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Effect of oral stimulation on oral feeding ability of preterm infants 口腔刺激对早产儿口腔喂养能力的影响
Pub Date : 2014-07-20 DOI: 10.3760/CMA.J.ISSN.2095-428X.2014.14.012
H. Tong, Huiying Xu, Chunlan Zhou, Peng Zeng
Objective To study the effect of Sandra Fucile oral stimulation on oral feeding readiness and ability of preterm infants. Methods Sixty-five premature infants were selected in the study.All of the premature infants were recruited randomly in convenience between Jul.and Dec.2012.For a randomized control principle, SPSS 13.0 was performed to achieve complete random design.Objects were divided into control group(receiving routine nursing) and intervention group(on the basis of routine nursing, receiving 15 minutes oral stimulation, 1 time/day, for 10 days). Chinese version of Preterm Infant Oral Feeding Readiness Assessment scale(PIOFRA scale-CV) was used when intervention began, and 7 days, 10 days, 14 days after the start of the intervention. Results PIOFRA-CV scale score was statistically different at different time in both groups(F=169.062, P 0.05). Conclusions Saudra Fucile oral stimulation method can significantly promote the development of premature oral feeding ability on the 10 day after the intervention, and will not increase vomiting, gastroesophageal reflux, and infection.It is suitable for clinical application. Key words: Chinese version of Preterm Infant Oral Feeding Readiness Assessment Scale; Oral stimulation; Preterm infant
目的探讨桑德拉·富西乐口腔刺激对早产儿口腔喂养准备和能力的影响。方法选择65例早产儿进行研究。所有早产儿均于2012年7月至12月随机招募。采用随机对照原则,采用SPSS 13.0软件进行完全随机设计。对象分为对照组(给予常规护理)和干预组(在常规护理的基础上给予15分钟口腔刺激,1次/天,连用10天)。在干预开始时、干预开始后7天、10天、14天分别使用中文版的《早产儿口服喂养准备程度评估量表》(PIOFRA量表- cv)。结果两组PIOFRA-CV评分在不同时间差异有统计学意义(F=169.062, p0.05)。结论黄芪口服刺激法在干预后10天可显著促进早产儿口服喂养能力的发展,且不会增加呕吐、胃食管反流和感染。适合临床应用。关键词:中文版《早产儿口服喂养准备程度评定量表》;口腔刺激;早产的婴儿
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引用次数: 0
Surgical treatment of ventricular septal defect with pulmonary hypertension in infants 婴儿室间隔缺损合并肺动脉高压的外科治疗
Pub Date : 2003-11-05 DOI: 10.3969/J.ISSN.1003-515X.2003.11.033
Ruicheng Zhang, Zhang Daxin, FA Xian'en, Genshang Zhao, De‐wei Feng, Haiyong Wang
目的探讨婴幼儿室间隔缺损(VSD)并肺动脉高压(PH)的外科治疗.方法 21例VSD并PH患儿应用浅低温体外循环、温血心肌停搏液连续灌注及间断褥式缝合法进行VSD修补术.围术期注意维护心肺功能,进行综合性降肺动脉压处理.结果 1例(4.8 %)患儿死于术后呼吸功能衰竭,1例(4.8 %) 患儿术后出现右心功能不全.随访18例,恢复良好;1例失访.结论 VSD并PH婴幼儿,若符合手术适应证应及早手术,并积极进行围术期处理,手术效果较好.
目的探讨婴幼儿室间隔缺损(VSD)并肺动脉高压(PH)的外科治疗.方法 21例VSD并PH患儿应用浅低温体外循环、温血心肌停搏液连续灌注及间断褥式缝合法进行VSD修补术.围术期注意维护心肺功能,进行综合性降肺动脉压处理.结果 1例(4.8 %)患儿死于术后呼吸功能衰竭,1例(4.8 %) 患儿术后出现右心功能不全.随访18例,恢复良好;1例失访.结论 VSD并PH婴幼儿,若符合手术适应证应及早手术,并积极进行围术期处理,手术效果较好.
