Table of Content

25 October 2015, Volume 7 Issue 5 Previous Issue    Next Issue

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Evaluation of the recovery results and diagnosis of growth retardation in children MA Hongwei 2015, 7 (5):  413-417.  doi: 10.3969/j.issn.1674-3865.2015.05.001 Abstract ( 761 )   PDF (627KB) ( 866 )   Save This paper introduced the evaluation of the recovery results and the diagnosis of growth retardation in children during rehabilitation training based on some cases.The results in some child patients were not in accordance with the expectation or the disease diagnosed，or some new manifestations appeared，when we needed to rethink about the previous diagnosis or to complete the diagnosis.For the children with growth retardation，we should pay attention to the special facial features，special posture，special movements or recession in some aspects. Related Articles | Metrics

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Diagnosis and treatment thoughts and intervention misunderstanding of infantile developmental retardation SONG Hujie，WANG Hui，REN Yongjia，LI Fangfang 2015, 7 (5):  416-420.  doi: 10.3969/j.issn.1674-3865.2015.05.002 Abstract ( 798 )   PDF (697KB) ( 1110 )   Save Based on the clinical characteristics of infantile developmental retardation, the author reviewed and summarized literature on etiology, classification, diagnosis, treatment, rehabilitation and problems easily ignored of children with developmental delays. Infantile developmental retardation is with diverse clinical manifestations, complex etiology and difficult diagnosis, which requires early detection, early diagnosis and early intervention. Related Articles | Metrics

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Assessment and diagnosis of global developmental delay LI Runjie，WANG Chun 2015, 7 (5):  420-423.  doi: 10.3969/j.issn.1674-3865.2015.05.003 Abstract ( 855 )   PDF (579KB) ( 824 )   Save Global development delay (GDD) has various causes，whose diagnosis is difficult. Cause analysis of GDD is helpful to evaluate the prognosis of patients，assess morbidity of siblings and perform targeted intervention to specific cases. This article mainly summarizes clinical assessment of GDD (medical history，physical examination，etc)，cause analysis (metabolic assessment，genetic assessment，etc) and imaging assessment based on latest literatures，thus generating comprehensive diagnosis，which helps to perform treatment aiming at causes and early-stage rehabilitation to improve prognosis of patients. Related Articles | Metrics

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Clinical observation on complex milk-clotting enzymes in the treatment of infantile rotavirus enteritis ZOU Wenkai,XU Jixun 2015, 7 (5):  423-426.  doi: 10.3969/j.issn.1674-3865.2015.05.004 Abstract ( 859 )   PDF (461KB) ( 638 )   Save Objective：To observe the clinical effects of complex milk-clotting enzymes in the treatment of infantile rotavirus enteritis. Methods：Totally 100 cases of infantile rotavirus enteritis were randomly divided into two groups with 50 cases in the obsenvation group and 50 cases in the control group. The control group was treated with intravenous infusions of Xiyanping, intravenous/oral rehydration and oral Bradys yeast;in the observation group, on the basis of the above treatment complex milk-clotting enzyme was taken orally for the treatment. Observe the effect 3 days later. Results：The total effective rate in both groups was 96% (48/50) and 82% (41/50), respectively,with a statistically significant difference between two groups (P＜0.05); in terms of relieving symptoms of vomiting, the relieving time in observation group and control group was respectively (8.6±2.8)h and (22.8±7.7)h,showing that observation group was significantly better than the control group, with a statistically significant difference between two groups (P＜0.01). Conclusion：Complex milk-clotting enzymes have remarkable effect in the treatment of children with rotavirus enteritis. Related Articles | Metrics

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Observation of curative effect on children with pneumonia using adjuvant traditional Chinese medicine orientation osmotherapy combined with multifrequency vibration meter ZHANG Fang,WANG Yanwei,LIN Zhihong,XU Fang,NING Min,TAO Xiaoge 2015, 7 (5):  425-428.  doi: 10.3969/j.issn.1674-3865.2015.05.005 Abstract ( 815 )   PDF (495KB) ( 702 )   Save Objective：To observe the clinical efficacy and safety of adjuvant therapy of traditional Chinese medicine orientation osmotherapy combined with multifrequency vibration meter for children with pneumonia. Methods：Children with pneumonia were randomly divided into the observation group ( 62 cases )and control group ( 62 cases ).Observation group were treated with traditional Chinese medicine orientation osmotherapy combined with multifrequency vibration meter besides the routine treatment, once per day.Control group were given the routine treatment.After intervention for 5 days,the curative effect of two groups were compared. Results:The curative effect of observation group was significantly better than that of control group, and the differences had statistical significance(P＜0.05). Conclusion:The combined treatment of traditional Chinese medicine orientation osmotherapy with multifrequency vibration meter can obviously relieve the symptoms of children with pneumonia and improve curative effect, in which no side-effect is observed. Related Articles | Metrics

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Fructus forsythiae powder in the treatment of children with mild-to-moderate acute infectious laryngitis：a clinical observation on the effect CHEN Yongzai，LYU Yunyong，ZHANG Jun 2015, 7 (5):  428-431.  doi: 10.3969/j.issn.1674-3865.2015.05.006 Abstract ( 605 )   PDF (469KB) ( 601 )   Save Objective:To observe the clinical effect of Fructus forsythiae powder in the treatment of children with mild-to-moderate acute infectious laryngitis. Methods:A total of 65 children with the disease were divided into two groups：the observation group(33 cases) and the control group(32 cases).The observation group was given Fructus forsythiae powder along with some other Chinese herbs.The control group was given amoxicillin granules，ribavirin granules and atomized inhalation of budesonide.The treatment lasted 3 to 5 days as a course.Observe the clinical result and the time for symptoms to disappear. Results:The total effective rate of the two groups had no statistical difference(P＞0.05).The time for laryngeal stridor，hoarseness and barking cough to disappear in the observation group was obviously shorter than that in the control group，and the difference was statistically significant(P＜0.05).No adverse reaction was observed in both groups. Conclusion:The treatment with Fructus forsythiae powder has better effect than amoxicillin orally taken，ribavirin and atomized inhalation of budesonide in the treatment of children with acute laryngitis；it is cheaper with fewer adverse reactions，which deserves spreading. Related Articles | Metrics

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Significance of serum procalcitonin in guiding the use of antibiotics in the early treatment for febrile disease in children SA Rina, WANG Aiqiong 2015, 7 (5):  430-433.  doi: 10.3969/j.issn.1674-3865.2015.05.007 Abstract ( 636 )   PDF (475KB) ( 620 )   Save Objective：To study the clinical significance of procalcitonin in guiding the use of the antibiotics in the treatment for children with febrile disease. Methods：Analyse the clinical data of 304 children who suffered from febrile disease. In the observation group(n=152),serum PCT level was measured at admission,and antibiotic treatment was based on serum procalcitonin in the initial treatment process；we use the antibiotics when PCT≥0.25 μg/L.In the control group(n=152) the PCT had not been detected,so the use of the antibiotics was based on experience.Observe the time of fever recession，hospital stay，rate of antibiotics use and the prognosis. Results：The rate of antibiotic use in observation group(61.2%，93/152) was significantly lower than that of the control group(92.1%，140/152),and the time of fever recession,hospitalization days and prognosis in two groups had no significant difference (P＞0.05). Conclusion：PCT has important significance in early prediction of bacterial infection and guiding antibiotic therapy in children with febrile diseases. Related Articles | Metrics

