目的:探讨慢性腹泻患儿采用俞募配穴温针灸法联合三字经派推拿法对临床疗效及免疫球蛋白水平的影响.方法:选取2020年10月—2021年11月我院收治的慢性腹泻患儿共计80例,根据随机摸球法分成A组(n=40)与B组(n=40),B组采用常规西药治疗,A组采用俞募配穴温针灸法联合三字经派推拿法治疗,对两组临床疗效及免疫球蛋白水平进行比较.结果:A组治疗总有效率(95.00％)较B组(70.00％)明显更高(P<0.05);治疗后,两组免疫球蛋白M(IgM)、免疫球蛋白G(IgG)、免疫球蛋白A(IgA)水平明显提高(P<0.05),A组水平较B组明显更高(P<0.05).结论:俞募配穴温针灸法联合三字经派推拿法应用于慢性腹泻患儿治疗中,可提高临床疗效,提高免疫球蛋白水平.

目的:探讨耳尖放血联合鱼腥草滴眼液滴眼治疗初期睑腺炎的疗效.方法:治疗组58例眼睑初期睑腺炎患者用耳尖放血联合鱼腥草滴眼液滴眼,配合睡前红霉素眼膏涂眼.对照组50例患者单纯热敷、妥布霉素滴眼液滴眼,配合睡前红霉素眼膏涂眼.观察2组治疗后的症状、体征、效果及副作用.结果:治疗组总有效率为98.2％与对照组80％相比治疗效果更为显著.结论:耳尖放血联合鱼腥草滴眼液滴眼治疗初期睑腺炎疗效显著、无痛苦、副作用小、简单易行,适合各级医院儿童眼科门诊应用.

笔者在本院儿童保健科门诊，采用耳针疗法治疗儿童肠易激综合征脾肾阳虚证型患者30例，采用药物治疗儿童肠易激综合征患者30例，通过疼痛强度量表的比较，证实耳针疗法是治疗该病的有效方法，且相对药物治疗，有良好的近期疗效，报告如下。

Objective : This subject is used for comparison both short-term and long-term efficacy between the Tui-Na treatment and the drug DDAVP treatment for Children Primary Nocturnal Enuresis.Methods : Nocturnal urine volume and urine osmolality were determined in 50 children with primary nocturnal enuresis before the treatment.25 children will take the oral administration of DDAVP.The other 25 chil dren will take the Tui-Na treatment.Nocturnal urine volume and osmolality were examined in 25 normal controls.Run same test to 50 PNE children at the end of the first course,After 3 months,run the test again.Result : The average level of nocturnal urine osmolality in the TuiNa group was(799.32±129.63) mOsm/L vs(775.57±164.73) mOsm/L in the DDAVP group after the treatment.The average level of nocturnal urine volume the Tui-Na group was(145.92±80.23)ml vs(158.40±102.54)ml in the DDAVP group after the treatment.There is no significant differences between the two groups(P>0.05).Tui-Na group have better long-term efficacy than the other group(P<0.05).7 children from the DDAVP group were not be cured and their data is no significant differences from the normal control group(P>0.05).Conclusions : Tui-Na treatment is the better method for the PNE children,it keeps high cure rate in a long time.The DDAVP don't work if the PNE children have normal nocturnal urine osmolality and nocturnal urine volume,but they can be treated by Tui-Na manipulation.

<正>原发性遗尿症(Primary nocturnal enuresis PNE)是指连续发生夜间遗尿达6个月以上,年龄大于5岁者。在我国,遗尿症占儿童排尿失控的95%,其中50%为夜间遗尿,10%为白天遗尿,40%为昼夜均有遗尿。就其发病率,国外报道的发病率大多比我国高,据我国统计,5岁以上的小儿12%-15%存在遗尿现象。遗尿症目前病因仍不清楚,可能和许多因素有关,如排尿控制机能发育迟缓,睡眠觉醒障碍,抗利尿激素分泌异常,遗传因

