CLINICAL OBSERVATION ON 2785 CASES OF INFANTILE DIARRHEA TREATED BY MOXIBUSTION WITH MOXA CONE

This paper reported that 2785 in-patients with infantile diarrhea were treatedwith moxa cone mainly on points Hegu(LI 4),Zhongwan(CV 12),Shenque(CV 8),Zusanli(ST36)and Pishu(EL 20).As a result,2520 cases(90.5%)were treated with excellent therapeutic ef-fectiveness;233(8.4%),good,and 32(1.1%),poor.The total effective rate reached 98.9%.

ACUPUNCTURE TREATMENT FOR 30 CASES OF INFANTILE CHRONIC DIARRHEA

In recent years,we have treated 30 casesof infantile chronic diarrhea by acupuncture andmoxibustion with satisfactory results.These aresummarized as follows.

Clinical Observation on 870 Cases of Infantile Diarrhea Treated by Needling Taibai and Yinlingquan Qiao Weiren

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Clinical Observarion on 50 Cases of Long－Standing Infantile Diarrhea Treated Mainly with Massotherapy

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CLINICAL EFFECTS ON 149 CASES OF INFANTILE DIARRHEA TREATED WITH RAPID-STICKING MOXATHERAPY Attaching 35 contrasted cases with western medicine

Of 149 cases.infantile diarrhea were treated with Zhou’s multiapplied rapid-sticking herbomoxa-pen.The main acupoints selected were Auriculoapex,Tianshu(ST 25),Zusanli(ST 36),Shenshu(BL 23),etc.TWO groups were observed,32 cases from the 149 cases as therapid-sticking moxatherapy(RSMT)group who suffered from the acute diarrhea without any thera-peutics before,and the other 35 cases with western medicine as the control group.Results showedthat the recovering rate and the average therapeutic course of healing in RSMT group were higher andshorter than that in control one(P【0.05;P【0.01),even without marked difference of the total ef-fective rates between the two groups(P】0.05).Of 149 cases with RSMT,the therapeutic effect onacute ones was better than those on delayed and chronic ones(P【0.05),yet the difference was notmarked in therapeutic effects between the etiological causes of infections and non-infections(P】 0.0.5).It is therefore worthy of popularizing RSMT due to its remarked curative results without anyside-effect,simply-manipulated and well-accepted features.

Therapeutic methods for diarrhea in children

DEFINITIONAcute diarrhoea is defined as passage of loose or waterystools at least three times in a 24 h period.When loosestools contain blood,it is called bloody diarrhoea(dysentery).It is the consistency of the stools which ismost important rather than the frequency.Breast-fed babiesoften pass'pasty'stools frequently which is not diarrhoea.The raother can often tell accurately whether child hasdiarrhoea or not.

Validation of Educational Video to Promote Self-Efficacy in Preventing Childhood Diarrhea

The aim of this study was to evaluate and to validate an educational video to promote maternal self-efficacy in preventing childhood diarrhea with women assisted in a health unit. Validation study, developed with 17 mothers whose children were under five years old, was analyzed on scenes of an educational video according to the validity of appearance (clarity/comprehension) and of content (relevance). The scenes were considered clear and comprehensive with a perceptual above 70% and with an average of 96.9% of agreement. Regarding the relevance, the agreement was maintained between 94% and 100%, however only scenes 03 and 13 presented 76.6% and 70.6% of agreement respectively. Global Content Validation Index of the educational video scenes was 0.97 meaning an excellent level of agreement among mothers. The video showed to be a valid and a trustworthy material to promote maternal self-efficacy in preventing childhood diarrhea. Therefore, it is important that the material is disseminated in other health services so that other mothers may have contact with the same, providing greater reliability of the material.

Assessment of Educational Videos on the Prevention and Management of Infant Diarrhea:Documental Study

Objective: To evaluate the suitability of educational videos produced in Brazil that addressed aspects related to prevention and/or management of infant diarrhea according to content;language;graphic illustrations;stimulation for learning/motivation and cultural fit. Method: Documentary study, which evaluated six educational videos from an adapted and validated tool, the Suitability Assessment of Materials. Three nurses evaluated the videos. Data were processed using the Statistical Package for the Social Sciences, version 17.0, and presented in tables and graphics. Results: It was found that 4 (66.6%) of the educational videos were classified as appropriate, ranging from 60% to 63.3% of full approval, and 2 (33.3%) were assessed as higher, reaching up to 83.3% to 90% approval. Considering the socioeconomic and cultural contexts of the videos to the audience, they assigned notes ranging from 6 to 9 in a rating ranging from 0, the minimum score, to 10, the highest score. Conclusion: The educational videos were considered adequate, with positive results about the content on the prevention and management of infant diarrhea, being appropriate for the target audience. As a result, greater credibility is ratified as the use thereof, since these resources can contribute to health promotion and prevention of diarrhea in children.