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引用次数: 0
Effect of tumor necrosis factor-alpha on inflammatory reaction in fetal rat kidney after acute ischemia 肿瘤坏死因子- α对胎鼠肾急性缺血后炎症反应的影响
Pub Date : 2003-02-05 DOI: 10.3969/J.ISSN.1003-515X.2003.02.008
Ke-lun Wei
Objective To study the effect of tumor necrosis factor alpha(TNF α)on inflammatory reaction in fetal rat kidney after acute ischemia.Methods By clamping one side of vessels supplying blood to uterus of Wistar rats of 21 gestational days, we made the models of intrauterine acute ischemia in different degrees and the reperfusion models in fetal rats. TNF α and myeloperoxidase (MPO) in fetal kidney tissue were detected by ELISA and biochemically respectively, and the renal histopathological changes were also observed.Results The activity of TNT α increased gradually with the extension of ischemia, especially after 35~45 minutes (P 0.05) .It rose progressively during reperfusion and was at its highest after 8 hours (P0.01) .It reached the level of the sham operation group after 30 hours reperfusion .The activity of MPO changed as that of TNF α . The activity of MPO reached the peak in 15 hours of reperfusion (P0.01) . Histological changes were most prominent after 15 hours reperfusion, including vascular congestion, tubular vacuolar degeneration or necrosis and neutrophil accumulation basement membrane breakdown, especially in proximal end of tubules.Conclusions There is inflammatory reaction in renal injury induced by intrauterine ischemia and reperfusion, TNF α may be one of important mediator and MPO can reflect the degree of inflammatory reaction.
目的探讨肿瘤坏死因子α (TNF α)对大鼠胎肾急性缺血后炎症反应的影响。方法采用夹持Wistar大鼠子宫供血侧血管的方法,建立不同程度的子宫急性缺血模型和胎鼠再灌注模型。采用ELISA法和生化法分别检测胎鼠肾组织中TNF α和髓过氧化物酶(MPO)的含量,并观察肾组织病理变化。结果大鼠心肌组织中TNT α活性随缺血时间延长而逐渐升高,尤其是在缺血35~45 min后(p0.05),再灌注时逐渐升高,8 h后达到最高值(P0.01),再灌注30 h后达到假手术组水平,MPO活性随TNF α变化而变化。MPO活性在再灌注15h时达到峰值(P0.01)。再灌注15h后组织学改变最为显著,包括血管充血、小管空泡变性或坏死、中性粒细胞积聚、基膜破裂,尤以小管近端为明显。结论子宫缺血再灌注肾损伤存在炎症反应,TNF α可能是其中重要的介质之一,MPO能反映炎症反应的程度。
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引用次数: 0
Role of brain-derived neurotrophic factor in hypoxia-induced fetal cortical neurons 脑源性神经营养因子在缺氧诱导的胎儿皮质神经元中的作用
Pub Date : 2002-06-05 DOI: 10.3969/J.ISSN.1003-515X.2002.03.002
Sheng-fu Li
Objectives To observe the role of brain derived neurotrophic factor (BDNF) in hypoxia induced cortical neurons to provide new laboratory evidence for further application of BDNF in clinical practice. Methods The survival rates of cultural fetal cortical neurons were tested and the influence of adding BDNF to the culture medium on survival rates was observed though trypanblue dye; the activity of the cortical neurons was detected using MTT. Results We observed that BDNF could protect the cortical neurons from hypoxia induced neurotoxicity by preincubating the neurons before 24 hours with BDNF and adding BDNF to the cultured neurons just before exposing them to hypoxic cultural environment.The survival rate of the cortical neurons was significantly reduced after exposing to hypoxia environment, while pre incubation of the cortical neurons with BDNF before 24hr and just before exposing to hypoxia showed much higher survival rates than that of the control group in terms of preventing hypoxia neurotoxicity. So this protection was time dependent.Conclusions In vitro, BDNF plays an important role in preventing cortical neurons from hypoxia induced neurotoxicity.
目的观察脑源性神经营养因子(BDNF)在缺氧皮质神经元中的作用,为BDNF在临床中的进一步应用提供新的实验依据。方法检测培养胎皮质神经元的存活率,并通过锥虫蓝染色观察在培养液中添加BDNF对存活率的影响;MTT法检测皮质神经元的活动。结果BDNF对缺氧诱导的皮质神经元具有一定的保护作用,在缺氧培养前24小时用BDNF预孵育神经元,并在缺氧培养前加入BDNF。缺氧后皮质神经元的存活率明显降低,而在缺氧前和缺氧前用BDNF预孵育的皮质神经元在预防缺氧神经毒性方面的存活率明显高于对照组。所以这个保护是时间相关的。结论BDNF在体外抑制皮层神经元缺氧引起的神经毒性中起重要作用。
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引用次数: 0
Premature atherogensis in the healed arteritis induced during the weaning period 在断奶期间引起的已愈合动脉炎的过早动脉粥样硬化
Pub Date : 2000-02-05 DOI: 10.3969/J.ISSN.1003-515X.2000.01.002
Liu Ya-li, H. Xiao-hua
目的探讨川崎病远期冠状动脉硬化发生的危险性.方法实验分为两组:A组用马血清诱发兔的动脉炎,3mo后加用含5%胆固醇饲料喂养;B组未诱发动脉炎,饲料喂养同A组,5mo时两组取心脏做HE和马森染色,观察冠状动脉的病理组织学变化,IBAS画像解析装置测算.结果A组冠状动脉主干部内膜的肥厚、纤维性硬化以及心肌内冠状动脉的硬化程度均比B组明显(P<0.05).结论动脉炎后冠状动脉内膜的隐匿性病变使患病血管比正常血管更易诱发动脉硬化.
