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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 2022, Volume 14 Issue 2 Previous Issue    Next Issue

    Meta-analysis of Chinese patent medicine in the treatment of influenza in children

    ZHANG Xilian, LI Han, MA Rong, YAN Haihong, RONG Ping, YIN Guilei
    2022, 14 (2):  93-100. 
    Abstract ( 120 )   PDF (4028KB) ( 113 )   Save

    ObjectiveTo evaluate the clinical efficacy and safety of Chinese patent medicine in treating influenza in children by meta-analysis.MethodsThe PubMed, Cochrane Library, Embase, CNKI, CBM, WanFang and VIP databases were searched. Two investigators independently screened the literature according to inclusion and exclusion criteria. The qualified literature reviews were evaluated for its methodological quality by using the Cochrane risk assessment tool. The original data of the literature was extracted and the data integration analysis of the literature was carried out by using Revman 5.3 software.ResultsA total of 51 Chinese RCTs were included, which were of low research quality. Meta-analysis results showed that: 1In terms of clinical efficacy, Chinese patent medicine used alone or in combination with western medicine is better than western medicine in the treatment of children with influenza(P0.000 01). 2In terms of safety, there was significant difference in the incidence of adverse events between oral Chinese patent medicine and western medicine(P=0.001)there was no significant difference in the incidence of adverse events between Chinese patent medicine injection and western medicine(P=0.56).ConclusionBased on the current evidence, it has been proved that Chinese patent medicine is effective in the treatment of childhood influenza, and it is safer in oral medication.

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    Study on the medication rule of Chinese medicine against influenza virus based on data mining

    LU Yuqiang, FU Lin, HAO Yuqi, DING Hui, SHI Zhaoling, LI Ruying, ZHANG Guocheng
    2022, 14 (2):  101-105. 
    Abstract ( 142 )   PDF (1217KB) ( 129 )   Save

    ObjectiveTo summarize the rules in the use of traditional Chinese medicine(TCM) against influenza virus in core journals and other high-quality journals, and to provide TCM guidance for the prevention and treatment of influenza and other diseases.MethodsWith "Chinese medicine", "influenza virus" and "influenza" as subject words, CNKI, VIP, and Wanfang databases were searched, relevant literatures in core journals were screened and the prescription drugs were sorted out.Excel 2010, ancient and modern medical case cloud platform, SPSS Modeler 18.0, and SPSS Statistics 22.0 were used for statistical analysis of the collected data.ResultsTotally 1 131 articles from core journals were retrieved and 135 articles meeting the inclusion criteria were screened out, including 109 TCM prescriptions and 170 TCM ingredients, with a total frequency of 1 655 times.The three herbs most frequently used were licorice, honeysuckle and forsythia.The first three types of drug efficacy were heat-clearing and detoxification, wind-clearing and heat-dissipating, heat-clearing and fire-reducing.The medicinal properties were mostly cold, warm and flat.The medicinal flavor was mostly bitter, sweet and spicy. Of the twelve meridians most drugs belonged to the lung, stomach, heart, spleen and liver meridians.According to association rules, 20 compatible drug pairs were obtained, including schizonepeta-forsythia, schizonepeta-honeysuckle, and arctiumlappa-honeysuckle.Four new prescriptions were obtained by cluster 

    analysis.ConclusionThe use of traditional Chinese medicine against influenza virus has a certain regularity, which provides an important reference value for the prevention and treatment of influenza.

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    Clinical study on the clinical correlation between Kawasaki disease and influenza virus infection

    XU Min, WU Xiaoyun, LIU Chunrong.
    2022, 14 (2):  106-109. 
    Abstract ( 62 )   PDF (824KB) ( 200 )   Save