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Long-term effect of oral pidotimod combined with Kechuanling oral liquid in the treatment of mite allergic asthma ZHANG Xiangfeng 2015, 7 (5):  433-436.  doi: 10.3969/j.issn.1674-3865.2015.05.008 Abstract ( 753 )   PDF (423KB) ( 579 )   Save Objective：To observe the long-term efficacy of oral pidotimod combined with Kechuanling oral liquid in the treatment of children with mite allergic asthma. Methods：The clinical data of 86 cases of allergic asthma were analyzed，and they were divided into two groups：the pidotimod combined with Kechuanling oral liquid in the treatment of 44 cases (combination group)，simple pidotimod treatment of 42 cases (single group)；they were followed up for 3 years. Compare the day and night symptom scores at the end of 2nd and 3rd year of treatment as well as the asthma exacerbation frequency during the 3rd year of treatment. Results:At the end of the second year and the end of the third year, the asthma symptoms score in the combination group was significantly lower than that of the single group, the difference being statistically significant(P＜0.05). The frequency of acute attack of the combination group was 27.27%(12/44), lower than that of the single group(57.14%，24/42), and the difference was statistically significant(P＜0.05). Conclusion:Pidotimod combined with Kechuanling oral liquid in the treatment of mites allergic asthma can significantly relieve the symptoms of asthma in children and reduce asthmatic exacerbation frequency, with good long-term results and great clinical value. Related Articles | Metrics

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Impacts of Huaiqihuang granules on immunity function in children with primary nephrotic syndrome ZHENG Kaijun 2015, 7 (5):  435-438.  doi: 10.3969/j.issn.1674-3865.2015.05.009 Abstract ( 707 )   PDF (447KB) ( 572 )   Save Objective：To observe the effects of Huaiqihuang granule plus glucocorticoid on the immune function of children with primary nephrotic syndrome(PNS). Methods：A total of 52 children with primary nephrotic syndrome were divided into two groups randomly.The treatment group(n=26) was treated with Huaiqihuang grannule plus prednisone；the control group(n=26) was treated with prednisone only. Observe the time of proteinuria turning negative and the change of IgG，IgA，IgM and CD3，CD4，CD8 and CD4/CD8 after eight weeks of treatment. Results：The time of proteinuria turning negative in the treatment group was significantly shorter than that in the control group(P＜0.05)；IgG，CD3，CD4 and CD4/CD8 of the treatment group were significantly improved(P＜0.01)；both differences were of statistical significance(P<0.05 and P<0.01)；CD8 was lower than the control group, but there was no statistically significant difference(P＞0.01)；IgA and IgM in the treatment group were slightly increased, but there was no statistically significant difference between the two groups(P＞0.01). Conclusion：Huaiqihuang granule plus prednisone in the treatment of primary nephrotic syndrome can shorten the time of proteinuria turning negative, and has a good effect in the regulation of humoral and cellular immunity. Related Articles | Metrics

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Diagnostic value of ultrasonography in 36 cases of congenital hypertrophic pyloric stenosis in children YU Bing 2015, 7 (5):  438-440.  doi: 10.3969/j.issn.1674-3865.2015.05.010 Abstract ( 518 )   PDF (344KB) ( 690 )   Save Objective：To summarize the value of ultrasonography in the diagnosis of congenital hypertrophic pyloric stenosis. Methods：The ultrasonic instrument was used for inspection.Observe pyloric edema and measure the pyloric diameter and pyloric muscular layer thickness. Results：In all 36 cases high-frequency ultrasound examination showed a typical hypoechoic ring performance；there was extension of the pyloric tube in the gallbladder；pyloric muscular layer thickening was hypoechoic ring, with a thickness of 0.40 to 0.62 cm；pyloric tube length was 1.7 to 2.4 cm, and anteroposterior diameter was 1.2 to 1.5 cm.The 36 cases of children received pyloromyotomy，and gastric dilatation didn't occur after surgery under ultrasonography in the 36 cases. Conclusion：Ultrasonography can directly show the pathological manifestations of the disease, providing the basis for diagnosis and differential diagnosis, which is the first choice in the diagnosis. Related Articles | Metrics

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Analysis of the death cause in congenital hypertrophic pyloric stenosis ZOU Chanjuan，LI Bixiang，ZHOU Chonggao，WANG Haiyang，XU Guang，XIA Renpeng 2015, 7 (5):  440-443.  doi: 10.3969/j.issn.1674-3865.2015.05.011 Abstract ( 705 )   PDF (503KB) ( 1310 )   Save Objective：To analyze the data of the death cause in congenital hypertrophic pyloric stenosis in order to improve the survival rate. Methods：Totally 626 patients diagnosed with HPS were analyzed, 602 cases underwent laparoscopic pyloromyotomy and cured, 20 cases were discharged from hospital without operation, and 4 cases died, the cure rate being 96.16%. For the 4 death cases, we analyzed the clinical characteristics and causes of death. Results:The 4 deaths occurred after operation：2 cases died after operation because of cardiorespiratory function failure，and 1 case died from hyperkalemia. The surgical wound bleeding occurred in 1 patient after operation, and there was a sudden death in the treatment. Conclusion:The main causes of death of HPS are severe infection, internal metabolic disorders, stress reaction after operation, and improper feeding. Paying high attention to the prevention and managing actively can reduce the fatality. The key to successful recovery is the control of infection, electrolyte disturbance correction, and improved nutrition in preoperative period, and careful and comprehensive treatment and prevention of stress reaction during and after operation. Related Articles | Metrics

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Observation on the effect of combination treatment with traditional Chinese medicine and ganciclovir for human cytomegalovirus pneumonia in children ZHAO Jianling，TAO Fenggui，ZHOU Huiping 2015, 7 (5):  442-445.  doi: 10.3969/j.issn.1674-3865.2015.05.012 Abstract ( 647 )   PDF (510KB) ( 668 )   Save Objective：To observe the clinical effect of the combination treatment with traditional Chinese medicine and ganciclovir for cytomegalovirus pneumonia in children. Methods：A total of 95 cases of cytomegalovirus pneumonia were randomly divided into two groups：the observation group(48 cases) and the control group(47 cases).The control group was given intravenous drip as symptomatic treatment with ganciclovir(5 mg/kg) and 5% glucose(1∶1)，twice a day for 14 days to reduce sputum and relieve cough.In the observation group，traditional Chinese medicine was used in addition to the above treatment.Observe the changes of the symptoms and signs of the children after 14 days. Results：The serum ALT,AST,AKP,GT,TBIL and DB in the observation group decreased more significantly than the control group after treatment，the difference being of statistical difference(P＜0.05)；the cure rate of the observation group was 91.7%(44/48)，significantly higher than the control group(61.7%，29/47)，with statistical difference(P＜0.05). Conclusion： Traditional Chinese medicine combined with ganciclovir has good therapeutic effect on cytomegalovirus pneumonia，with no liver dysfunction，which should be clinically recommended. Related Articles | Metrics

