scholarly journals Application Effect of Acupoint Massage on Zusanli on Premature Infants with Feeding Intolerance and Their Clinical Symptoms

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Yueqiu Gong ◽  
Li Zhu
Keyword(s):  
Premature Infants ◽  
Treatment Time ◽  
Clinical Symptoms ◽  
Abdominal Distension ◽  
General Information ◽  
Control Group ◽  
Feeding Intolerance ◽  
Functional Disturbance ◽  
The Past ◽  
Theoretical Support

FI is mainly caused by functional disturbance in premature infants, which greatly poses a threat to their growth and development, so a large number of studies on the clinical features of FI should be conducted to provide theoretical support for treatment. The purpose of the study was to investigate the therapeutic effect of acupoint massage on Zusanli on premature infants with feeding intolerance (FI) and their clinical symptoms. A total of 60 premature infants with FI admitted to our hospital over the past two years were selected as the FI group, and another 60 premature infants without FI were selected as the control group. The birthweight and gestational age of the premature infants in the FI group were significantly lower than those in the control group ( P < 0.001 ), whereas there were no significant differences in general information of the premature infants between the two groups ( P > 0.05 ). Vomiting, abdominal distension, and gastric retention are the main clinical symptoms of premature infants with FI, and acupoint massage on Zusanli combined with routine treatment can effectively improve digestive function, relieve clinical symptoms, and shorten treatment time of premature infants with FI, which is worthy of application and promotion in clinical practice.

Role of the fetal pancreas size in prediction of early neonatal hypoglycemia in maternal diabetes mellitus

2021 ◽  
pp. 62-70
Author(s):  
С.Н. Лысенко ◽  
М.А. Чечнева ◽  
Ф.Ф. Бурумкулова ◽  
В.А. Петрухин ◽  
Т.С. Будыкина
Keyword(s):  
Diabetes Mellitus ◽  
Pregnant Women ◽  
Premature Infants ◽  
Linear Correlation ◽  
Clinical Symptoms ◽  
Maternal Diabetes ◽  
Main Group ◽  
Control Group ◽  
Neonatal Hypoglycemia ◽  
Fetal Pancreas

Введение. Поджелудочная железа (ПЖ) плода играет роль в регуляции гликемии как у плода, так и у матери. Гипергликемия матери, независимо от типа сахарного диабета (CД) сопровождается гипергликемией у плода. Напряжение функции ПЖ плода обусловливает компенсаторное увеличение eё размеров, формирование фетальной гиперинсулинемии и развитие в первые часы жизни неонатальной гипогликемии. Клинические симптомы гипогликемии присутствуют в 25-33% случаев, частота лабораторной гипогликемии - в 21-60%. Цель - оценка прогностического значения увеличения размеров ПЖ плода накануне родов в качестве предиктора неонатальной гипогликемии при CД у матери. Методика. Проведена ультразвуковая морфометрия ПЖ у 241 беременной c CД (основная группа) и у 427 здоровых беременных (контрольная группа). В основной группе у 141 (58,5%) беременной родились дети c признаками диабетической фетопатии (ДФ). Оценивались размеры ПЖ плода. У новорождённых оценивалась гликемия в динамике в 1-e и 3-и сут жизни. Проведён ретроспективный корреляционный анализ размеров поджелудочной железы плода и характер гликемии новорожденных в 1-e и 3-и cут жизни. Результаты. Выявлена отрицательная корреляция толщины ПЖ и гипогликемии новорождённого в 1-e сут жизни c линейным коэффициентом корреляции (R) минус 0,66. В 1-e сут жизни у 87,5 % этих детей возникает гипогликемия, более выраженная у недоношенных, у 50% из них, сохраняющаяся к 3-м сут жизни. Заключение. Толщина ПЖ плода более информативный и воспроизводимый показатель, чем её длина, статистически значимый как в группе ДФ, так и без неё. Неудовлетворительный контроль за течением CД у матерей увеличивает риск гипогликемии новорождённого до 100%. Более выраженная гипогликемия выявляется у недоношенных детей, у половины которых гипогликемия сохраняется к 3-м сут жизни. Background. The fetal pancreas is involved in regulation of glucose levels in both fetal and maternal plasma. Maternal hyperglycemia, regardless of the type of diabetes mellitus (DM), is accompanied by fetal hyperglycemia. This stress of the fetal pancreatic function causes a compensatory increase in the pancreas size, the development of fetal hyperinsulinemia and of neonatal hypoglycemia in the first hours of life. The frequency of laboratory hypoglycemia varies 21-60%, while its clinical symptoms are present in 25-33% of cases. Aim. To assess the prognostic value of the increase in fetal pancreas size on the eve of delivery as a predictor of neonatal hypoglycemia in maternal DM. Methods. Ultrasound of the fetal pancreas was performed in 241 pregnant women with DM (main group) and in 427 healthy pregnant women (control group). In the main group, 141 (58.5%) pregnant women had children with signs of diabetic fetopathy (DF). The size of the fetal pancreas was estimated. In newborns, glycemia was measured on the 1st and 3rd days of life. A retrospective correlation analysis of the fetal pancreas size and the neonatal glycemia was performed on the 1st and the 3rd days of life. Results. A negative linear correlation was found between the pancreas thickness and neonatal hypoglycemia on the 1st day of life (linear correlation coefficient, R, -0.66). On the 1st day of life in 87.5-100% of these newborns, hypoglycemia is observed, which is more pronounced in premature infants and which remains through the 3rd day of life in 50% of them. Conclusion. The thickness of the fetal pancreas is a more informative and reproducible indicator than its length, which was statistically significant in groups both with and without DF. Poor glycemic control in mothers increases the risk of neonatal hypoglycemia up to 100%. More pronounced hypoglycemia is observed in premature infants and persists through the 3rd day of life in half of them.