    ObjectiveBy analyzing the clinical characteristics of Kawasaki disease(KD) complicated with influenza virus infection, to further improve the clinicians' understanding of the etiology of Kawasaki disease. MethodsA total of 57 children with Kawasaki disease hospitalized in our hospital from June 2010 to December 2019 were selected. Children with KD and influenza virus infection were selected as experiment group(n=19)and children with KD alone were selected as control group(n=38). The clinical manifestations and laboratory test indexes were compared, including white blood cell(WBC),hemoglobin(Hb),erythrocyte sedimentation rate(ESR),C-reactive protein(CRP),neutrophilic granulocyte percentage(N%),alanine aminotransferase(ALT),aspartate aminotransferase(AST),creatine kinase-MB(CK-MB).The therapeutic effect of intravenous immunoglobulin(IVIG) and incidence of coronary artery injury were also analyzed.ResultsFever days in experiment group were longer than those in control group. ESR,CRP,ALT and CK-MB levels in experiment group were all higher than those in control group,and the difference was statistically significant(P<0.05).The no-response rate to first-time IVIG, and the incidence of coronary artery injury in experiment group were higher than those in the control group.ConclusionThe occurrence of KD may be associated with immune dysfunction caused by influenza virus.

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    Expression and significance analysis of miRNA-126 and runt-associated transcription factor 3 in peripheral blood of children with bronchial asthma

    WANG Jun, ZHANG Guangchao, CHEN Dan, SUN Xiaomin.
    2022, 14 (2):  110-114. 
    Abstract ( 78 )   PDF (1060KB) ( 5 )   Save

    ObjectiveTo investigate the expression and significance of miRNA-126 and RUNX3 in children with bronchial asthma.MethodsEighty children with bronchial asthma treated in Henan Children's Hospital were selected as research subjects,and they were divided into acute stage group(n=42) and remission stage group(n=38) according to the clinical progress of the disease. At the same time, 40 healthy children were selected as the control group. The levels of miRNA-126 in peripheral blood of the three groups were detected by qRT-PCR, and the expression level of RUNX3 protein was detected by Western blot; The correlation between miRNA-126 and RUNX3 level in asthmatic groups was analyzed. The diagnostic value of miRNA-126 and RUNX3 in asthma was analyzed by ROC curve.ResultsCompared with the control group, the expression level of miRNA-126 was significantly increased(P<0.05), while RUNX3 protein was significantly decreased(P<0.05) in both the remission and acute stage groups. The level of miRNA-126 in acute stage group was significantly higher than that in remission group, while the level of RUNX3 protein was significantly lower than that in remission group (P<0.05).The miRNA-126 was significantly negatively correlated with RUNX3 level (P<0.05). The AUCs of miRNA-126 and RUNX3 in diagnosing asthma were respectively 0.933 and 0.847,and the AUCs for the diagnosis of clinical stages of asthma were respectively 0.696 and 0.798.ConclusionThe miRNA-126 and RUNX3 may be synergistically involved in the development of bronchial asthma in children, which may serve as a potential auxiliary indicator for the diagnosis and evaluation of asthma

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    Mechanism of HMGB1 in child epileptogenesis and the progress in traditional Chinese medicine intervention

    CHEN Hanjiang, ZHANG Xilian, RONG Ping, MA Rong.
    2022, 14 (2):  115-119. 
    Abstract ( 81 )   PDF (874KB) ( 73 )   Save

    The prevention and treatment strategy of epilepsy has shifted from controlling epileptic seizures to controlling epileptogenesis. Epileptogenesis is the budding and early stage of child epilepsy, the "time window period" of epilepsy formation, and the best stage of drug intervention. Neuronal damage and immune inflammation are the basic characteristics of epileptogenesis, and immune inflammation participates in the whole process of epileptogenesis in children. Studies have found that inhibiting early inflammatory factors(IL-1, TNF, etc.) cannot prevent epileptogenesis. In recent years, the special position of high mobility protein B1(HMGB1) of late inflammatory factor in immune inflammation has been paid more and more attention. Functionally, HMGB1 has two different functions: intracellular gene regulation and extracellular pro-inflammation. Inhibiting the translocation of HMGB1 is the key to regulating its function. HMGB1 activates the downstream immune response through two classic transduction pathways: the HMGB1-RAGE axis and the HMGB1-TLRs axis. Traditional Chinese medicine mainly regulates the immune inflammatory response and interferes with the process of epilepsy through the HMGB1/TRL4/NFB pathway. This article reviews the sources, structures, functions, release forms, signal pathways, inhibitors and traditional Chinese medicine interventions of HMGB1 in order to provide a literature basis for traditional Chinese medicine intervention in HMGB1 and epileptogenesis.

