脐血铅含量与婴儿神经行为发育的探讨

目的：了解广西地区儿童铅中毒状况，研究铅对婴儿神经发育的影响。方法：选择1020名婴儿，以脐血铅作为铅暴露示标，3月龄时在贝利（Bayley)婴儿发育表上以精神发育指数（MDI）和心理运动发育指数（PDI）为效应示标。结果：血铅≥0．48μmol/L的婴儿其MDI和PDI明显落后于相对低铅组，随着分界线的下移，两组间MDI和PDI差别渐趋缩小，当分界线为0.24μmol/L时，高、低铅组MDI和PDI已不存在统计学差异。结论：当血铅≥0.48μmol/L时，婴儿神经行为发育即可受到不利影响。     

0～4个月婴儿早期教育的探讨

目的：探讨0～4个月婴儿早期教育的效果。方法：儿科医师向实验组家长讲明0～3岁教育大纲及意义，指导家长对其婴儿进行早期教育。婴儿4个月时由儿科医师时婴儿敏智能测查，并分析实验组与常规组婴儿智力发育指教（MDI）及心理运动发育指数（PDI）的差异。培果：实验组MDI及PDI明显高于常规育儿组，两组最大的差异在于动手能力的不同。结论：婴儿早期教育的效果是显著的。     

308例婴幼儿智能发育测验结果分析

目的通过测验对该地区儿童的智能发育水平有初步了解,调查分析了一些相关因素。方法用婴幼儿智能发育测验法对308名正常儿童进行了婴幼儿智能发育测验并且进行了分析。结果对在正常值范围内出生的、无任何影响高危因素的儿童分析男童与女童其小儿智能发育指数（MDI）和心理运动发育指数（PDI）无显著性差异;而父母受过高等教育其MDI明显偏高,差异有显著性;家庭成员多其PDI偏高,差异有显著性。结论家庭的家庭成员越多为孩子运动方面锻炼的机会会越多,此家庭孩子的运动发展指数也相对高于三口之家的孩子。     

抚触对正常新生儿行为神经及智力发育的影响

目的：探讨抚触对正常新生儿行为神经及智力发育的影响。方法：选择在我院产科出生的正常新生儿115例,按出生的单双日随机分为抚触组（55例）和对照组（60例）。在综合护理措施及育儿指导相同的情况下,抚触组的婴儿接受抚触按摩,每天2～3次,每次15～20min,持续3个月。对两组新生儿在出生后1个月进行新生儿行为神经测定评分（NBNA）;3个月进行智能发育指数（MDI）、心理运动发育指数（PDI）和头围测查及对比分析。结果：抚触组与对照组在出生后1个月NBNA基础评分分别为（39.92±0.65）分,（38.37±0.52）分,两者比较差异有统计学意义（P〈0.01）;3个月两组MDI、PDI和头围测查差异亦有统计学意义（P〈0.05）。结论：抚触可提高正常婴儿的智力及促进婴儿心理等各方面的发育。     

135名低出生体重儿的贝利婴幼儿发展量表测试分析

目的：了解低出生体重儿智能发育状况及其影响因素,为促进与改善婴幼儿智力发育提供依据．方法对135名低出生体重儿采用贝利婴幼儿量表进行评估并分析婴幼儿智力发展的影响因素．结果135名婴幼儿平均MDI为（86.76±18.95）分,MDI＜80分检出率为17.8%、PDI＜80分检出率为29.6%;婴幼儿MDI的影响因素是出生体重、年龄、父母亲文化程度、喂养方式;婴幼儿PDI的影响因素是年龄和出生体重．结论减少早产儿、低出生体重儿的出生;提高父母文化程度;提倡母乳喂养;进行早期干预可促进婴幼儿智力发育．     

早期教育对促进婴儿智能发育300例效果观察

目的：研究早期教育对促进婴儿智能发育的效果。方法：将正常新生儿300例随机分为早教组和对照组．早教组由儿保医师对其家长进行早期教育及疾病预防措施指导，由家长对孩子实施；对照组婴幼儿进行常规保健指导。两组婴儿定期进行体格发育、营养状况及精神发育评估，并于出生后6个月、9个月、12个月用婴幼儿智力量表（CDCC）进行智力测试。结果：早期教育组6个月、9个月、12个月时智力发育指数（MDI）及心理运动发育指数（PDI）明显高于对照组（P〈0．01）。结论：早期教育对婴幼儿智能发育有明显的促进作用。     

分娩方式对6个月内婴儿生长、智能发育影响的初步研究

目的探讨自然分娩与剖宫产两种产式对6个月内婴儿健康、智能发育水平的影响。方法分别对北京市顺义区妇幼保健院出生的418名婴儿在42d和6个月时进行健康检查，同时根据分娩方式、母亲文化程度、家庭经济以及性别，采用1：1配比选取50对婴儿，用盖塞尔智能发育量表进行智能发育测评追踪。结果自然分娩与剖宫产的婴儿在42d和6个月时身长、体重以及增长量、患病人数以及智能发育水平差异无显著性（P〉0．05）。结论不同分娩方式对6个月内婴儿的健康、智力水平无显著影响。     

婴儿喂养方式与智能发育关系的研究

目的：探讨婴儿喂养方式及其与智能发育的关系。方法：采用Bayley婴儿发育量表测试评估婴儿智能，对资料进行方差分析。结果：母乳喂养组婴儿9月龄时智能发育指数（mental development index，MDI），运动发育指数（psyehomtive development index，PDI）均高于部分母乳喂养组以及人工喂养组（P〈0．05）。经x^2分析差异有统计学意义（P〈0．05）。结论：母乳喂养可促进婴儿智能发育。     

孕妇、乳母DHA含量对婴儿智能发育的影响

目的 探讨孕妇、乳母DHA含量对婴儿智能发育的影响.方法 将孕妇随机分为试验组(长链不饱和脂肪酸饮食组)和对照组(普通饮食组)各75例,用毛细管气相色谱法测定两组孕妇于妊娠(20±2)周、(32±2)周、生后4周、足月静脉血及其新生儿脐血血清DHA水平,对其婴儿于出生后3～4个月采用中国儿童发展中心(CDCC)制定的0～3岁婴幼儿智能发育量表进行评价,得出精神和运动发育指数(MDI和PDI).结果 试验组血清DHA含量高于对照组,差异有非常显著性(P＜0.01),试验组MDI、PDI显著高于对照组.结论 孕妇、乳母DHA水平与婴儿智能发育有密切关系.     

分娩方式对6个月内婴儿生长、智能发育影响的初步研究

目的探讨自然分娩与剖宫产两种产式对6个月内婴儿健康、智能发育水平的影响。方法分别对北京市顺义区妇幼保健院出生的418名婴儿在42d和6个月时进行健康检查,同时根据分娩方式、母亲文化程度、家庭经济以及性别,采用1:1配比选取50对婴儿,用盖塞尔智能发育量表进行智能发育测评追踪。结果自然分娩与剖宫产的婴儿在42d和6个月时身长、体重以及增长量、患病人数以及智能发育水平差异无显著性(P>0.05)。结论不同分娩方式对6个月内婴儿的健康、智力水平无显著影响。     

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.     

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<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.