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Clonazepam for intramuscular injection and enema in the treatment of infantile convulsion：curative effect observation HUANG Ling 2015, 7 (5):  445-448.  doi: 10.3969/j.issn.1674-3865.2015.05.013 Abstract ( 993 )   PDF (438KB) ( 1017 )   Save Objective：To observe the clinical effect and safety of clonazepam for intramuscular injection and enema in the treatment of infantile convulsion. Methods：Ninety children with convulsion were randomly divided into 3 groups：group of clonazepam for intramuscular injection(A)，group of clonazepam for enema (B) and control group(C)，with 30 cases in each.Group A was given clonazepam at 0.05 mg/kg for intramuscular injection；group B was given clonazepam at 0.1 mg/kg for enema；control group was given luminal at 5 mg/kg for intramuscular injection.Observe the treatment results and adverse reactions. Results： Total effective rate was 90.0%(27/30) in both group A and group B，which was 63.3%(19/30) in group C，the difference being of statistical significance(P＜0.017).There was no significant difference between group A and group B(P＞0.017).There was no relapse in either group A or B，while there were 8 cases of relapse in group C.There was no respiratory depression or circulation disorder in all the 3 groups after treatment. Conclusion：Clonazepam for intramuscular injection and enema is effective in the treatment of infantile convulsion.It is safe and easy to perform with no adverse reaction，which is worthy of being applied in the local hospitals. Related Articles | Metrics

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Effect of compound Danshen injection on concentration of plasma lysophosphatidic acid in children with viral encephalitis and its significance WANG Yun 2015, 7 (5):  447-450.  doi: 10.3969/j.issn.1674-3865.2015.05.014 Abstract ( 618 )   PDF (454KB) ( 1695 )   Save Objective：To investigate the effect of compound Danshen injection on concentration of plasma lysophosphatidic acid in children with viral encephalitis and its significance. Methods：A total of 98 cases of viral encephalitis in children were randomly divided into the observation group and the control group (49 cases in each). The control group was given conventional treatment, and the observation group was treated with compound Danshen injection in addition to the treatment for the control group. Compare the change of the concentration of plasma lysophosphatidic acid and coagulation indexes of the two groups before and after treatment, and analyze the therapeutic effect in the two groups. Results：The total effective rate of observation group(95.92%) was significantly higher than that of control group (73.47%) ( P＜0.05); the indexes of the two groups had statistically significant difference at different times after treatment(P＜0.05). Conclusion：Compound Danshen injection can significantly improve the concentration of plasma lysophosphatidic acid in children with viral encephalitis, and thus improve the therapeutic effect, which is beneficial to disease remission. Related Articles | Metrics

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Effect observation of large-dose vitamin C in treating acute glomerulonephritis in children WANG Yong, FANG Hongxing, SUN Yajun, LIU Huimin 2015, 7 (5):  450-453.  doi: 10.3969/j.issn.1674-3865.2015.05.015 Abstract ( 674 )   PDF (444KB) ( 1218 )   Save Objective：To investigate the clinical effect of large-dose vitamin C in treating acute glomerulonephritis. Methods：Eighty cases of acute glomerulonephritis were divided into control group and observation group, 40 cases in each group. The control group was given conventional western medicine and observation group was given large-dose vitamin C in addition to the conventional western medicine. After 4 weeks of treatment, observe the extinction of edema,blood sedimentation, routine urine test and complement change of the two groups. Results：Total effective rate of the two groups had no statistical significance(P＞0.05). Cure rate of observation group was 70.0%(28/40), higher than control group(47.5%，19/40), the difference being statistically significant(P＜0.05). Extinction of edema, blood sedimentation, routine urine test and complement of observation group had shorter recovery time than control group, the difference being statistically significant(P＜0.05). Conclusion：Large-dose vitamin C plays an important role in the treatment of acute glomerulonephritis. It is worthy of wide application. Related Articles | Metrics

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Followup and observation on 236 cases of fever-related convulsion CHEN Zhenhui 2015, 7 (5):  452-456.  doi: 10.3969/j.issn.1674-3865.2015.05.016 Abstract ( 631 )   PDF (617KB) ( 562 )   Save Objective：To summarize the clinical characteristics of children with convulsions associated with fever, and to improve the knowledge of related diseases. Methods：The clinical data of 236 cases of febrile convulsion was followed up and analysed. Results：There were 197 cases of febrile seizures,2 cases of myoclonus-astatic epilepsy,2 cases of severe myoclonic epilepsy in infancy,7 cases of febrile seizures plus,14 cases of generalized epilepsy with febrile seizures plus,14 cases of nervous system abnormalities with one case complicated with hippocampal sclerosis.There were 12 cases with a family convulsions history only existing in first-degree relatives. Conclusion：Febrile seizures is one of the more common convulsions associated with fever. Diagnosis of febrile seizures need to rule out other diseases.We should enhance the understanding of various convulsions associated with fever, which is very important to the diagnosis of the disease and judge ment of the prognosis. Related Articles | Metrics

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Effect of Yangxue Dingxian granule combined with sodium valproate on children with epilepsy and intelligence impairment NIE Xiaoli，CHE Zhiying，GENG Xiangju 2015, 7 (5):  456-459.  doi: 10.3969/j.issn.1674-3865.2015.05.017 Abstract ( 519 )   PDF (487KB) ( 585 )   Save Objective：To observe the effect of Yangxue Dingxian granule combined with sodium valproate on children with epilepsy and intelligence impairment. Methods：Totally 102 children with epilepsy were randomly divided into control group and observation group, 51 cases in each group. Sodium valproate treatment was given to the control group and the observation group was given Yangxue Dingxian granule combined with sodium valproate for treatment. After 2 courses of treatment, compare efficacy, adverse reactions and IQ index of the two groups. Results：The apparent rate of the observation group was 78.4% (40/51), which was significantly higher than that of the control group(56.9%，29/51), the difference being statistically significant(P＜0.05). The scores of the operation IQ, the verbal IQ and the total IQ of the observation group were significantly higher than that of the control group, and the incidence of adverse reactions was significantly lower in observation group than in the control group, the difference being statistically significant (P＜0.05). Conclusion：Yangxue Dingxian granule combined with sodium valproate in treatment of children with epilepsy can reduce adverse drug reactions, improve IQ development and improve the curative effect, which is worth being popularized in clinical application. Related Articles | Metrics

