Clinical research of early comprehensive intervention for development of premature infant / 中国医师进修杂志

Objective:To research the clinical effect of early comprehensive intervention for physical and intelligence development of premature infant (test-tube baby).Methods:One hundred and eleven premature infant in Dalian Municipal Women and Children′s Medical Center from June 2016 to June 2018 were enrolled. Study group (57 cases) received comprehensive intervention including health education, exercise training, nutrition guidance and rehabilitation therapy, and control group (54 cases) received health education. The weight, height, head circumference and CDCC score of two groups were analyzed in 3, 6 and 12 month.Results:Physical development: the weight [3 month: (4.72 ± 0.19) kg vs. (4.34 ± 0.29) kg; 6 month: (6.49 ± 0.37) kg vs. (6.25 ± 0.41) kg; 12 month: (9.58 ± 1.15) kg vs. (8.76 ± 0.92) kg] and height [3 month: (59.63 ± 5.51) cm vs. (56.29 ± 5.86) cm; 6 month: (65.09 ± 5.94) cm vs. (62.36 ± 6.20) cm] in 3, 6 and 12 month, and head circumference in 3 and 6 month [3 month: (37.71 ± 1.77) cm vs. (35.90 ± 1.48) cm; 6 month: (43.18 ± 1.96) cm vs. (41.82 ± 2.61) cm] of study group were higher than those in control group, and all difference had statistical significant ( P<0.05). Intelligence development: the MDI [3 month: (84.49 ± 9.78) scores vs. (80.58 ± 10.40) scores; 6 month: (89.65 ± 13.21) scores vs. (83.24 ± 17.66) scores; 12 month: (96.03 ± 15.43) scores vs. (89.71 ± 17.85) scores] and PDI score of study group was higher than that in control group in 3, 6 and 12 month [3 month: (82.68 ± 5.35) scores vs. (79.43 ± 7.21) scores; 6 month: (86.34 ± 8.33) scores vs. (82.51 ± 9.67) scores; 12 month: (94.86 ± 10.27) scores vs. (90.32 ± 11.65) scores] ( P<0.05). Conclusions:Early comprehensive intervention has a good clinical efficacy for physical and intelligence development of premature infant (test-tube baby) and is worthy of popularizing and applying.

Establishment and evaluation of a method for determination of total arsenic in urine by test-tube rapid digestion hydride generation atomic fluorescence spectrometry / 中华地方病学杂志

Objective To establish and evaluate a method for determination of total arsenic in urine by test-tube rapid digestion hydride generation atomic fluorescence spectrometry.Methods After digestion of urine samples using graduated test-tube and graphite digestion apparatus,arsenic content in urine was determined with atomic fluorescence spectrometer.Then the test results were evaluated by using quality control measures,such as precision and accuracy experiments,and the results between different laboratories were reviewed and compared.Results The urinary arsenic was in a linear range of 0-0.300 mg/L,correlation coefficient (r) ＞ 0.999 3,detection limit was 0.000 21 mg/L,relative standard deviation (RSD) ≤4.62％ and the recoveries of standard addition were 93.9％-104.3％.The value of standard reference material measured was within the allowable range.The blind sample of the national urinary arsenic was qualified.Conclusions This method is suitable for large scale determination of urinary arsenic for its micro sample amount needed,less interference and strong practicability.The error results are in a controlled range.

Investigation on the status of 3-14 years old children with cerebral palsy in Liaoning / 中国医师进修杂志

Objective To investigate the status on children of 3-14 years old who suffered from cerebral palsy in Liaoning province. Methods One thousand three hundred and twenty-three cases of children with cerebral palsy of 3-14 years old who received rehabilitation in city hospital, county hospital and community hospital were investigated from January 2013 to October 2016 in 14 cities in Liaoning Province. The proportion of cerebral palsy children in 3-4 years old, 4-5 years old, 8-9 years old, 5-6 years old , 6-7 years old and 7-8 years old was about 10%, and in the other age the proportion was about 7%. The proportion of men and women generally was 4:1;neonatal convulsion (252 cases, 19%), premature delivery (230 cases , 17.3%) and low birth weight infant (187 cases, 14.1%) were main risk factors and accounted for more than 10%. Spastic type cerebral palsy accounted for the highest proportion (54.35%, 719 cases)and ataxia cerebral palsy accounted for the lowest proportion (2.95%). In complications , lower intelligence accounted for the highest proportion (50.34%, 666 cases), followed by the language barrier (43.99% , 582 cases), and the other complications accounted for less than 10%.;gross motor function classification in most studied children was stageⅡ(35%) and stageⅢ(32.50%); 6.95% patients could go to school, and 84.96% patients had health insurance. Patients coming from city accounted for 69.01%, and patients coming from rural area accounted for 30.99%. Mothers′ education below primary school was 4.16% . 36.05% children received rehabilitation in comprehensive hospital, 60.09%in children′s hospital and 3.85%in maternal and child health hospital. Conclusions Spastic cerebral palsy is the main type of children with cerebral palsy in Liaoning.High risk factors include neonatal convulsions, premature birth and low birth weight infants. Most patients complicate with low intelligence and language barriers.This paper can be used as the basis of further research on prevention and treatment