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    Research status of brain neurotransmitters in children with sleep disorders

    LIU Jiatong, WU Qiong, WANG Hua.
    2022, 14 (2):  120-122. 
    Abstract ( 101 )   PDF (798KB) ( 61 )   Save

    Sleep is one of the most important physiological activities of the human body. Childhood is a critical period of growth and development. A good sleep can improve the body's immunity, which is closely related to the development of the nervous system, learning and memory functions. Sleep disorder is a common problem in pediatric neurology, which may occur alone or with other neurological diseases, causing damage to children's cognition, emotion, growth and development. The pathophysiological changes of sleep disorders mainly include neurotransmitter changes. Neurotransmitters can be divided into excitability and inhibition. When the change of their content exceeds the physiological range, pathological changes will occur and clinical manifestations of sleep disorders will appear. This paper mainly introduces the research mechanism and status of the nervous system related to sleep disorders, aiming to improve the evaluation and intervention level of sleep disorders, optimize disease management, improve sleep conditions of children and improve their quality of life.

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    Research progress in genes and gene polymorphisms related to steroid-resistant nephrotic syndrome

    ZHAO Like, ZHANG Maoxia, MA Hong.
    2022, 14 (2):  123-126. 
    Abstract ( 61 )   PDF (855KB) ( 47 )   Save

    Nephrotic syndrome is a clinical syndrome with a series of pathophysiological changes due to the increased permeability of glomerular filtration membrane to plasma protein and the loss of a large amount of plasma protein from urine. It is mainly characterized by massive proteinuria, hypoproteinemia, hyperlipidemia and edema.The disease can be relieved or even cured to a certain extent with hormone therapy, but there are still 20% of children with hormone resistance, which eventually progresses to end-stage renal disease. The changes of genes are very likely to lead to the occurrence of hormone-resistant nephrotic syndrome(SRNS). The study of SRNS-related genes and their polymorphisms is helpful to deepen the understanding of the disease and guide the clinical practice.

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    Effect of core stability training on upper limb function in children with spastic cerebral palsy

    SONG Wensheng, LIN Lin, XU Chunxin
    2022, 14 (2):  127-130. 
    Abstract ( 73 )   PDF (834KB) ( 105 )   Save

    ObjectiveTo investigate the effect of core stability training on upper limb function in children with spastic cerebral palsy.MethodsTotally 60 children with spastic cerebral palsywho were admitted to Shanghai Yangzhi Rehabilitation Hospital from January to December in 2019were selected as research subjects. They were randomly divided into two groupsexperimental group and control groupwith each group having 30 cases. The children in control group received routine PT,OT,massage and sensory integrationtraining. In addition to the treatment for control groupthe children in experimental group received the core stability training. The treatment lasted for 3 months for both groups.Peabody fine motor development scale(PDMS-FM) and Carroll hand function scale were used to evaluate the efficacy on upper limb function in the two groups before and after 3 months of treatment,and the difference in the effect was compared.ResultsThe scores in graspingvisual motor in PDMS-FM and Carroll hand function scale were significantly higher after 3 months of treatment than those before treatment(P<0.05), and the efficacy of the treatment for experimental group was better than that for control group(P<0.05).ConclusionCore stability training can significantly improve the upper limb function of children with spastic cerebral palsy.

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    Clinical analysis of small intestinal bacteria overgrowth in infancy diarrhea

    GUO Xu, ZHOU Shaoming, CHEN Moxian.
    2022, 14 (2):  131-134. 
    Abstract ( 85 )   PDF (845KB) ( 40 )   Save