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Observation on the curative effect of budesonide combined with compound ipratropium bromide aerosol inhalation in the treatment of mycoplasma pneumonia in children LI Ling 2015, 7 (5):  459-463.  doi: 10.3969/j.issn.1674-3865.2015.05.018 Abstract ( 780 )   PDF (606KB) ( 665 )   Save Objective：To explore the clinical effect of budesonide combined with compound ipratropium bromide aerosol inhalation in the treatment of mycoplasma pneumonia in children. Methods：Totally 105 children with mycoplasma pneumonia were randomly divided into control group(n=52)，who received macrolide antibiotic sequential therapy，and observation group(n=53)，who were given additional budesonide and compound ipratropium bromide oxygen atomizing inhalation, 10 days as a course of treatment.The therapeutic effects were observed and compared between the two groups，including cough relief time，temperature recovery time，regression time of physical signs of the lungs，chest X-ray improvement on the 10th day，hospital stay and the change of inflammation indexes before and after the treatment(CRP，ESR，LDH). Results：The effect rate in the observation group was 73.6%(39/53)，and the control group 51.9%(27/52)，the difference being statistically significant(P＜0.05).Cough relief time，temperature recovery time，regression time of physical signs of the lungs，and hospital stay were significantly shorter in observation group than in control group(P＜0.05). Chest X-ray on the 10th day showed that in the observation group inflammation was basically absorbed in more cases than in the control group，the difference being statistically significant(P＜0.05). Inflammation indexes(CRP，ESR，LDH) of the observation group were lower than the control group after treatment，the difference being statistically significant(P＜0.05). Conclusion：Budesonide combined with compound ipratropium bromide oxygen atomizing inhalation is effective in the treatment of mycoplasma pneumonia in children. It can obviously improve the clinical symptoms and signs and shorten the treatment time，which is worthy of clinical application. Related Articles | Metrics

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Analysis of the neonatal death between transport and non-transport from 2004 to 2011 in a hospital HUANG Tai, WU Mingfu, FU Mingfeng, LIU Feng, WANG Fei,WANG Fudong,YU Chun, CHEN Yuying 2015, 7 (5):  462-465.  doi: 10.3969/j.issn.1674-3865.2015.05.019 Abstract ( 593 )   PDF (461KB) ( 699 )   Save Objective：To explore the role of NICU in improving the level of treatment in newborns. Methods：Before and after implementing the neonatal transport system, the mortality, death cause and hospitalization time were compared. Results：There were differences in the neonatal mortality between the transport and non-transport, but there were no differences in the death cause and hospitalization time. Conclusion：NICU can improve the success rate of neonatal transfer rescue. Related Articles | Metrics

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Xiaoqinglong decoction in the treatment of infant wheezing：a clinical observation LI Xin，HE Weijia，XIANG Hong，YANG Kun 2015, 7 (5):  465-468.  doi: 10.3969/j.issn.1674-3865.2015.05.020 Abstract ( 880 )   PDF (484KB) ( 967 )   Save Objective：To observe the clinical curative effect of Xiaoqinglong decoction subtraction in the treatment of infant wheezing. Methods：Totally 120 cases of children with wheezing episodes were randomly divided into observation group and control group(n=60). Observation group was given Xiaoqinglong decoction；control group was treated with budesonide and compound ipratropium bromide atomization inhalation；compare clinical curative effect of two groups. Results：Seven days after treatment the clinical control rate of observation group was 83.3%(50/60), higher than the control group ［63.3%(38/60)］, the difference being statistically significant(P＜0.05). The time for cough asthma and lung wheezing sound to disappear had no statistical difference(P＞0.05)；the time for lung phlegm sound to disappear in observation group was obviously shorter than the control group, the difference being statistically significant(P＜0.05). Conclusion：Xiaoqinglong decoction is very effective in eliminating phlegm and relieving wheezing. Related Articles | Metrics

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Effect analysis of Zhichuanling oral liquid combined with magnesium sulfate in the treatment of children with asthmatic bronchial pneumonia LIU Xiaojuan, ZHONG Wenming, LUO Guangliang 2015, 7 (5):  467-470.  doi: 10.3969/j.issn.1674-3865.2015.05.021 Abstract ( 964 )   PDF (505KB) ( 654 )   Save Objective：To explore the effect of adjunctive therapy of Zhichuanling oral liquid combined with magnesium sulfate in the treatment of children with asthmatic bronchial pneumonia. Methods：A total of 110 cases of asthmatic bronchial pneumonia were randomly divided into control group(n=55) and treatment group(n=55). The control group was given conventional clinical therapy, while the treatment group was given adjunctive therapy of Zhichuanling oral liquid combined with magnesium sulfate. Then, the extinction time of symptoms and physical signs, length of hospital stay, total effective rate and adverse effect were compared between the two groups. Results：Extinction time of coughing, gasping and wheezing rale and length of hospital stay in the treatment group were much shorter than the control group(P＜0.01) after treatment. The total effective rate of the treatment group was 92.7%, much higher than the control group(76.4%, P＜0.05). The adverse effect rate in the treatment group was 16.4%, the difference being no statistical significance compared with the control group(18.2%，P＞0.05). Conclusion：For children with asthmatic bronchial pneumonia，adjunctive therapy with Zhichuanling oral liquid combined with magnesium sulfate could obviously improve clinical symptoms and physical signs, increase curative effect and reduce adverse effect, which deserves to be used in clinics. Related Articles | Metrics

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Clinical analysis of 21 cases of Kawasaki disease misdiagnosed in children ZHANG Lijun 2015, 7 (5):  470-473.  doi: 10.3969/j.issn.1674-3865.2015.05.022 Abstract ( 645 )   PDF (457KB) ( 571 )   Save Objectiveto： analyze the causes of misdiagnosis of Kawasaki disease, and to improve the diagnosis and treatment level of the doctors. Methods：Totally 36 patients with Kawasaki disease were treated during the period of 2005-09/2014-12 and 21 cases were misdiagnosed. The clinical manifestations, diagnosis and treatment of 21 cases of Kawasaki disease were analyzed. Results：The disease was misdiagnosed as upper respiratory tract infection in 9 cases, scarlet fever in 3 cases, measles in 3 cases, gastritis in 3 cases, lymphadenitis in 1 case, drug allergy in 1 case, and mycoplasma pneumonia in 1 case. The 21 cases were treated after accurate diagnosis, all cured and discharged. Conclusion：The doctors should improve their understanding of Kawasaki disease, patiently inquire patients' history and make a correct diagnosis in order to perform early treatment. Related Articles | Metrics

