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.

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.

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.

复方胰酶散联合益生菌治疗小儿腹泻的临床价值

目的:探究复方胰酶散联合益生菌治疗小儿腹泻的临床价值。方法:将122例腹泻患儿按干预方式不同分为联合组(n=61)和益生菌组(n=61)。联合组采用复方胰酶散联合益生菌治疗;益生菌组仅采用益生菌治疗。两组疗程均为15 d。比较两组患儿疗效、症状消退时间,血清核周型抗中性粒细胞抗体(p-ANCA)、血清淀粉样蛋白A(SAA)及白细胞介素6(IL-6),粪便肠道菌群相关指标[粪便钙卫蛋白(FC)水平、乳酸菌、双歧杆菌和大肠杆菌的数量]及不良反应发生情况。结果:联合组疗效比益生菌组更佳(P<0.05)。治疗后,联合组腹痛、呕吐、粪质稀薄消失时间和大便次数减少时间均短于益生菌组(P<0.05);联合组血清p-ANCA、SAA和IL-6水平均低于益生菌组(P<0.05);FC含量低于益生菌组(P<0.05),粪便乳酸杆菌和双歧杆菌数量多于益生菌组(P<0.05),大肠杆菌数量少于益生菌组(P<0.05)。联合组和益生菌组不良反应比较,差异无统计学意义(P>0.05)。结论:复方胰酶散联合益生菌治疗小儿腹泻病疗效明显,能有效缩短症状消退时间,改善血清炎症水平,有利于纠正肠道菌群失调。

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 dficiencv.

Treatment of 62 Cases of Infantile Diarrhea by Tuina

Objective： To observe the clinical efficacy oftuina on infantile diarrhea. Method： Sixty-two cases were classified into five subtypes： diarrhea due to food injury, wind-cold, damp-heat, spleen deficiency and yang deficiency of the spleen and kidney. The manipulations including separating hand yin-yang, kneading the general tendon, pushing spleen-earth, transporting external Bagua, rubbing the abdomen, pressing Zusanli （ST 36）, kneading Guiwei and pinching the spine were applied once a day. Result： After the treatments of 3 to 30, 35 cases got recovery, 21 got marked effect, and 6 got improvement. Conclusion： The infantile tuina treatment is effective for infantile diarrhea.

Clinical efficacy observation of'Tong Du Yun Pi'manipulation for infantile diarrhea in autumn

Objective:To observe the clinical efficacy of ‘Tong Du Yun Pi’(Governor Vessel-unblocking and spleen-promoting)manipulation in treating infantile diarrhea in autumn.Methods:Eighty-four kids were divided into a control group and an observation group using the random number table method,with 42 cases in each group.The control group was intervened by oral administration of montmorillonite powder;and the observation group was given additional‘Tong Du Yun Pi’pediatric massage(tuina)treatment.After treatment,the traditional Chinese medicine(TCM)symptoms scores,symptom improvement time,clinical efficacy and immune function indicators were compared between the two groups.Results:After treatment,the total effective rate was 95.2%in the observation group versus 76.2%in the control group,and the between-group difference was statistically significant(P<0.05);each item score in TCM symptoms was notably lower in the observation group than in the control group(all P<0.05);among the effective cases,the times to restore normal defecation,relieve abdominal bloating,arrest vomiting,and bring down the fever were markedly shorter in the observation group than in the control group,and the betwee regroup differences were statistically sign ificant(all P<0.05);the levels of immunoglobulin(Ig)G,IgM,CD4^(+)and CD4^(+)/CD8^(+)were significantly higher and CD8^(+)was significantly lower in the observation group than in the control group(all P<0.05).Conclusion:In the treatment of infantile diarrhea in autumn,based on oral administration of montmorillonite powder,‘Tong Du Yun Pi’manipulation can notably improve diarrheal symptoms,shorten disease duration,and strengthen the immunity of kids,producing more significant efficacy than oral administration of montmorillonite powder.

Acupuncture Combined with Tuina Treatment for Infantile Diarrhea

Objective： To observe the effect of acupuncture combined with Tuina for nfantile 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〈O.05）. Conclusion： Acupuncture combined tuina treatment is effective for nfantile diarrhea and works fast.

婴儿健脾颗粒联合推拿治疗婴幼儿慢性腹泻的效果

目的 探讨婴儿健脾颗粒联合推拿治疗婴幼儿慢性腹泻的效果。方法 选取2020年12月至2022年10月江西省儿童医院收治的98例慢性腹泻患儿,通过随机数字表法分为两组,每组各49例。对照组采用常规西药治疗,中医组采用婴儿健脾颗粒联合推拿治疗,比较两组的临床疗效、中医证候积分、大便情况、免疫指标、复发情况和不良反应发生情况。结果 中医组治疗总有效率高于对照组(P <0.05)。治疗前,两组中医证候积分和大便次数比较,差异无统计学意义(P>0.05);治疗后,两组中医证候积分和大便次数均降低,且中医组中医证候积分和大便次数低于对照组(P<0.05)。治疗前,两组免疫球蛋白(Ig)A、IgG、IgM水平比较,差异无统计学意义(P>0.05);治疗后,两组IgA、IgG、IgM水平均升高,且中医组IgA、IgG、IgM水平高于对照组(P <0.05)。中医组复发率为4.08%(2/49),低于对照组的16.33%(8/49)(P <0.05)。两组均未出现脱水、生命体征异常等不良反应。结论 婴儿健脾颗粒联合推拿治疗婴幼儿慢性腹泻的效果显著,能够缓解症状,提高免疫力,降低复发率,值得推广。