    ObjectiveTo study the prevalence of small intestinal bacterial overgrowth(SIBO) in infants with persistent and chronic diarrhea, and to analyze the clinical features and treatment outcomes of SIBO in infants.MethodsA retrospective study was made in 110 infants with persistent and chronic diarrhea, who were treated in the Department of Gastroenterology of our hospital from April 11, 2017 to April 10, 2019. The lactose hydrogen breath test was used as a diagnostic method for SIBO.ResultsThe positive rate of lactose hydrogen breath test was 9.09%(10/110) . Comparing the SIBO positive group with SIBO negative group,the mucous stool in positive group was less than that in SIBO negative group,and the difference was statistically significantP0.05. There was no significant difference in frequency of bowel movement, abdominal distension, vomiting, crying or dehydrationP0.05. The incidence of anemiagrowth retardation and lactose malabsorption in the positive group were all higher than those in the negative group,and the difference was statistically significant (P<0.05). After being treated with probiotics and fed with lactose-free milk powder, the symptoms of 8 cases(8/9) were relieved on discharge, while 1 case(1/9) was not significantly relieved.ConclusionSIBO is more common in infancy diarrhea,and its clinical manifestations are not significantly specific.The infants are more likely to have watery stool, anemia, growth retardation and lactose malabsorption.Probiotics and diet adjustment are effective.

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    Clinical analysis of congenital tracheal stenosis in 11 neonates

    ZHANG Ting, LI Xin, LI Ming, TAN Li, WANG Lin, YE Dongmei.
    2022, 14 (2):  135-137. 
    Abstract ( 69 )   PDF (864KB) ( 55 )   Save

    ObjectiveTo analyze the clinical data of 11 cases of congenital tracheal stenosis(CTS).MethodsThe clinical data of 11 cases of neonatal tracheal stenosis were retrospectively analyzed, and the related diagnosis and treatment plans of CTS were reviewed based on literature.ResultsThere were 8 males and 3 females in 11 cases of CTS; 6 cases were diagnosed by fiberoptic bronchoscopy, and 5 cases were diagnosed by chest CT(including airway reconstruction). Ten cases of CTS had cyanosis and dyspnea of varying degrees.Ten cases had dysplasia in other parts, mainly laryngeal malacia and cardiac malformation. Chest CT showed diffuse inflammatory exudation in 3 cases, consolidation of lung in 2 cases, pleural effusion in 2 cases, and intracranial hemorrhage in 2 cases.ConclusionFiberoptic bronchoscopy and CT are helpful in the diagnosis of CTS. Most of the neonates with CTS are complicated with other developmental abnormalities and have severe pulmonary imaging manifestations. The mild cases of tracheal stenosis are mainly treated by conservative treatment in internal medicine,and surgical treatment is necessary for those with obvious symptoms. Slide operation is an ideal surgical mode at present, and tracheal stent has a broad prospect

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    Clinical study of bronchoscopy intervention at different time points for children with refractory Mycoplasma pneumoniae pneumonia

    YAN Qiuli, HAO Chuangli.
    2022, 14 (2):  138-141. 
    Abstract ( 65 )   PDF (918KB) ( 343 )   Save

    ObjectiveTo learn about the clinical efficacy and safety of bronchoscopy intervention at different time points for children with refractory Mycoplasma pneumoniae pneumonia.MethodsRetrospective analysis was performed in 142 children with RMPP diagnosed during hospitalization from January 2015 to January 2018,and according to the bronchoscopy intervention time, they were divided into early group(course of disease being 5 to 10 days), mid-term group(11 to 15 days) and late group(16 days or more). Compare the clinical data of three groups of children.Results(1) There were no significant differences in general information,clinical manifestations,inflammatory markers, or chest imaging scores among the three groups before bronchoscopy. (2) The hospitalization time,total fever period, cough disappearance time, and chest imaging absorption time in the early group were shorter than those in the mid-term and late groups (P<0.05).Conclusion(1)Bronchoscopy intervention has a significant effect and safety in the treatment of children with refractory Mycoplasma pneumoniae pneumonia.(2)Early intervention with bronchoscopy can shorten the hospitalization time, reducing the duration of fever and cough, and promote chest imaging absorption.