目的:探讨口吃儿童和健康儿童心理状况的差异,以及护理干预口吃对口吃儿童心理状况改善的作用。方法:采用自尊量表、儿童社交焦虑量表和儿童孤独量表对干预前60名口吃儿童,护理干预后24名口吃儿童和对照组60名健康儿童分别做调查问卷。结果:①和对照组相比,护理干预前口吃儿童存在明显的心理问题(P<0.001);②护理干预后口吃儿童心理状况改善明显(P<0.001)。结论:口吃给儿童带来了严重的心理问题,口吃儿童普遍存在社交焦虑、孤独和低自尊。护理干预可有效改善口吃儿童的心理状况。

【Objective】 To study the temperament of cognitive development for high risk infants,and provide a reference for effective clinical early intervention. 【Method】 204 cognitive development for high risk infants and 112 normal infants aged 0~3 years old were tested by two specific questionnaires chosen from the Carey infants' Temperament Questionnaire. 【Results】 Significant difference was found between difficult nurturing types and slow startup types.Significant difference were found in rhythm,aversion,adaptation,persistence and attention between the cognitive development for high risk infants and normal infants(P<0.05).There was no statistical difference for temperament types between different genders.Significant difference were found in activity and persistence(P<0.05). 【Conclusions】 The temperament of cognitive development for high risk infants has special character.In order to improve their development,measures should be adopted according to its qualities.

目的:了解南京地区低出生体重儿(LBWI)发生率的变化趋势及其影响因素,为降低LBWI发生率提供干预思路。方法:收集2000~2008年于南京市妇幼保健院分娩出生的所有活产儿资料,对LBWI资料进行统计分析。结果:2000~2008年南京市妇幼保健院住院分娩产妇共65 665名,新生儿66 546名,LBWI数2 586例,LBWI发生率为3.89%,LBWI发生率有上升的趋势。高龄产妇、低龄产妇、双胎、早产儿中LBWI发生率较高。结论:加强孕期保健宣传,规范辅助生育技术的应用和预防早产等均对降低LBWI发生率有重要意义。

目的:了解南京地区低出生体重儿(LBWI)发生率的变化趋势及其影响因素,为降低LBWI发生率提供干预思路.方法:收集2000～2008年于南京市妇幼保健院分娩出生的所有活产儿资料,对LBWI资料进行统计分析.结果:2000～2008年南京市妇幼保健院住院分娩产妇共65 665名,新生儿66546名,LBWI数2 586例,LBWI发生率为3.89％,LBWI发生率有上升的趋势.高龄产妇、低龄产妇、双胎、早产儿中LBWI发生率较高.结论:加强孕期保健宣传,规范辅助生育技术的应用和预防早产等均对降低LBWI发生率有重要意义.

目的讨论导致早产的相关因素及护理措施。方法回顾300例早产的原因并与300例同期足月产进行对比分析。结果胎膜早破、胎盘因素、双胎妊娠、臀位、妊娠期肝内胆汁淤积症(ICP)、妊娠高血压疾病等为早产的主要原因。反复流产史、孕期阴道炎、早产史、低收入人群、未接受孕检的孕妇为早产高危人群。结论针对各种早产原因及早产高危人群,采取早期预防、积极治疗、加强高危孕妇的系统管理等护理措施,可降低早产的发生率和死亡率。

目的:观察经络导平治疗患儿拇指内扣的临床疗效。方法:256例拇指内扣患儿随机分成中医按摩治疗组(106例)及中医按摩加经络导平治疗组(150例),采用PROM(被动关节活动度)和精细动作发育商评定。通过治疗前后拇指腕掌关节外展活动度变化对拇指内扣治疗进行疗效判断,同时采用Gesell精细动作能区发育商了解手功能发育情况。结果:治疗3个疗程后,治疗组与对照组PROM(被动关节活动度)及精细动作发育商评定比较存在明显差异,差异具有统计学意义(P<0.005)。结论:经络导平治疗患儿拇指内扣有显著疗效。