Effect of Partial Body Weight Support Training on Cerebral Palsy Children with Spasticity Diplegia / 中国康复理论与实践

@#Objective To observe the effect of partial body weight support training (PBWST) on walking ability of cerebral palsy (CP) children with spasticity diplegia.Methods 60 CP children with spasticity dilegia were randomly divided into the PBWST group and control group with 30 cases in each group. All cases were treated by traditional physical treatment, but those of the PBWST group were added with PBWST. The changes of walking ability and endurance of all cases before and after treatment were observed.Results After treatment, the walking ability and endurance of the cases in two groups improved significantly, but the effect of the PBWST group was obviously superior to the control group ( P<0.05), especially in walking endurance ( P<0.001).Conclusion PBWST can improve the walking ability of CP children with spasticity diplegia and already having walking ability.

手足徐动型脑瘫患儿的肺功能改变 / 中国康复理论与实践

@#目的分析手足徐动型脑瘫患儿的肺功能改变,探讨康复评价的客观指标。方法用肺功能仪,在平静呼吸(潮气呼吸)下检测32例脑瘫患儿的肺功能,并与30例健康儿的数据进行对比和统计分析。结果脑瘫患儿的通气功能和呼吸运动学指标均有改变,与对照组相比各参数有非常显著性差异(P<0.01)。结论手足徐动型脑瘫患儿存在肺功能改变,不容忽视。

Analysis on the effect of Wuida and Bobath on upper limb spasticity in children with hemiplegia / 中国康复理论与实践

@# ObjectiveTo study the method decreasing muscle tensility of upper limb and improving the function of disabled limb and hand on the spastic period in children with hemiplegia.Methods32 children with hemiplegia were randomly divided into Wuida (16cases ) and Bobath group (16cases ). The evaluation was done 1 weeks before treatment, then Wuida and Bobath therapy was used to decrease muscle tensility and abnormal gesture. After spasticity untroubled, both groups had undergone suitable occupational therapy for three months.ResultsThe decrease of the spasticity and the function of disabled limb and hand in Wuida group were better than those in Bobath group.ConclusionsWuida therapy can decrease muscle tensility of upper limb on the spastic period in children with hemiplegia.

Psychological assessment of the parents of children with cerebral palsy / 中国康复理论与实践

@#ObjectiveTo study the psychological state of the parents of children with cerebral palsy(CP).Methods66 parents of CP children were assessed by Symptom Checklist 90(SCL-90)-test,45 normal persons were also assessed by the same way as the control.ResultsExcept psychosis nature,the SCL-90 score of the parents of children with cerebral palsy were higher than that in control (P<0.01-0.05).ConclusionsThe parents of children with cerebral palsy have severe mental problems.

Quantitative assessment of motor function on children with cerebral palsy before and after wearing ankle foot orthopedic instruments / 中国组织工程研究

Objective To assess motor function quantitatively on children with cerebral palsy before and after wearing ankle foot orthopedic instruments.Method Ankle foot orthopedic instruments were made by Dalian Prosthesis Factory.Children' motor function was assessed with self made quantitative assessment scale according to the forth,fifth function area of motor assessment scale of children with cerebral palsy after one week of wearing orthopedic instruments. Result In all 23 patients, orthopedic instruments proved effective in controlling leg muscular tension,correcting equines,genu recurvatum,talips valgus and talipes varus,keeping erect posture and modifying gait.Motor function assessed show significant difference before and one week after wearing orthopedic instruments (P< 0.001).Conclusion Ankle foot orthopedic instruments play a positive role in improving motor function of lower extremity in cerebral palsy patients.

Causes of delayed diagnosis in cerebral palsy / 中国康复理论与实践

@#ObjectiveTo investigate the influential factors of delayed diagnosis in the patients with cerebral palsy.Method50 cases with cerebral palsy were divided into 2 groups: beyond-12-months-group(20 cases) and under-12-month-group(30 cases). Their social facters were investigated and analyzed. SPSS statistical software was used.ResultThere is significantly difference between diagnosing group of under 12 months and that of beyond 12 months(the group of delayed diagnosis) in the factors of parents' educational level, the region where patients came from(urban or rural) and the type of cerebral palsy(P<0.01), While there is no difference in high risk factors(P>0.05). ConclusionIt is necessary for reducing delayed diagnosis to raise national cultural level, to eliminate difference between town and country, to spread the knowledge of early diagnosis and evaluation in cerebral palsy, to improve diagnosing ability in local hospitals, and to establish high risk newborns' long-term monitor system.