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    Effect of jejunal nutrition tube combined with proximal intestinal folding in the treatment of congenital jejunal atresia

    SUN Zhongyuan, LIU Huifeng, SHAO Leipeng, WANG Xianliang
    2022, 14 (2):  142-145. 
    Abstract ( 54 )   PDF (859KB) ( 56 )   Save

    ObjectiveTo explore the effects of jejunal nutrition tube combined with proximal intestinal folding on intestinal function recovery, nutritional status and growth and development in children with congenital jejunal atresia.MethodsA total of 119 children with congenital jejunal atresia treated in our department from May 2017 to November 2019 were chosen and randomly divided into 59 cases in the control group and 60 cases in the observation group. The control group was given end-to-end intestinal anastomosis combined with proximal intestinal folding, and postoperative total venous nutrition; the observation group was treated with jejunal nutrition tube in addition to the treatment for the control group. The intestinal function recovery (postoperative total intravenous nutrition duration, oral feeding time, time of oral feeding up to 40 mL/3 h, postoperative hospital stay), nutritional status (prealbumin and albumin levels at 15 and 30 days after operation), growth and development (weekly growth of body length and body mass), reoperation and complications of the two groups were compared.ResultsThe duration of total intravenous nutrition, oral feeding time, time of oral feeding up to 40 mL/3 h and postoperative hospital stay in the observation group were shorter than those in the control group(P<0.05). The levels of prealbumin and albumin in the observation group were significantly higher than those in the control group at 15 and 30 days after operation(P<0.05). The growth of height and body mass in the observation group was higher than that in the control group(P<0.05). There was no significant difference in reoperation rate or complications between the two groups one year after operation(P>0.05).ConclusionJejunal nutrition tube combined with proximal intestinal folding can restore the intestinal function and nutritional status of children with congenital jejunal atresia sooner and promote growth and development without increasing the incidence of complications and reoperation.

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    Analysis of risk factors of malnutrition in children with cerebral palsy

    LAI Wenwen, HUANG Ting, ZHANG Yanna, CHEN Yanlin, YANG Fang, WANG Wendan, LI Li
    2022, 14 (2):  146-149. 
    Abstract ( 59 )   PDF (836KB) ( 30 )   Save

    ObjectiveTo explore the related factors of malnutrition in children with cerebral palsy.MethodsThe Z-scoring method was used to retrospectively analyze the nutritional status of 52 inpatients with cerebral palsy treated in Shenzhen Luohu Maternity and Child Health Hospital from October 2017 to May 2020. Screen out the related factors of malnutrition in hospitalized children with cerebral palsy by using Logistic regression analysis to analyze the correlation between family factors, factors during pregnancy and delivery, postpartum factors, feeding conditions and disease conditions.ResultsAmong the 52 children with cerebral palsy, 27 were malnourished. The incidence of malnutrition was 51.9%. Univariate analysis showed that parents' reproductive age, dysphagia, and GMFCS scores were risk factors for malnutrition in children with cerebral palsy,and the differences were statistically significant(P<0.05). Multivariate Logistic regression analysis showed that dysphagia OR=5.09395%CI=1.132-22.905and GMFCSOR=1.93095%CI=1.209-3.079were independent risk factors for malnutrition in children with cerebral palsy. ConclusionThe incidence of malnutrition in children with cerebral palsy is relatively high. Based on the high-risk factors of malnutrition in children with cerebral palsy, corresponding intervention

     measures can be formulated to improve the nutritional health of children with cerebral palsy.

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    Influence of postpartum depression on infants' psychological behavior and intelligence development

    HE Xuemei, LIU Yun, SU Hang, WANG Jing, WANG Min, YIN Shuyue.
    2022, 14 (2):  150-153. 
    Abstract ( 92 )   PDF (819KB) ( 171 )   Save

    In recent years, more and more attention has been paid to the mental and physical health of pregnant women.Postpartum depression not only affects maternal physical and mental health, but also has adverse effects on infants' psychological behavior and intelligence.Based on relevant literature reports at home and abroad,this paper expounds the effect of postpartum depression on baby mood, behavior, temperament and sleep,as well as and the effect of postpartum depression on child intelligence, mood and behavior;in addition, the theory is put forward that responsive care may ameliorate the adverse effects of postpartum depression on children, which provides certain reference and guidance for psychological behavior intervention of infants of postpartum depression mothers.