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。

母乳喂养带菌致婴儿腹泻的误诊原因分析

目的探讨母乳喂养带菌致婴儿腹泻的误诊原因,以提高婴儿腹泻的早期确诊率。方法回顾分析2021年7月至2023年7月收治的18例母乳喂养带菌致婴儿腹泻患儿的临床资料,检测婴儿血液学指标、粪便菌群及母乳中细菌,分析误诊经过,总结误诊原因及防范措施。结果在18例婴儿腹泻患儿中,分别有15例(83.33%)和8例(44.44%)出现发热和呕吐。患儿血液白细胞计数和中性粒细胞计数均升高。初步诊断为病毒性腹泻,给予补盐液、蒙脱石散及益生菌调理肠道菌群后发现腹泻症状明显减轻,但在停药后依然反复,经大便常规发现白细胞数量较高。实施病毒检测提示,患儿病毒检测为阴性。考虑母乳原因,对母乳中细菌水平进行检测。根据检测结果18例均确诊为感染性腹泻。误诊时间4~6 d。18例患儿均试停母乳喂养,在此基础上有15例(83.33%)口服益生菌治疗,有3例(16.67%)给予抗生素联合肠黏膜保护剂治疗;经48 h治疗后患儿均停止腹泻,复查大便正常。结论母乳喂养带菌致婴儿腹泻的原因较多,临床上应高度重视婴儿腹泻诊断的复杂性。在诊断过程中需完成必要的常规检查,及时给予母乳细菌检查和患儿血液学检查,以降低误诊率,避免给患儿造成严重后果。

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。

蒙脱石散结合双歧杆菌三联活菌胶囊治疗小儿腹泻的效果及安全性分析

目的分析腹泻患儿行蒙脱石散联合双歧杆菌三联活菌胶囊治疗的效果。方法94例腹泻患儿,根据随机法将患儿分为对照组和观察组,每组47例。对照组利用蒙脱石散治疗,观察组则在对照组基础上结合双歧杆菌三联活菌胶囊治疗。对比两组临床疗效、症状改善时间、免疫功能[免疫球蛋白G(IgG)、免疫球蛋白A(IgA)]及不良反应发生情况。结果观察组总有效率95.74%相比对照组的82.98%更高,差异具有统计学意义(P<0.05)。观察组治疗后呕吐改善时间、腹痛缓解时间、大便恢复正常时间、发热消退时间分别为(1.15±0.34)、(1.26±0.23)、(2.28±0.87)、(1.12±0.23)d,相较于对照组的(2.69±0.65)、(2.73±0.51)、(4.47±1.13)、(2.54±0.76)d更短,差异具有统计学意义(P<0.05)。两组治疗前的IgG、IgA比较,差异无统计学意义(P>0.05);观察组治疗后IgG(13.78±2.43)g/L、IgA(1.96±0.43)g/L比对照组的(10.97±1.87)、(1.32±0.19)g/L高,差异具有统计学意义(P<0.05)。观察组不良反应发生率和对照组比较无差异(P>0.05)。结论腹泻患儿应用蒙脱石散和双歧杆菌三联活菌胶囊共同治疗能够明显提升疗效,可促使其临床症状快速消除,有效改善患儿免疫功能,减少不良反应发生情况,临床上值得推广使用。

回访单院外管理联合多元化心理干预在小儿轮状病毒感染性肠炎腹泻中的应用效果

目的 分析回访单院外管理联合多元化心理干预在小儿轮状病毒感染性肠炎腹泻中的应用效果。方法 选取2020年1月至2022年12月期间泉州市安溪县虎邱卫生院收治的80例小儿轮状病毒感染性肠炎腹泻患儿,按照随机数字表法将其分为对照组(常规护理)及观察组(回访单院外管理联合多元化心理干预),比较两组间疗效、各临床症状缓解时间、家属心理状态、疾病知识掌握度以及护理满意度。结果 观察组总有效率、家属干预后疾病知识掌握度以及家属护理满意度均高于对照组(均P <0.05);观察组呕吐缓解时间、脱水缓解时间、腹泻缓解时间、发热缓解时间、大便形成时间均比对照组短(均P <0.05);观察组干预后家属SAS评分、SDS评分均低于对照组(均P <0.05)。结论 小儿轮状病毒感染性肠炎腹泻采取回访单院外管理联合多元化心理干预,可以快速改善患儿临床症状,同时,有助于帮助家属掌握更多疾病知识,减轻家属心理负面情绪,提升家属护理满意度。