ADHD患儿伴不同程度感觉统合失调影响因素分析

目的研究注意缺陷多动障碍（Attention Deficit Hyperactivity Disorder，ADHD）患儿的感觉统合失调率及不同程度感觉统合失调的影响因素。方法采用儿童感觉统合能力发展评定量表和自拟儿童生长发育及家庭环境因素调查表对儿科神经专科门诊ADHD患儿进行感觉统合能力评定和影响因素分析，同时采用Rutter儿童行为评定量表、瑞文测验联合型（Combined Raven’s Test，CRT）了解患儿的行为问题和智力情况。结果ADHD患儿的感觉统台失调率为98．26％，且以中重度为多（占83，68％），单因素分析表明，感觉统合失调程度主要影响因素与儿童学习成绩，智商，伙伴关系，母亲文化程度，家庭气氛等有关。结论ADHD惠儿的感觉统合失调发生率较高，且失调程度是多因素相互作用的结果。     

ADHD患儿伴不同程度感觉统合失调影响因素分析

目的研究注意缺陷多动障碍(AttentionDeficitHyperactivityDisorder,ADHD)患儿的感觉统合失调率及不同程度感觉统合失调的影响因素。方法采用儿童感觉统合能力发展评定量表和自拟儿童生长发育及家庭环境因素调查表对儿科神经专科门诊ADHD患儿进行感觉统合能力评定和影响因素分析,同时采用Rutter儿童行为评定量表、瑞文测验联合型(CombinedRaven’sTest,CRT)了解患儿的行为问题和智力情况。结果ADHD患儿的感觉统合失调率为98.26%,且以中重度为多(占83.68%),单因素分析表明,感觉统合失调程度主要影响因素与儿童学习成绩,智商,伙伴关系,母亲文化程度,家庭气氛等有关。结论ADHD患儿的感觉统合失调发生率较高,且失调程度是多因素相互作用的结果。     

广西柳州市1671例3～6岁幼儿感觉统合失调状况调查

目的：了解广西柳州市幼儿的感觉统合失调状况。方法应用儿童感觉统合能力发展评定量表对广西柳州市22所幼儿园1671例3～6岁幼儿进行调查。结果3～6岁幼儿感觉统合失调发生率为39．50％（660/1671）,其中重度失调率为16．04％（268/1671）,轻度失调率23．46％（392/1671）。男孩感觉统合失调发生率为49．53％（474/957）,明显高于女孩的44．26％（316/714）（P＜0．05）,男孩、女孩发生率比较差异有统计学意义（ P＜0．05）。3岁儿童感觉统合失调发生率为57．50％（161/280）,4岁为51．59％（276/535）,5岁为43．36％（222/512）,6岁为33．80％（131/344）,各年龄段儿童发生率比较差异有统计学意义（P＜0．05）。前庭失调率65．61％（433/660）,触觉过分防御失调率88．48％（584/660）,本体感失调率58．33％（385/660）。结论柳州市3～6岁幼儿感觉统合失调发生率较高,且男孩感觉统合失调发生率明显高于女孩。     

兰州市学龄前儿童感觉统合失调现况调查

目的了解兰州市3～5岁儿童感觉统合失调现状。方法采用整群抽样方法,选择兰州市有代表性的5所幼儿园3—5岁儿童828名,采用儿童感觉统合能力评定量表进行评估和调查。结果兰州市儿童感觉统合轻度、重度、轻重度失调率分另q为35．4％、213％、9．3％;感觉统合失调率男孩高于女孩;在5项重度感觉统合失调中,触觉失调率女孩高于男孩（x2=5．016,P〈0．05）。视觉平顺失调率不同年龄组间有差异（x2=7．258,P〈O．05）,且随年龄的增大失调率有上升的趋势,其余各项均无年龄、性别差异（P〉0．05）。结论兰州市儿童感觉统合失调率高（46．9％）,这是值得重视的儿童发育问题,应及早采取综合干预措施,全面促进本地区学龄前儿童感觉统合功能的改善。     

8—2岁市区学龄儿童感觉统合失调与不良行为及家庭因素调查分析

目的：调查本市区小学儿童感觉统合失调现状与不良行为及家庭因素的关系。方法：用感觉统合诊断量表和自制儿童生长发育调查表对1775名学龄儿童进行心理行为问题调查。结果：感觉统合轻度失调23．4％，重度失调13．5％，男童失调发和率（42．86％）明显高于女童（31．36％）P＜0．0），前庭功能失衡发生率最高（21．30％）；统合失调组儿童不良行为发生率高达64．38％明显高于统合正常组（31．11％）P＜0．01，失调组不良行为各因子的发生率亦明显高于统合正常组P＜0．01；学习能力不足儿童与父母文化程度和不同职业有关P＜0．01。结论：儿童感觉纺合失调现状易成为成人心理障碍的潜在因素，应引起重视。     