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Clinical observation on the treatment for hand-foot-mouth disease by Sishi exterhal washing (lung and spleen dampness heat type) HE Zhuping, LUO Limei, HOU Yuanjie, XU Guiping 2015, 7 (5):  472-475.  doi: 10.3969/j.issn.1674-3865.2015.05.023 Abstract ( 586 )   PDF (512KB) ( 561 )   Save Objective：Ob for externa woshirs jective To observe the clinical effect of Chinese medicine(nectar disinfection) in the treatment of lung and spleen dampness heat syndrome of hand-foot-mouth disease. Methods：Using the method of randomized controlled trial, patients were divided into treatment group and control group;control group wos given treatment of conventional therapy. according to the guidelines for the diagnosis The treatment group, in additior to the conventional treatment wos given out sids washing with Chinese medicine. Before and after treatment two groups of children were observed on syndrome scores, and at the end of treatment clinical curative effect was evaluated. Results：Comparison of syndrome scores of the two groups after treatment showed that the intra-and inter-group comparisons showed significant differences (P＜0.05),with effect to be more obvious in treatment group In the. evaluation of clinical efficacy, the efficacy of the treatment group was better than the control group, the difference being statistically significant (P＜0.05). Conclusion：Sishi external washing with Chinese medicine is an effective treatment for hand-foot-mouth disease with lung and spleen dampness heat syndrome. Related Articles | Metrics

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Clinical study on treatment for malocclusion during primary dentition with INFANT TRAINER YU Peng 2015, 7 (5):  475-478.  doi: 10.3969/j.issn.1674-3865.2015.05.024 Abstract ( 678 )   PDF (482KB) ( 1398 )   Save Objective：To study the clinical effects of INFANT TRAINER appliance on malocclusion in primary dentition. Methods：Ten patients with Class II malocclusion and 8 patients with Class Ⅲ malocclusion were treated with INFANT TRAINER. Overjet and overbite changes and bad oral habit of before and after treatment were observed and analysed. Results ：Patients who were with INFANT TRAINER compliance had their teeth aligned，deep overjet and deep overbite corrected，and facial profile improved 6 months later． Conclusion：INFANT TRAINER appliance is effective in treating malocclusion with deep overjet and deep overbite in primary dentition．It is important for doctors and parents to encourage and guide children to wear the appliance correctly and on time. Related Articles | Metrics

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Retrospective analysis of 55 cases of Epstein-Barr virus-associated infectious mononucleosis WANG Yunli,XUE Janfang 2015, 7 (5):  478-481.  doi: 10.3969/j.issn.1674-3865.2015.05.025 Abstract ( 837 )   PDF (467KB) ( 657 )   Save Objective：To sum up the clinical characteristics of infectious mononucleosis in children in order to get early diagnosis and treatment. Methods：A retrospective analysis of 55 cases of infectious mononycleosis by EBV infection in our hospital was carried out. Results：The clinical manifestations of the disease mainly were: fever 98.2% (54/55),angina 100% (55/55),lymph node enlargement 87.2% (48/55),liver enlargement 32.7% (18/55),splenomegaly 49.1% (27/55),eyelid edema 54.5% (30/55),nasal obstruction 29.0% (16/55),and rash 23.6% (13/55). Laboratory examination: peripheral blood white blood cell count was greater than 10×109/L in 96% (53/55); EBV-DNA was positive in all cases, with liver function damage, myocardial damage, or pneumonia. Ganciclovir treatment was effective. Conclusion：The clinical manifestations of infectious mononucleosis are complex and diverse, which can be complicated with multiple organ damage, but most of the prognosis is good. EBV-DNA detection has specificity, which can improve the early diagnosis of the disease. Ganciclovir treatment is effective. Related Articles | Metrics

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Clinical research in Saccharomyces boulardii to prevent secondary diarrhea after surgical reduction for intussusception WEN Haitao 2015, 7 (5):  480-483.  doi: 10.3969/j.issn.1674-3865.2015.05.026 Abstract ( 637 )   PDF (497KB) ( 814 )   Save Objective：To observe the preventive effect of Saccharomyces boulardii on secondary diarrhea after surgical reduction for intussusception. Methods：The children receiving only emergency operative reduction for intussusception were randomly divided into the observation group (given boulardii) (94 cases)and the control group (no boulardii) (88 cases) after operation.. All of the patients were checked the stool occult blood and rotavirus antigen, and received other preoperative examinations. After operation conditions of the stool were paid attention to,and if diarrhea stool occult blood occurred,we immediately reexamined rotavirus antigen. Results：In the observation group and the control group the incidence of secondary diarrhea was 6.3% (6/94)and 12.5% (11/88)respectively, the difference between the two groups having statistical significance (χ2=4.63,P=0.03); postoperative time of diarrhea was (3.24±1.22) d and (4.63±1.14)d, the difference between the two groups having statistical significance (F=5.14, P=0.022). All patients were cured and discharged. There was no recurrence of intussusception, wound infection, dehiscence, allergies or other conditions, and the discharge stools were normal. Conclusion：Saccharomyces boulardii, in terms of the prevention of secondary diarrhea after surgical reduction for intussusception can be applied to treatment. Related Articles | Metrics

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Application of infantile Chiqiao Qingre granule combined with compound Hibiscus mutabilis ointment in the treatment of children with wind-heat cold: a clinical observation of 40 cases YANG Kun 2015, 7 (5):  483-486.  doi: 10.3969/j.issn.1674-3865.2015.05.027 Abstract ( 1109 )   PDF (511KB) ( 672 )   Save Objective:To observe the effect of infantile Chiqiao Qingre granule combined with compound Hibiscus mutabilis ointment on wind-heat cold in children. Methods:The 80 cases of wind-heat type common cold in children were randomly divided into observation group and control group, 40 cases in each group; the observation group was treated with infantile Chiqiao Qingre granule combined with compound Hibiscus mutabilis ointment, and the control group was treated by compound paracetamol and oral A Ma, 5 days as a course;after treatment, observe treatment effect. Results:The total effective rate of the observation group was 95%, and the total effective rate of the control group was 80%, the difference being statistically significant (P＜0.05); the two groups had no obvious adverse reactions. Conclusion:Infantile Chiqiao Qingre granule combined with compound Hibiscus mutabilis ointment has good effect in the treatment of pediatric wind-heat cold. Related Articles | Metrics

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Efficacy of combined treatment of Chinese and western medicine in the treatment of bronchial asthma in children GU Yanchun,YANG Lei,XI Wang 2015, 7 (5):  485-488.  doi: 10.3969/j.issn.1674-3865.2015.05.028 Abstract ( 553 )   PDF (558KB) ( 176 )   Save Objective：To observe the therapeutic effect of Chinese medicine combined with western medicine on bronchial asthma in children. Methods：Totally 176 children with bronchial asthma were randomly divided into observation group (89 cases) and control group (87 cases). Both groups were given routine treatment.The observation group was also given Chinese medicine according to different types of asthma.. After treatment, the clinical symptoms of the two groups were observed. ResultsIn： the observation group, the disappearance time of cough, wheezing and pulmonary rales was shorter than that of the control group, the difference being statistically significant (P＜0.05). The total effective rate of the observation group was better than that of the control group (P＜0.05),the difference being statistically significant. Conclusion:The combined treatment of Chinese and western medicine is effective in children with bronchial asthma, which is worthy of clinical application and promotion. Related Articles | Metrics