Clinical and Experimental Study on Treatment of Infantile Autumn Diarrhea by Retention Enema with Qilian Liquid (芪连液)

Objective:To find out the effective treatment for infantile autumn diarrhea(IAD).Methods:Retention enema with Qilian Liquid(QLL) was applied to 106 patients of IAD with positive antigen of rotavirus in stool,and the result in the treated group was compared with that in the control group(82 patients) in aspects of clinical effect, negative conversion rate of rotavirus in stool and change of serum immunoglobulin. Animal experimental study was also conducted.Results:The disappearance time of principal symptoms, negative conversion rate of rotavirus in stool and serum levels of IgA and IgG in the treated group were significantly better than those in the control group (P<0.01, P< 0.05). Experimental study showed that QLL not only has the anti-viral effects to stop diarrhea, but also has effects in enhancing immune function and protecting intestinal mucous membrane. Conclusion:Retention enema with QLL is an effective therapy for the treatment of IAD.

Clinical Study of Poria-Polyporus Anti-Diarrhea Oral Liquor in Treating Infantile Rotavirus Diarrhea

Objective: To evaluate the efficacy of Poria-Polyporus anti-diarrhea oral liquor (PPAOL) in treating infantile rotavirus diarrhea. Methods: PPAOL was administered to treat 30 cases of infantile rotavirus diarrhea, the effect was observed and compared with that of Smecta. And human rotavirus RNA of patients was detected. Results: The effective rate of the PPAOL group was 83. 33 % and that of Smecta group was 90. 00 %.There was no significant difference between the effect of the two groups in respect of the duration of fever and diarrhea. Human rotavirus RNA showed positive result in 13 patients of PPAOL group and 19 in Smecta group.The duration of virus excretion in both groups was 2 ～7 days, which was much shorter than 9～ 21 days in the previous report. Conclusion: PPAOL is effective in treating infantile rotavirus diarrhea.

Clinical and Experimental Study on Zhixie Buye Mixture (止泻补液合剂) in Treating Infantile Diarrhea Complicated with Dehydration

Objective: To observe the therapeutic effect of Zhixie Buye mixture (止泻补液合剂, ZXBYM) on infantile diarrhea patients with mild or middle degree of dehydration. Methods: Controlled observation method was adopted in the clinical and experimental study. Results: There was no significant difference in the treatment of dehydration between the ZXBYM group and oral rehydration solution (ORS) group (P>0.05), at the same time it was more effective for ZXBYM to eliminate such symptoms as vomiting and abdominal distension (P<0.01). In addition, it was confirmed that the ion concentration of sodium, potassium, chlorine, glucose and osmotic pressure in the mixture was similar to those in ORS. Animal experiment showed that ZXBYM has the effect of rat intestine peristalsis suppression and water absorption promotion in colon. And there was statistical difference in antidiarrhea effect between the mixture and ORS (P<0.01). Conclusion: ZXBYM is an effective mixture in the treatment of diarrhea with dehydration. It has a good prospect for the development and application.

Fifty-Four Infantile Intractable Diarrhea Patients Treated with Integrated Traditional Chinese and Western Medicine

Objective: To explore the treatment on infantile intractable diarrhea with integrated traditional Chinese and western medicine. Methods: Paired control method was used to study 54 cases of infantile intractable diarrhea patients, who were randomly divided into the treated group and the control group (western medicine treated group). The treated group was further subdivided into two syndrome-types: Spleen deficiency diarrhea type and Spleen-Kidney Yang deficiency diarrhea type, and modified Shenling Baizhu powder (参苓白术散) and Sijunzi decoction (四君子汤) with modified Sishen pill (四神丸) were used for them respectively, while the control group was given only the conventional western drugs. At the same time, immunoglobulin (IG) and T lymphocyte transformation rate (TLTR) were observed. Results: Before treatment, IgG, IgA and TLTR of all the patients in both groups were lowered; after treatment, all of them improved, and the improvement of the treated group was more significant than that of control group (P<0.01). In the treated group, the cure rate and total effective rate were significantly higher than that of control group (P<0.01). Conclusion: Using integrated traditional Chinese and western method, the immune function of the patients were enhanced, and the function of Spleen-Stomach was recuperated, therefore satisfactory results were reached.

