尼美舒利颗粒治疗小儿高热86例

目的：观察尼美舒利颗粒治疗小儿高热的临床疗效。方法将172例患儿随机分为观察组和对照组,每组86例,2组患儿入院后均经维生素、电解质、补液和抗感染等常规治疗。其中观察组患儿予以尼美舒利颗粒治疗,对照组予以美林（布洛芬混悬液）进行治疗。结果观察组的治疗总有效率为98.9%,对照组的治疗总有效率仅为83.7%。其中观察组患儿治疗后1 h和6 h的体温下降幅度分别为（1.6±0.3）℃和（2.5±0.2）℃,显著大于对照组患儿的体温下降幅度,组间比较差异具有统计学意义（P<0.05）。结论尼美舒利颗粒可有效治疗小儿高热症状,具有疗效显著和退热缓和的优点,在小儿高热的临床治疗上具有广泛的应用价值。     

复方小儿退热栓治疗小儿感冒发热的疗效和安全性

目的：探讨复方小儿退热栓治疗小儿感冒发热的疗效和安全性。方法选取来河南省汤阴县人民医院就诊的感冒发热患儿104例为研究对象,将所有患儿随机均分为观察组和对照组（n=52）。对照组患儿给予双黄连口服液进行治疗,观察组患儿给予复方小儿退热栓进行治疗。观察对比2组患儿的体温变化、临床治疗效果以及药物不良反应发生情况。结果观察组患儿治疗后的临床总有效率为96.15%,显著高于对照组患儿的73.00%,2组比较,差异具有统计学意义（P＜0.05）。观察组患儿在治疗过程中均未出现肛门疼痛、呕吐等不良反应;对照组患儿治疗过程中有3例出现腹痛、腹泻症状。观察组患儿不良反应发生情况显著优于对照组患儿,2组比较,差异具有统计学意义（P＜0.05）。结论复方小儿退热栓治疗小儿感冒发热疗效较好,不良反应少,值得在临床应用中进行推广。     

中药直肠滴注预防小儿反复呼吸道感染

目的：观察中药直肠滴注预防小儿反复呼吸道感染的疗效。方法：将80例患儿随机分成两组,对照组（40例）给予免疫调节剂左旋咪唑口服,治疗组（40例）给予补肾健脾益肺的中药直肠滴注,同时治疗2个疗程,观察两组的临床疗效。结果：治疗组总有效率为95%,对照组为55%;两组疗效比较有显著性差异（P〈0.01）。结论：本方在预防小儿反复呼吸道感染中较左旋咪唑效佳,同时使用直肠滴注方法,既是儿科给药方法的补充,又是祖国医学的继承和发扬,拟可推广使用。     

清解退热合剂保留灌肠治疗小儿外感发热临床观察

目的 观察清解退热合剂保留灌肠治疗小儿外感发热的临床疗效.方法 将外感发热患儿随机分为对照组和治疗组,在进行常规抗感染治疗的同时,对照组予臣功再欣口服退热,治疗组予清解退热合剂保留灌肠治疗.观察比较两组退热效果.结果 治疗组单次退热见效时问短,药效持续时间长于对照组,两组有效率比较,治疗组高于对照组.结论 清解退热合剂治疗小儿外感发热疗效好,见效快,退热持续时间长,无不良反应,有一定的推广价值.     

应用中药治疗小儿外感发热的临床疗效分析

目的：分析用中药小儿退热方治疗小儿外感发热的临床效果。方法：将2012年3月至2013年9月我院收治的112例外感发热患儿随机分为对照组和观察组,每组各56例患儿。为对照组患儿使用喜炎平、美林等西药进行治疗,为观察组患儿采用自拟的小儿退热方和中药煎水洗浴方进行治疗,对比分析两组患儿的临床疗效。结果：观察组患儿治疗的总有效率为98.21%,对照组患儿的治疗总有效率78.57%,观察组患儿治疗的总有效率明显高于对照组患儿,差异显著（P<0.05）,有统计学意义。结论：用自拟中药退热方治疗小儿外感发热可取得良好的临床疗效,此法值得在临床上推广应用。     

阿奇霉素与红霉素配伍治疗小儿支原体肺炎46例临床观察

目的:探讨阿奇霉素配伍红霉素治疗小儿支原体肺炎的临床效果。方法:将91例小儿支原体肺炎患者随机分入观察组(阿奇霉素与红霉素配伍治疗)和对照组(红霉素治疗),观察对比两组患儿经过治疗后的总有效率、平均住院日、退热、止咳天数以及不良反应发生率。结果:观察组患儿总有效率为97.83%,明显高于对照组的84.44%(P<0.05);观察组患儿平均住院天数为9.22±2.41d、平均退热天数为2.98±1.25d,平均止咳天数为5.34±1.07d,均明显低于对照组(P<0.05);在不良反应方面,两组在胃肠道不良反应、肝肾功能损害和皮疹反应三方面均无显著性差异(P>0.05)。结论:阿奇霉素与红霉素配伍治疗小儿支原体肺炎有良好的疗效。     