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Research on the correlation of childhood obesity with weight gain during pregnancy and infant feeding modes YOU Cheng, ZHAO Sha, DING Dawei, CHEN Yu 2015, 7 (5):  488-491.  doi: 10.3969/j.issn.1674-3865.2015.05.029 Abstract ( 812 )   PDF (441KB) ( 714 )   Save Objective：To research the relationship of childhood obesity with their mothers' weight gain during pregnancy and infant feeding modes and to provide reference for making public health policies related to the prevention of childhood obesity. Methods：Using cluster sampling method we selected 956 children and their parents in 4 kindergartens as the research subjects. Questionnaire survey was conducted in the research. The content of the investigation included children's weight, height, mothers pregnancy state, infants feeding modes, basic situation of families, etc. Through the single factor analysis and multivariable Logistic regression analysis, pregnancy weight gain, infant feeding modes and their relationship with childhood obesity were analyzed. Results：A total of 956 copies of questionnaires were delivered, and 948 copies of effective questionnaires were collected,with a collection rate of 99.16%. According to the study 10.02% (95/948) of the children were obese. Single factor analysis showed that the mother's weight gain during pregnancy more than 15 kg and exclusive breastfeeding within 6 months are related factors of childhood obesity (P＜0.05). Multivariable Logistic regression analysis showed that the mother's weight gain during pregnancy greater than 15 kg was a risk factor for childhood obesity (P＜0.05), and exclusive breastfeeding within 6 months was the protection factor in childhood obesity (P＜0.05); other factors had no significant correlation with childhood obesity (P＞0.05). Conclusion：In making public health policies and measures related to the prevention of childhood obesity,it is the focus to guide the appropriate weight control in pregnant women and to encourage them to adopt exclusive breastfeeding. Related Articles | Metrics

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Research on the effect of seretide combined with budesonide and leukotriene in the treatment of children with cough variant asthma GUO Yuxiu, QIN Dalie, LI Jun 2015, 7 (5):  491-495.  doi: 10.3969/j.issn.1674-3865.2015.05.030 Abstract ( 713 )   PDF (568KB) ( 286 )   Save Objective：To summarize the treatment effect of seretide combined with budesonide and leukotriene receptor antagonist on children with cough variant asthma. Methods：Totally 120 cases of children with cough variant asthma were divided into observation group (62 cases) and control group (58 cases) according to the number of visits (the last odd and even number), and were given the routine treatment. Besides, the control group were given seretide and budesonide treatment; the observation group were given seretide,budesonide and leukotriene receptor antagonist (montelukast) treatment;analyze the effect in the two groups. Results：The pulmonary ventilation function of the two groups were improved after treatment, and the observation group was better than the control group (P＜0.05); the level of IL-4, IL-10 and IL-13 of two groups were improvd after treatment, and the observation group was obviously better than the control group (P＜0.05); the clinical effect of the observation group was obviously better than that of the control group (P＜0.05),with a statistical significance. Conclusion： Seretide combined with budesonide and leukotriene receptor antagonist agent has remarkable effect in the treatment of children with cough variant asthma with high security, and is worthy to be popularized. Related Articles | Metrics

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The diagnostic value of brain natriuretic peptide (BNP) in infants with severe pneumonia complicated with heart failure HE Leifeng, YANG Ying, LIU Zhongqi, TAN Runguo, WANG Jinghui, DU Qiuping, CHEN Xianghong 2015, 7 (5):  494-497.  doi: 10.3969/j.issn.1674-3865.2015.05.031 Abstract ( 576 )   PDF (435KB) ( 772 )   Save ObjectiveTo summarize the value of brain natriuretic peptide (BNP) in the diagnosis of severe pneumonia complicated with heart failure in infants.MethodsIn 100 cases of children clinically diagnosed with common pneumonia (group A) and 100 cases of children with severe pneumonia complicated with heart failure (group B)and 80 cases of children with severe pneumonia (no heart failure) group (C),the laboratory results were retrospectively analyzed.ResultsIn the three groups of children the abnormal rate of CK, CKMB (creatine kinase, creatine kinase isoenzyme), CTNI (troponin) and BNP had significant difference (P＜0.01); further comparison showed that befween group A and group B serum CK, CKMB, CTNI and BNP were significantly different (P＜0.01)in abnormal rate; between group A and group C abnormal rate of serum BNP had no obvious difference (P＞0.05), but abnormal rate of CK, CKMB and CTNI of had obvious difference (P＜0.01); between group B and group C abnormal rate of CK, CKMB and CTNI had no significant difference (P＞0.05), but abnormal rate of BNP had obvious difference (P＜0.01); in group B, after heart failure was corrected, BNP was restored to normal range.ConclusionBNP is a sensitive and special objective marker for infants with severe pneumonia complicated with heart failure. Related Articles | Metrics

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Clinical significance of D-dimer and antithrombin detection in children with nephrotic syndrome WANG Xuesheng 2015, 7 (5):  497-500.  doi: 10.3969/j.issn.1674-3865.2015.05.032 Abstract ( 496 )   PDF (554KB) ( 683 )   Save ObjectiveTo determine the concentration of D-dimer and antithrombin in children with nephrotic syndrome, and to provide evidence for the formation of thrombosis.MethodsTotally 39 children with nephrotic syndrome were observed, and 40 healthy children were selected as control group. In the two groups, 1 mL of blood was extracted in the early morning, and the D-dimer and antithrombin concentration in the plasma were detected by centrifugation. The results of the two groups were compared.ResultsThe concentration of D-dimer in the observation group was significantly higher than that in the control group, and the concentration of antithrombin was significantly lower than that in the control group,the difference being statistically significant(P＜0.05).ConclusionIt is important to determine the concentration of D-dimer and antithrombin in children with nephrotic syndrome in determining thrombosis. Related Articles | Metrics

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Experience analysis in treating nightcry of heart-spleen heat type WANG Ying, SUN Liping 2015, 7 (5):  500-502.  doi: 10.3969/j.issn.1674-3865.2015.05.033 Abstract ( 671 )   PDF (397KB) ( 657 )   Save Nightcry is a common pediatric sleep disorder in children, and therefore more and more parents pay attention to it. Professor Sun Liping considers this disease to be closely related to heart and spleen.Therefore, based on the prirciple of soothing the nerves to stop the cry, Prof.Sun created Xinlian decoction,which has achieved very good effect when used according to the symptoms. Related Articles | Metrics