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    Effects of sensory-integration-training-assisted intervention on motor function and development level of children with viral encephalitis in acute stage

    HU Zhicong, CHANG Xiaodan, JIA Xiaojie.
    2022, 14 (2):  153-156. 
    Abstract ( 91 )   PDF (814KB) ( 25 )   Save

    ObjectiveTo explore the effects of sensory-integration-training-assisted intervention on limb motor ability and developmental status of children with viral encephalitis in acute stage.MethodsA total of 96 cases of children with viral encephalitis admitted to our hospital from May 2018 to May 2020 were selected as the research subjects, and they were divided into control group and observation group according to different intervention forms, 48 cases in each group. Both groups were intervened by limb dysfunction prevention and the observation group was given acute-stage sensory integration trainingadditionally.Clinical recovery time, limb motor function and development level of the two groups of children were compared.ResultsThe recovery time of limb dysfunction, fever and consciousness disturbance in observation group was shorter than that in control group, and the difference was statistically significant(P<0.05). The scores in Fugl-Meyer assessment(FMA), gross motor function measuer(GMFM-88), Denver development screening test(DDST), visual motor and grasping in the two groups at the end of 3 months after intervention were higher than those before intervention, and the observation group was higher than the control group, the difference being statistically significant(P<0.05). ConclusionAcute-stage sensory integration training combined with limb dysfunction intervention as comprehensive care for children with viral encephalitis can shorten the recovery time of consciousness disorders, adjust the clinical recovery time, improve limb motor function and regulate the level of development.

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    Effect of mild hypothermia on neonatal hypoxic ischemic encephalopathy

    GUO Jing, JIN Juan, KANG Wenqing.
    2022, 14 (2):  157-160. 
    Abstract ( 61 )   PDF (818KB) ( 33 )   Save

    ObjectiveTo explore the effect of mild hypothermia on neonatal hypoxic ischemic encephalopathy(HIE).MethodsA total of 45 HIE children who were admitted to our hospital within 6 to 24 hours after birth were randomly divided into treatment group and control group with 45 in each group. The control group was treated with routine treatment and rhEPO 500 U/(kg·time), 3 times/week for 2 weeks. The treatment group was treated with systemic mild hypothermia for 72 hours in addition to the treatment for control group. All children were monitored by aEEG before treatment and 3 days after treatment. Neurological scores were measured on day 3, 5 and 7 after birth. Neonatal neurobehavioral assessment(NBNA) was performed on day 7, 14 and 28 after birth. Developmental quotient(DQ) was measured at 3 and 6 months after birth.ResultsThe aEEG scores of the treatment group were significantly higher than those of the control group after 3 days of treatment(P<0.05), while there was no difference in neurological scores between the two groups at 3 days after birth(P>0.05).The neurological scores at 5 and 7 days after birth were lower in the treatment group than in the control group(P<0.05). The neonatal neurobehavioral scores at 7, 14 and 28 days after birth were higher in the treatment group were higher than those in control group(P<0.05). The scores in developmental quotient at 3 and 6 months after birth were higher in treatment group than in control group(P<0.05).ConclusionFor neonatal hypoxic-ischemic encephalopathy, delayed systemic hypothermia treatment starting from 6 to 24 hours after birth can promote the early recovery of neurological function in HIE children.

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    Effects of multiple sensory stimulation on swallowing function and quality of life in children with viral encephalitis

    LI Quanli, XI Huifang, WANG Le.
    2022, 14 (2):  160-163. 
    Abstract ( 69 )   PDF (813KB) ( 41 )   Save

