and Gesell developmental scales in the assessment of motor development in children GUO Yingying, ZHAO Jinzhu, HAO Yan Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (2): 144-147.   DOI: 10.3969/j.issn.1674-3865.2024.02.010 Abstract （246）      PDF（pc） （974KB）（57）       Knowledge map    Save Objective To investigate the consistency of Infant Neurological International Battery (Infanib) and Gesell developmental scale in the assessment of motor development in high-risk infants.Methods From May 2022 to April 2023, 132 high-risk children were collected from our hospital as research subjects. Kappa values were calculated to determine the consistency of Infanib and Gesell developmental scales.Results The evaluation results of Infanib scale was consistent with that of Gesell developmental scale in 111 of the 132 children (84.09%),including 90 being assessed as normal and 21 as borderline (suspected) or developmental delay. The consistency was 0.57 in the assessment of gross motor quotient for Infanib scale and Gesell developmental scale. The consistency of the two scales was 0.62, 0.67 and 0.41 in children under 4 months, between 4 and 8 months and over 8 months. In the high-risk term infants, the consistency of evaluation by Infanib scale and Gesell developmental scale was 0.61, which was 0.32 in high-risk preterm infants.Conclusion The consistency of Infanib and Gesell developmental scales is generally good, but low in children >8 months of age and children at high risk of preterm birth. It is suggested that different scales should be selected according to the age and birth situation of children to accurately reflect the true level of children's motor development. Related Articles | Metrics