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Experience on the treatment for infantile attention-deficit hyperactivity disorder by Chinese medicine DING Lizhong，LI Chunjuan, JIN Dongming 2015, 7 (5):  502-504.  doi: 10.3969/j.issn.1674-3865.2015.05.034 Abstract ( 617 )   PDF (422KB) ( 980 )   Save ADHD is a common behavior disorder in childhood. Professor Jin Dongming thinks that the syndrome of stagnated heat of liver and stomach is one of important syndromes of the disease, so the treatment should be to relieve liver and lung. Baihu decoction and peony liquorice decoction were selected as alternative treatment. Besides, paying attention to protection of liquid, and keeping the Yin and proper use of Schisandra chinensis has achieved good effect. Related Articles | Metrics

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Treatment for children with diarrhea (spleen deficiency diarrhea):an experience discussion LIANG Shanshan,SUN Liping 2015, 7 (5):  504-506.  doi: 10.3969/j.issn.1674-3865.2015.05.035 Abstract ( 777 )   PDF (395KB) ( 678 )   Save Infantile diarrhea is a common disease in pediatrics.Professor Sun Liping believes that the spleen dampness is the key to the occurrence of diarrhea.The diarrhea due to spleen deficiency is the most difficult to treat and mostly exists in infants and young children.Based on the principle of enhancirg spleen and removing dampness,Prof. Sun created Sanbai decoction Treatment for children with diarrhea, which may be added other medicines according to various symptoms and achieves great clinical curative effect. Related Articles | Metrics

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Treatment for pediatric chronic tonsillitis based phlegm,stasis and asthenia YAO Yuehua,ZHANG Guiju, LI Na 2015, 7 (5):  506-509.  doi: 10.3969/j.issn.1674-3865.2015.05.036 Abstract ( 906 )   PDF (572KB) ( 614 )   Save ObjectiveTo study TCM differentiation fneatment for pediatric chronic tonsillitis based on phlegm,stasis and asthenia.MethodsAccording to children's unique physical development,and on the basis of the theories that "Chronic diseases transforming to stasis and asthenia",combinded with clnical literature reports, analysis and discussion were made.Results Good effect was achieved in treating pediatric chronic tonsillitis based on phlegm,stasis and asthenia.ConclusionThe incidence rates can be reduced and the curative effect can be enhanced by way of resolving phlegm,promoting blood circulation to remove blood stasis, and reinforcing vital-qi according to the etiology and pathogenesis of pediatric chronic tonsillitis. Related Articles | Metrics

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Experience in treating pediatric diseases by Siya Sanxian decoction LIU Shangjian, ZHOU Yuanhang, CAI Jiang, XU Rongqian 2015, 7 (5):  508-511.  doi: 10.3969/j.issn.1674-3865.2015.05.037 Abstract ( 814 )   PDF (594KB) ( 1113 )   Save Professor Xu Rongqian is a famous expert in traditional Chinese medicine and is the guidance teacher of academic experience inheritance. With 36 years of clinical experience, Professor Xu is good at treating all kind of pediatric diseases. Based on many years of clinical summary and deep analysis of child physiology, he has created Siya Sanxian decoction under the guidance of the Shaoyang theory. The function of the decoction is to eliminate the stagnation and promote the spleen. It has remarkable curative effect in treating pediatric diseases. Related Articles | Metrics

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Clinical experience of treatment for cough during recovery of pediatric pneumonia based on the principle of "Patients with retained phlegm should be treated with mild Chinese medicine" TAN Rusheng 2015, 7 (5):  511-513.  doi: 10.3969/j.issn.1674-3865.2015.05.038 Abstract ( 649 )   PDF (384KB) ( 663 )   Save Based on the principle of "Patients with retained phlegm should be treated with mild Chinese medicine"，which is Item 12 of the book Synopsis of Gloden Chamber，we have perfermed treatment on children with pneumonia in recovery stage，focusing on cough，much phlegm, low-grade fever and prolonged course of disease.In this paper，the pathogenesis and its treatment were discussed and the effect of the treatment based on this principle were further discussed through examples. Related Articles | Metrics

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Analysis of the experience in treating the children with acute tonsillitis by Zilou decoction LIU Zhimei，SUN Liping，ZHUANG Shiwei 2015, 7 (5):  513-515.  doi: 10.3969/j.issn.1674-3865.2015.05.039 Abstract ( 661 )   PDF (405KB) ( 680 )   Save The acute tonsillitis is a common disease in children，belonging to infantile tonsillitis in traditional Chinese medicine.The disease is often accompanied by varying degrees of complications,such as rheumatic fever，nephritis，myocarditis and arthritis，etc,which gains increasing attention of parents.Professor Sun Liping thinks that the disorder is closely associated with lung，stomach，kidney,and the treatment should be based on the principle of "clearing the upper，removing the middle and nourishing the lower"，so she created Zilou decoction，and with the permission of addition and subtraction, the decoction has achieved good curative effect in clinics. Related Articles | Metrics

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Study on the present situation of safe medication and countermeasures in paediatric department LIU Ying 2015, 7 (5):  515-517.  doi: 10.3969/j.issn.1674-3865.2015.05.040 Abstract ( 553 )   PDF (372KB) ( 707 )   Save Children are a special group of population with rapid growth and development;their physique is more sensitive than adults, and their tissue development and physical aspects are not perfect; therefore, their medication should not be a less dosage of the adult standard. This paper puts forward some suggestions and countermeasures in light of the present condition of the pediatric drug safety,aiming to strengthen the guidance of the rational application of pediatric drugs and increase the understanding of the importance of using pediatric drugs Related Articles | Metrics

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Brief discussion on the application of " Class " to the pediatric clinical treatment SI Zhenyang 2015, 7 (5):  517-520.  doi: 10.3969/j.issn.1674-3865.2015.05.041 Abstract ( 493 )   PDF (538KB) ( 652 )   Save The study of "Class" is not only of great academic value, but also has great clinical significance. This article summarizes the specific meaning of the term "Class", the clinical significance of the Class and its application in order to provide a useful reference for clinicians to have a better use of it. Related Articles | Metrics

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Investigation and analysis of the follow-up compliance in parents of high-risk children WANG Jianzhong,LUO Ying, WANG Lili,GONG Jianfang 2015, 7 (5):  519-522.  doi: 10.3969/j.issn.1674-3865.2015.05.042 Abstract ( 710 )   PDF (511KB) ( 660 )   Save ObjectiveTo investigate the follow-up compliance of high-risk children and the influencing factors.MethodsThe data of 580 cases of parents and children visiting high-risk department were collected, and the questionnaire was designed by ourselves. The contents included the basic situation of the children, the parents' education level, the main caregivers, the parents' cognition and so on.Results(1) About 57.76%(335/580) patients had good family compliance; 5% (29/580) children had poor family compliance. (2) The level of parents' education, the time length of car ride, the physical development of children, and the cognitive level of the parents affected the compliance of high-risk children. (3) In the high-risk infants who failed to follow up on time (more than one month), 69.35% of the families were able to participate in the follow-up after being reminded by phones and messages.ConclusionMore than half of the families have good compliance; the factors that affect follow-up compliance are: parents' education level, parents' cognitive level and physical development of children. Related Articles | Metrics