    ObjectiveTo investigate the effects of multiple sensory stimulation on swallowing function and quality of life in children with viral encephalitis and dysphagia.MethodsA total of 109 children with viral encephalitis with dysphagia admitted to our department from July 2018 to September 2020 were selected as the research subjects, and they were randomly divided into observation group(n=55) and control group(n=54). The control group was given routine nursing and direct feeding training, and the observation group was given cold stimulation, manual mechanical stimulation, active and passive training and other sensory stimulation in addition to those given tothe control group. After 20 days, the improvement in swallowing disorders, swallowing function and quality of life in the two groups before and after intervention were observed.ResultsThe total effective rate of improvement in swallowing function in the observation group was 94.55%(52/55), which was higher than that in the control group(79.63%43/54), and the difference was statistically significant(P<0.05). The scores of SSA and DDS in the observation group were lower than those in the control group, and the scores of the common applicable core scale for children's quality of life were higher than those in the control group, there being statistical significance(P<0.05).ConclusionMultiple sensory stimulation has a definite therapeutic effect on children with viral encephalitis and dysphagia, which can improve dysphagia, enhance swallowing function and improve quality of life by stimulating sensory nerve fibers, improving pharyngeal reflex ability,and relieving muscle tension and other mechanisms.

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    Effect of external washing with Chinese medicine and nursing intervention on clinical symptoms and quality of life of 60 infants with eczema

    HUANG Changting, WANG Hongjuan, XIAO Heyin, ZHAO Qiuhua, ZHANG Wenyan, ZHANG Yankun, GUO Kai
    2022, 14 (2):  164-168. 
    Abstract ( 84 )   PDF (847KB) ( 164 )   Save

    ObjectiveTo observe the effect of external washing with Chinese medicine combined with nursing intervention on the clinical symptoms and quality of life of 60 infants with dampness-heat eczema.MethodsA total of 120 infants with dampness-heat eczema treated in the Pediatric Outpatient Department of Chinese Academy of Chinese Medical Sciences from September 2016 to April 2019 were chosen, and they were randomly divided into treatment group and control group, 60 in each group. Both groups were given external washing with Chinese medicine, and in addition, the treatment group received nursing intervention. The treatment lasted for 14 days. Observe the skin lesion area, degree of pruritus, survey on family influence on dermatitis and the changes in diet and sleep in the two groups.ResultsThe total effective rate of treatment group was 98.33%(59/60), higher than that of control group (81.67%, 49/60), and the difference was of statistical significance(P<0.05). The scores in skin lesion area, degree of pruritus, sleep, appetite, irritation, abdominal distension and loose stool were statistically different between the two groups(P<0.05), and the improvement was significantly better in the treatment group than in the control group. The score in the family influence on dermatitis in the treatment group was (8.93±3.86), lower than that in the control group (20.52±3.74)(P<0.05).ConclusionThe treatment of external washing with Chinese medicine in combination with nursing intervention for infants with dampness-heat eczema can greatly relieve clinical symptoms, improve appetite and sleep and increase the life quality of parents and patients

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    Professor Wang Sumei's experience in treating children with consciousness diseases with warm medicines

    HAN Zhitong, CHEN Zijia, WANG Sumei, WU Xinyu
    2022, 14 (2):  168-171. 
    Abstract ( 89 )   PDF (813KB) ( 359 )   Save

    There has always been the academic argument between"Chun Yang" and "Zhi Yin Zhi Yang", and the treatment also differs between "being cooler" and "being warmer". Prof. Wang Sumei believes that the children are more likely to be cold or hot, deficient or excessive during their growth and development. Therefore, the two views of "Chun Yang" and "Zhi Yin Zhi Yan" are simply from different starting points,and the two has a differential relationship of unity of opposites. They both are of significance in guiding the differential treatment,and we should not put excessive emphasis on either of them,or separate them. Warm medicines shouldn't be avoided in clinical medication: they can be used to restrain kidney-yang, tonify spleen, reduce phlegm and awaken brain,or to benefit qi,reduce phlegm,Stop wind and prevent spasm, or to make the patients quiet and calm and cure Tourette's syndrome through regulating spleen and kidney.