用双黄连口服液治疗小儿上呼吸道感染的疗效观察

观察用双黄连口服液治疗小儿上呼吸道感染的疗效及引发不良反应的情况。方法：将2011-2013年我院收治的200例上呼吸道感染的患儿分为观察组和对照组，每组各100例患儿。为观察组患儿使用双黄连口服液进行治疗，为对照组患儿使用感冒速效片进行治疗，并观察两组患儿的临床疗效。结果：与对照组相比，观察组中普通感冒患儿进行药物治疗的临床疗效较优，差异显著（P<0.05），有统计学意义。与对照组相比，观察组中急性咽炎患儿进行药物治疗的临床疗效较优，差异显著（P<0.05），有统计学意义。与对照组患儿相比，观察组患儿发生不良反应的几率较低，差异显著（P<0.05），有统计学意义。结论：用双黄连口服液治疗小儿上呼吸道感染的疗效确切，安全性较高，值得在临床上推广使用。     

金双歧联合山白消食合剂治疗小儿功能性消化不良疗效观察

目的：观察金双歧联合山白消食合剂治疗小儿功能性消化不良的临床效果。方法：选择小儿功能性消化不良237例进行研究,随机分成治疗组120例给予金双歧和山白消食合剂治疗,对照组117例给予吗丁啉和奥美拉唑治疗。结果：治疗组显效时间为（2．5±0．5）d,对照组显效时间为（3．5±1．0）d,治疗组显效时间低于对照组,治疗组总有效率90．8％,对照组总有效率79．5％,治疗组总有效率高于对照组,两组差异有统计学意义,P＜0．05。结论：金双歧联合山白消食合剂组能在较短时间内改善患儿症状,不良反应少,能有效提高治疗效果,是小儿功能性消化不良治疗较好选择。     

柴葛解肌汤对小儿上呼吸道感染高热的临床效果分析

目的：探讨柴葛解肌汤治疗小儿上呼吸道感染高热的疗效。方法选择我院2012年10月-2013年10月收治的小儿上呼吸道感染患者100例,随机分为对照组和观察组各50例。对照组给予氨酚曲麻片联合头孢克肟颗粒治疗,观察组在对照组的基础上加用柴葛解肌汤治疗。对2组治疗效果和退热时间进行观察。结果观察组治疗有效率为98%,显著高于对照组的86%（P<0.05）;观察组开始退热时间、退热时间分别为（2.5±0.3）h、（27.2±3.3）h,显著低于对照组的（4.7±0.9）h、（41.3±3.9）h（P<0.01）。结论柴葛解肌汤能有效治疗小儿上呼吸道感染,治疗效果显著、退热时间快,值得推广。     

复方小儿退热栓治疗小儿感冒发热的疗效和安全性分析

目的：采用复方小儿退热栓治疗小儿感冒发热,并对其疗效以及安全性进行详细探究。方法：随机选取该院2015年5月至2016年5月收治的65例小儿感冒发热患儿作为研究对象。根据随机分配原则,将65例患儿随机分为对照组31例和观察组34例。对照组患儿采用临床常规急诊处理方法;观察组患儿在采用临床常规急诊处理方法的基础上加复方小儿退热栓进行治疗。对于两组患儿的临床症状以及不良反应发生情况进行统计和分析。结果：两组患儿用药后惊厥发生次数均明显减少,观察组患儿高热退去时间和惊厥好转时间较对照组患儿明显缩短;观察组患儿不良反应发生率（11.76％）与对照组患儿的（12.90％）相比无明显差异。结论：对于感冒发热患儿,可以采用复方小儿退热栓进行治疗,不仅疗效显著,而且不良反应发生率低,安全有效,因此,值得临床推广应用。     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.     

Development Is A High Level Inheritance for China Time-honored Brand Products

<正>As culture is the soul of a nation,the three books,"History of Chinese Philosophy,""History of Chinese Culture"and"History of Chinese Science and Technology"have demonstrated the superiority of our great Chinese culture,and its significant impact in the field of international culture.Both core value and practical value of the Chinese culture are very clear,reflected in the views of universe,nature,life,health,disease,and therapy and related considerations,concepts,and technical methods.