Perinatal outcome and referral age

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 160-160
Author(s):  
George Cassady
Keyword(s):  
Quality Of Life ◽  
Blood Sugar ◽  
Premature Infants ◽  
Perinatal Outcome ◽  
Attrition Rate ◽  
Control Group ◽  
The Past ◽  
New Knowledge

During the past decade, prompt application of new knowledge of perinatal pathophysiology has dramatically improved the quality of life for surviving tiny premature infants. The results of prompt correction and, when possible, prevention of such potent interrelated insults as hypoglycemia, asphyxia, hyperoxia, jaundice, shock, thirsting, and starvation have led the more optimistic of us to expect the virtual disappearance of neurologic residua, previously considered the unavoidable legacy of surviving premature infants. In contrast, the data reported by Fitzhardinge in this issue1 serve as an important warning that all may not be well with these babies. Certain flaws in this report—the 16% attrition rate (no follow-up), the inadequate description of the control group (no control DQ's), and the failure to objectively document such measureable influences on outcome as serum unconjugated bilirubin, serum osmolality, blood sugar, and Po2 and Pco2—should caution the reader to accept these findings only with liberal "grains of salt."

Letter To The Editor

PEDIATRICS ◽  
1970 ◽  
Vol 45 (2) ◽  
pp. 338-338
Author(s):  
Frank Giunta
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Premature Infants ◽  
Nursing Care ◽  
Distress Syndrome ◽  
Control Group ◽  
Blood Gas ◽  
Blood Samples ◽  
The Past ◽  
Frequent Monitoring

Dr. Giunta commented as follows: The doctor is perfectly correct in questioning whether there was a reason for doing the study as we did. From the start, it was apparent that the study would include very sick premature infants such as those with respiratory distress syndrome who would require intensive nursing care, frequent monitoring of equipment, as well as blood gas determinations and chemistries. Since supplemental lighting such as with gooseneck lamps had been used in the past during feeding, monitoring, and drawing blood samples, it was felt that clothing the control group would expose them to a minimum of additional light.

Caution in Oxygen Therapy to Prevent Retrolental Fibroplasia

PEDIATRICS ◽  
1956 ◽  
Vol 18 (3) ◽  
pp. 511-511
Author(s):  
V. EVERETT KINSEY
Keyword(s):  
Premature Infants ◽  
Oxygen Therapy ◽  
Clinical Symptoms ◽  
Retrolental Fibroplasia ◽  
The Past

The recommendation that oxygen be restricted in the care of premature infants to that amount indicated by clinical symptoms, and then that it be given only in concentrations below 40%, is being made by more and more medical and lay agencies. I am in full accord with this recommendation, and following it has unquestionably reduced the incidence of retrolental fibroplasia (RLF) to a significant and encouraging extent. Over the past few months, however, I have learned that a number of pediatricians have gained the impression that there is appreciably less risk of developing RLF if oxygen is administered at less than 40% concentration.