Curative Effect Observation on Tuina Therapy for Spleen-deficiency Infantile Diarrhea

Objective: To observe the clinical effect of tuina for spleen deficiency infantile diarrhea. Methods: A total of 60 cases were randomized into a treatment group and a control group (30 in each group). Tuina manipulations were employed in the treatment group, whereas medication was administered in the control group. The between-group clinical effects were compared after one course of treatment. Results: The recovery rate was 20.0% in the treatment group, versus 3.3% in the control group, showing a statistical significance (P<0.05). After treatment, there were between-group statistical differences (P<0.05) in infants' main accompanying symptoms such as complexion, spirit, vomiting, and abdominal pain. Conclusion: Tuina is effective for infantile diarrhea due to spleen deficiency.

Treatment of 62 Cases of Infantile Diarrhea by Tuina

目的:观察推拿治疗婴幼儿腹泻的临床疗效。方法:将62例婴儿腹泻患者按照中医辨证分为5型,即伤食型、风寒型、湿热型、脾虚型和脾肾阳虚型,分别给予分手阴阳、揉总筋、推脾土,运外八卦、摩腹、按足三里、揉龟尾、捏脊等推拿手法治疗,每日一次。结果:共治疗62例患者,最短治疗3次,最长治疗30次,治愈35例,显效21例,有效6例。结论:小儿推拿疗法治疗婴幼儿腹泻有较好效果。

Acupuncture Combined with Tuina Treatment for Infantile Diarrhea

Objective: To observe the effect of acupuncture combined with Tuina for infantile diarrhea. Methods: One hundred and twenty patients met the inclusion criteria were randomly divided into two groups at the ratio of 2:1, and there were 80 cases in the treatment group while 40 cases in the control group. The patients in the treatment group were treated with acupuncture combined with tuina, while those in the control group were treated with medication. The effects of two groups were compared after a 3-day treatment. Results: The total effective rate was 97.5% in the treatment group, versus 87.5% in the control group, and the difference was statistically significant (P<0.05). After 48-hour treatments, the antidiarrheal effect of the treatment group was better than that of the control group (P<0.05). Conclusion: Acupuncture combined tuina treatment is effective for infantile diarrhea and works fast.

THE EXPERIENCE OF FINGER PRESSURE METHOD IN THE TREATMENT OF INFANTILE INDIGESTION

In this article, effective finger pressure methods for the treatment of infantile indi-gestion were introduced, which include back finger knocking method, Jiaji points pressing methodand abdomen finger pressing method. 64 cases have been observed. Among them, cured: 43 cases,significantly improved: 12 cases. The total effective rate: 98. 4%. The results showed that fingerpressure method is an effective external treatment method which has the characteristics of simplicity,no damage. This method can be widely accepted by children.

小儿推拿联合艾灸神阙穴在脾虚泄泻患儿中的应用

目的探讨小儿推拿联合艾灸神阙穴在脾虚泄泻患儿中的应用。方法选取2019年2月至2021年2月于博兴县曹王中心卫生院就诊的52例脾虚泄泻患儿为研究对象,采取随机数字表法分为两组,每组26例。对照组给予蒙脱石散,观察组在对照组基础上给予小儿推拿联合艾灸神阙穴,比较两组治疗效果。结果观察组治疗总有效率高于对照组(P<0.05);干预后,观察组中医证候积分低于对照组(P<0.05);观察组泄泻缓解时间短于对照组(P<0.05)。结论小儿推拿联合艾灸神阙穴在脾虚泄泻患儿中的应用效果显著,能够加快症状缓解,值得推广。

金双歧联合思密达治疗小儿腹泻临床治疗效果分析

目的 分析对于小儿腹泻患儿采用金双歧联合思密达的临床治疗效果。方法 以我院2021年3月至2023年3月收治的小儿腹泻患儿中随机抽取80例进行研究。采用单双数字随机法将患儿分为对照组和观察组,均40例。两组患儿均采用常规治疗方案进行治疗,对照组患儿选择使用金双歧,观察组患儿选择金双歧和思密达进行治疗。对两组患儿的治疗结果进行对比分析。结果 观察组有效率92.5%高于对照组72.5%;观察组退热、腹痛消失、呕吐消失及大便正常时间均短于对照组;观察组满意率97.5%高于对照组的82.5%(P均<0.05)。结论 对于小儿腹泻患儿采用金双歧联合思密达进行治疗,能够有效缩短小儿康复时间,快速缓解临床症状。