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    Professor Jia Liujin's experience in treating allergic rhinitis

    LIU Na, LUO Wenwen, JIA Liujin, YUAN Ye.
    2022, 14 (2):  172-174. 
    Abstract ( 95 )   PDF (799KB) ( 7 )   Save

    In the treatment of allergic rhinitis(AR), Prof. Jia Liujin advocates the treatment principle preventing disease before attack and preventing deterioration during the disease, and creates the model of combining disease differentiation with syndrome differentiation. He divides the disease into five types: perennial attack, perennial attack with seasonal exacerbation, seasonal attack, combination with sinusitis, and combination with asthma. Based on disease differentiation, the differentiated treatment is divided into the following syndrome types: insufficiency of lung-qi, deficiency of lung and spleen-qi, wind-heat AR,wind-cold AR, deficiency of lung and spleen-qi, wind-head AR, wind-cold AR, deficiency and coldness of lung-qi,and excessive heat of lung and stomachetc.. Xanthium powder with modification is used as the basic medication, and the effect is significant.

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    Effect of acupuncture plus electroacupuncture in improving upper limb function of hemispastic cerebral palsy

    CHENG Xiandan.
    2022, 14 (2):  175-177. 
    Abstract ( 70 )   PDF (811KB) ( 71 )   Save

    ObjectiveTo observe the effect of acupuncture plus electroacupuncture in improving upper limb function of children with hemispastic cerebral palsy.MethodsA total of 40 children with hemispastic cerebral palsy hospitalized in our department from June 2015 to December 2020 were randomly divided into observation group(n=20) and control group(n=20). The control group was treated with occupational therapy twice a day, 30 minutes each time,for 5 days a week. The observation group was treated with acupuncture plus electroacupuncture in addition to the treatment for the control group. The needle and the electricstimulation were kept for 30 minutes, once a day, 5 days a week. The two groups were observed for the following items before treatment and 3 months after treatment:scores in fine motion and adaptability,the months corresponding to the fine motion and adaptability,and the FMFM scores.ResultsAfter 3 months of treatment, the mean scores of adaptability and fine motion, the months corresponding to fine motion and adaptability and the FMFM scores were significantly higher than those before treatment,and the observation group was significantly higher than the control group(P<0.05).ConclusionAcupuncture plus electroacupuncture and occupational therapy can improve the upper limb function of hemispastic cerebral palsy better than occupational therapy alone.

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    Study on the correlation between spleen-stomach theory and gastrointestinal hormones in children

    ZHANG Ye, CHENG Yan
    2022, 14 (2):  178-181. 
    Abstract ( 102 )   PDF (832KB) ( 94 )   Save

    The spleen-stomach theory in children has been continuously improved by generations of doctors. The characteristics of spleen and stomach in children have been elaborated from physiological and pathological aspects, and a systematic theory has been formed, which plays an important role in guiding the pediatric clinical practice. Children usually have congenital insufficiency of spleen function, and parents' wrong ways of feeding and care will aggravate the spleen and stomach disorders, which leads to the occurrence of diseases related to spleen and stomach weakness. The weakness of stomach and spleen as well as the loss of normal spleen function is closely related to the pediatric functional gastrointestinal diseases. The secretion disorder of gastrointestinal hormones is one of the pathophysiological basis of functional gastrointestinal diseases. Therefore, it not only provides more modern medical evidence for spleen-stomach theory in children but also is of great significance for broadening the treatment thoughts for childhood diseases to study the childhood diseases related to spleen and stomach weakness based on gastrointestinal hormone secretion and to understand the correlation between spleen-stomach theory and gastrointestinal hormones

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    Professor Ma Rong's experience in treating epilepsy with the method of "reconciling Yin with Yang"

    WANG Jun, MA Rong.
    2022, 14 (2):  182-184. 
    Abstract ( 75 )   PDF (793KB) ( 173 )   Save

    Professor Ma Rong analyzes the pathogenesis of epilepsy based on Yin and Yang, and believes that the inducement destroys the balance between Yin and Yang,leading to the disorder of Qi and blood,which plays a most important role in pathogenesis of epilepsy. Children may confront various disease causes or inducements which can unbalance Yin and Yang during their growth and development. When they encounter inducements that can exacerbate the imbalance between Yin and Yang, the Qi and blood shall be disordered and the epilepsy will occur. Professor Ma Rong pays special attention to the children's symptoms and signs, which show the characteristics of the imbalance between Yin and Yang, and proposes the treatment for children's epilepsy by reconciling Yin with Yang. This method can not only reduces relapse of epilepsy, but also improves the quality of children's daily life.

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