学龄儿童感觉统合能力的神经心理特征分析

目的：通过研究城市学龄儿童感觉统合能力与其神经心理特征的关系。深入探讨感觉统合失调的发病机理，疾病性质，方法：用儿童感觉统合检核表，感觉统合能力评定量表，H．R神经心理测验，选取城市6．5－7．5岁的1年级小学生63人为被试，进行问卷测试和个别测验。结果：儿童感觉统合能力发展与H．R神经心理测验某些指标显著相关，儿童的感觉统合失调症状伴随明显的神经心理发展问题。结论：视觉空间关系的接受和表达能力缺陷是儿童感觉统合失调的重要心理特征。     

贵阳市1030名儿童感觉统合失调研究

目的 :了解位于西南山区的贵阳市学龄儿童感觉统合失调发生情况、分布特点和影响因素。方法 :用感觉统合能力发展评定量表与Rutter儿童行为问题家长问卷 ,抽样调查贵阳市 5所小学 10 30名儿童。结果 :10 30名 6～ 12岁儿童的轻度感觉统合失调率为 2 4 37% ,重度感觉统合失调率为 8 93% ,总感觉统合失调率为2 7 18%。男童和女童感觉统合失调率分别为 30 5 5 %和 2 3 33% (χ2 =3 87,P <0 0 5 ) ,男童明显高于女童。有行为问题儿童感觉统合失调率为 73 5 2 % ,无行为问题儿童感觉统合失调率为 2 2 4 4 % ,两者比较有高度显著性差异 (χ2 =84 75 ,P <0 0 1)。感觉统合失调发生率有随年龄增长而逐步下降的倾向。结论 :贵阳市 6～ 12岁儿童感觉统合失调率在国内外报道中属于中等偏低水平 ,感觉统合失调与儿童性别、年龄、儿童行为问题密切相关     

菏泽市城区1008名学龄儿童感觉统合失调调查分析

目的：为了解本市的学龄儿童感觉统合失调的发生率及造成感觉统合失调的有关因素。方法：采用北京感觉统合失调评定表，对6－10岁1008名在校儿童进行整群抽样调查，所获数据经χ^2检验。结果：感觉统合失调发生率为35．52％，其中轻率23．4％，重度12．1％，男童发生率为43．08％，女童发生率为27．89％，男高于女（P＜0．05）。结论：儿童感觉统合失调发生率与父母文化程度、儿童自身智力、学习成绩、出生时缺氧缺血性脑病有关，有关部门要迅速组建机构对感觉统合失调进行训练。     

太原市某幼儿园3-5岁儿童感觉统合失调现状及影响因素调查分析

目的 了解太原市某幼儿园3-5岁儿童感觉统合失调的发生情况及特点,探讨影响儿童感觉统合失调的相关因素.方法 采用"儿童感觉统合失调筛查软件"对太原市某幼儿园3-5岁儿童321入进行感觉统合失调评定,并使用Logistic回归分析相关因素对感觉统合失调的影响.结果 该幼儿园3-5岁儿童轻度SID率为25.5%,重度SID率为12.5%,总SID率为38.0%;通过分析不同母亲文化程度、母孕期疾病服药、儿童看电视时间等儿童之间感觉统合失调情况有显著差异(P＜0.05).结论 太原市幼儿园儿童感觉统合失调的发生情况不容忽视,母亲文化程度、母孕期疾病服药、儿童看电视时间等因素对儿童感觉统合功能的发育具有一定的影响.     

家庭环境因素对学龄前儿童感觉统合情况发育的影响研究

目的研究家庭环境因素对感觉统合失调儿童的影响情况。方法采用感觉统合评定量表和家庭环境因素量表对1131名学龄前儿童家长进行检测、分析。结果所调查的儿童感觉统合失调率为32．5％;男女童之间未见显著性差异（P〉0．05）;感统失调组儿童家庭环境因素中的情感表达、娱乐性、亲密度、知识性、组织性分量表的因子分均低于感统发育正常组,而家庭环境因素中的矛盾性因子分高出感统正常组。结论儿童感觉统合失调的发生与家庭环境因素有一定关系,改善家庭环境有利于降低儿童感觉统合失调发生率。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

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.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.