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Thoughts on strengthening clinical skill training in pediatrics in TCM colleges ZHANG Lina, LI Yinhan, LI Xiangnan 2015, 7 (5):  522-525.  doi: 10.3969/j.issn.1674-3865.2015.05.043 Abstract ( 485 )   PDF (494KB) ( 584 )   Save At present, many difficulties exist in the teachirg of clinical skill training in pediatrics in TCM colleges, including students, teachers and training resources, etc., but as an important part of medical education, how to strengthen clinical skill training in pediatrics in TCM colleges is a topic worthy of consideration and discussion. Based on the analysis of existing problems in the teaching of clinical skills training in pediatrics,and taking training teaching in pediatrics of Liaoning University of Traditional Chinese Medicine as an example,this article summarized how to improve the teaching quality of clinical skill training in pediatrics. Related Articles | Metrics

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Influence of nursing intervention by healthcare nurse for mother and child in perinatal period on the development of babies LI Jingjing,XU Yaping 2015, 7 (5):  524-527.  doi: 10.3969/j.issn.1674-3865.2015.05.044 Abstract ( 435 )   PDF (522KB) ( 607 )   Save ObjectiveTo summarize the influence of maternal and child health nursing on full-term infant health by healthcare nurses in perinatal period.MethodsTotally 92 full-term infants with the nurses are compared to 87 infants without nurses, including feeding modes, diseases, accidents, weight and height at 42 days after birth.ResultsIn the infants with nurses, babies were taller and heavier,with a higher rate of correct breastfeeding (P＜0.01);the incidence of skin infection,diseases and accidents was significantly decreased(all P＜0.01),compared with the infants without nurses.ConclusionThe nursing of perinatal maternal and child healthcare nurses is helpful to improve the health level of the infants. Related Articles | Metrics

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Efficacy of TCM wet application on neonatal red buttock LIN Zhihong 2015, 7 (5):  527-530.  doi: 10.3969/j.issn.1674-3865.2015.05.045 Abstract ( 478 )   PDF (473KB) ( 538 )   Save ObjectiveTo observe the effect of TCM wet application on neonatal red buttock.MethodsThe 66 cases of neonatal red buttock were randomly divided into observation group(n=34) and control group(n=32). The observation group was applied with sesame oil on red buttock. The control group exposed red buttocks and kept drying. Both groups were intervened 3 times a day, 30 minutes each time, for 4 days as a course of treatment. After the treatment, we observed the effect in the two groups.ResultsThe total effect rate in observation group was 76.5% (26/34), which was higher than control group ［28.1%(9/32)］, and the difference had statistical significance(P＜0.01). Median score of hip skin of the observation group was -1.82 and -1.24 before and after treatment，respectively, and by rank sum test for paired samples, the difference had statistical significance(P＜0.05). Median score of hip skin of the control group was -1.03 and -1.56 before and after treatment，respectively, and by rank sum test for paired samples, the difference had statistical significance(P＜0.05). After rank sum test of two independent samples, the median score of overall effect in observation group after treatment was 0.85, higher than control group(-0.50), and the difference had statistical significance(P＜0.01).ConclusionTCM wet application to the newborn with red buttock has significant effect. Related Articles | Metrics

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Application value of the family nursing intervention in children with asthma XU Li 2015, 7 (5):  529-532.  doi: 10.3969/j.issn.1674-3865.2015.05.046 Abstract ( 482 )   PDF (517KB) ( 202 )   Save ObjectiveTo summarize the effect of family nursing intervention in the treatment of children with asthma.Methods Totally 164 cases of children with asthma were randomly divided into observation group and control group with 82 cases in each group. The control group was treated with routine asthma treatment and nursing intervention. The observation group was given family nursing intervention in addition to treatment for control group. Follow-up time was 12 months and the therapeutic effect and anxiety level of the two groups were observed.ResultsThe total effective rate of the observation group was 93.90%(77/82), and the total effective rate of the control group was 65.85%(54/82), the difference between the two groups being statistically significant (P＜0.05); in the observation group SDS and SAS of the family members were significantly improved, showing statistical difference compared with the control group (SDS ＜0.05).ConclusionTreatment and nursing intervention in children with asthma has a certain significance, which can get better therapeutic effect when performed on the basis of routine nursing care. Related Articles | Metrics

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Observation on the curative effect of rehabilitation nursing combined with traditional Chinese medicine bath after surgery in children with spastic cerebral palsy WU Mingyu 2015, 7 (5):  532-535.  doi: 10.3969/j.issn.1674-3865.2015.05.047 Abstract ( 483 )   PDF (537KB) ( 558 )   Save ObjectiveTo observe the clinical effect of Chinese medicine bath combined with rehabilitation nursing on cerebral palsy.MethodsEighty cases of patients were randomly divided into observation group and control group with 40 cases in each.The two groups were given comprehensive nursing care and rehabilitation, and the treatment group were given additional traditional Chinese medicine bath; after three courses of treatment, observe the therapeutic effect in the two groups.Results After treatment and careful nursing, the total effective rate of the observation group was higher than that of the control group, the difference being statistically significant (P＜0.05).ConclusionTraditional Chinese medicine bath combined with rehabilitation nursing can improve the clinical effect. Related Articles | Metrics

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Observation on the results of comprehensive nursing intervention in autumn diarrhea in infants and young children WANG Hongling 2015, 7 (5):  534-537.  doi: 10.3969/j.issn.1674-3865.2015.05.048 Abstract ( 513 )   PDF (571KB) ( 1480 )   Save ObjectiveTo observe the clinical effect of comprehensive nursing intervention in autumn diarrhea in infants and young children.MethodsTotally 120 cases of autumn diarrhea in infants were randomly divided into observation group and control group with 60 cases in each group. In addition to conventional symptomatic treatment，routine nursing was given to the control group，while comprehensive nursing was given to the observation group. The total efficiency, satisfaction rate, length of hospital stay and costs were compared.ResultsThe satisfaction rate of children in observation group was 98.3%(59/60), and the total effective rate was 96.7%(58/60), which were significantly higher than 83.3%(50/60) and 83.3% (50/60) in the control group，the difference being statistically significant(P＜0.05); and in the observation group hospitalization costs were lower and hospital stay was shorter than the control group, the difference being statistically significant(P＜0.05).Conclusion Comprehensive nursing intervention can improve overall efficacy in children with diarrhea who receive symptomatic treatment, and it can also improve nursing satisfaction, which should be introduced. Related Articles | Metrics