目的探讨川崎病远期冠状动脉硬化发生的危险性.方法实验分为两组:A组用马血清诱发兔的动脉炎,3mo后加用含5%胆固醇饲料喂养;B组未诱发动脉炎,饲料喂养同A组,5mo时两组取心脏做HE和马森染色,观察冠状动脉的病理组织学变化,IBAS画像解析装置测算.结果A组冠状动脉主干部内膜的肥厚、纤维性硬化以及心肌内冠状动脉的硬化程度均比B组明显(P<0.05).结论动脉炎后冠状动脉内膜的隐匿性病变使患病血管比正常血管更易诱发动脉硬化.
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引用次数: 1
Classication of muscles fibers and ultra-structural study on adductor magnus muscles in children with spastic hip adduction from cerebral palsy 脑瘫痉挛性髋内收患儿肌肉纤维分类及大收肌超微结构研究
Pub Date : 2000-02-05 DOI: 10.3969/J.ISSN.1003-515X.2000.01.004
Yani Tang
Objective To study ultrastructural damages and classification of types in muscles fibers in the adductor magnus muscles with spastic hipadduction of cerebral palsy. Methods Specimens of the adductor magnus muscles were ta ken from 16 surgically treated children with spastic hip adduction of cerebral palsy,histochemistry examined with muscles globulin ATP ase olye for the classification of muscles fibers and ultra structure also studied. Results The type I fibers,slow twitch fibers,were found to occupy a significantly higher ratio(70.92%)than controls( 57.93% ),and were often gathered to form type grouping.Ultra structural damages were found in all of the specimens. Conclusion It is suggested that these abnormalities are one of the factors a which cause spastic contraction of muscles without long term effects by surgical treatment.The reason which leads to transformation of the fiber types needs further investigation.
目的探讨脑瘫痉挛性海马收缩时大收肌的超微结构损伤及肌纤维类型。方法选取16例手术治疗的脑瘫痉挛性髋内收患儿大收肌标本,用肌球蛋白三磷酸腺苷酶进行组织化学检查,对其肌纤维分类和超结构进行研究。结果ⅰ型纤维(慢抽动纤维)所占比例(70.92%)明显高于对照组(57.93%),且常聚集形成类型分组。所有试件均出现超结构损伤。结论这些异常是引起肌肉痉挛性收缩的因素之一,手术治疗无远期效果。导致纤维类型转变的原因有待进一步研究。
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引用次数: 0
Diagnosis and treatment of cerebral malaria in children 儿童脑型疟疾的诊断与治疗
Pub Date : 2000-02-05 DOI: 10.3969/J.ISSN.1003-515X.2000.01.007
Xiao Li-qin, Jin Zhong-He, Xiang Cheng-fa
目的了解儿童脑型疟临床特征和降低其病死率.方法对1996~1997年住院128例儿童脑型疟的临床特征、诊断治疗、病死原因进行分析.结果1~5a儿童发生率66%,痊愈113例,后遗症4例,死亡11例,死亡率8.6%.临床特征有发热、咳嗽、吐泻、惊厥、意识障碍等.血片见疟原虫可确诊,首次阴性应反复多次检查.惊厥、意识障碍者应排除其他疾患.结论及时正确诊断,尽早抗疟治疗,对抗药性及有并发症等治疗是降低儿童脑型疟病死率的关键.
目的了解儿童脑型疟临床特征和降低其病死率.方法对1996~1997年住院128例儿童脑型疟的临床特征、诊断治疗、病死原因进行分析.结果1~5a儿童发生率66%,痊愈113例,后遗症4例,死亡11例,死亡率8.6%.临床特征有发热、咳嗽、吐泻、惊厥、意识障碍等.血片见疟原虫可确诊,首次阴性应反复多次检查.惊厥、意识障碍者应排除其他疾患.结论及时正确诊断,尽早抗疟治疗,对抗药性及有并发症等治疗是降低儿童脑型疟病死率的关键.
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Journal of Applied Clinical Pediatrics
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