Efficacy of Shenqi Runchang Tongbian Decoction in Treatment of Children with Constipation and Its Effect on Clinical Symptoms of Children

2021 ◽  
Vol 7 (5) ◽  
pp. 1551-1557
Author(s):  
Huang Yuanqin ◽  
Li Xiaoqian ◽  
he Huizhen ◽  
Li Lin ◽  
Xu Hui
Keyword(s):  
Abdominal Pain ◽  
Symptom Score ◽  
Clinical Symptoms ◽  
Abdominal Distension ◽  
Control Group ◽  
Study Group ◽  
Secondary Symptom ◽  
Significant Difference ◽  
Defecation Frequency

To investigate the efficacy of Shenqi Runchang Tongbian Decoction in the treatment of children with constipation and its effect on the clinical symptoms of children. Methods: From January 2016 to January 2020, 100 patients with constipation were randomly divided into two groups. The control group was treated with lactulose oral solution, and the study group was treated with Shenqi Runchang Tongbian Decoction. Both groups were administered with drugs for 14 days, and the two groups were followed up on the 28th day. The effectiveness of the two groups was compared before treatment and during follow-up. The changes of various symptom scores were compared before treatment, after treatment and during follow-up, and the changes of primary symptom score, secondary symptom score and total score were compared before treatment, after treatment and during follow-up. Results: After treatment, the effectiveness of the study group was higher than that of the control group at follow-up (P <0.05). After treatment and during the follow-up, the scores of facial color, lips, sleep, urination, hand-foot-heart-chest, appetite, halitosis, abdominal distension and abdominal pain, defecation duration, defecation difficulty, defecation frequency and stool property of the two groups were lower than those before treatment (P < 0.05). There was no significant difference in the scores of facial color, sleep, urination and hand-foot-heart-chest symptoms before and after treatment of the control group and the study group (P > 0.05). There was no significant difference in the scores of facial color, lips, sleep, urination and hand-foot-heart-chest symptoms before treatment and during follow-up between the control group and the study group (P > 0.05). The scores of lip symptoms after treatment in the study group were lower than those in the control group (P < 0.05). The scores of appetites, halitosis, abdominal distension and abdominal pain, defecation duration, defecation difficulty, defecation frequency, stool property after treatment and during follow-up in the study group were lower than those in the control group (P <0.05). The total score, the secondary symptom score and the primary symptom score of the two groups before treatment and during follow-up were lower than those before treatment (P < 0.05). The total score, the secondary symptom score and the primary symptom score in the study group were lower than those in the control group after treatment and during follow-up (P < 0.05). Conclusion: The treatment of children with constipation with Shenqi Runchang Tongbian Decoction can improve the secondary symptoms and primary symptoms of children and improve the comprehensive curative effect, especially in the aspects of improving appetite, halitosis, abdominal distension and abdominal pain, defecation duration, defecation difficulty, defecation frequency and stool property. It can effectively enhance the gastrointestinal function and promote the rehabilitation of children. It is worthy of being popularized in clinical practice.

scholarly journals Observation on Curative Effect and Adverse Reaction of Acupuncture and Moxibustion in Treating Chronic Functional Constipation

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Jiayi Lu
Keyword(s):  
Abdominal Pain ◽  
Adverse Reactions ◽  
Clinical Symptoms ◽  
Functional Constipation ◽  
Abdominal Distension ◽  
Control Group ◽  
Observation Group ◽  
Acupuncture And Moxibustion ◽  
Total Incidence ◽  
Universal Application

Objective — To investigate the efficacy of acupuncture and moxibustion in the treatment of chronic functional constipation and the observation of adverse reactions in patients. Methods — A total of 88 patients with chronic functional constipation who were treated from June 2019 to March 2021 were selected as the subjects, and the patients were divided into control group with 44 patients and observation group with 44 patients according to a random number table.The control group was given conventional western medication, and the observation group was given acupuncture based treatment. The scores for clinical symptom and the incidence of adverse reactions were compared between the two groups after treatment. Results — After treatment, the symptom scores of frequency of abdominal pain, incomplete sense of defecation, abdominal distension and difficulty in defecation in the observation group were all lower than those in the control group (P < 0.05). After treatment, the total incidence of adverse reactions of abdominal distension, spasmodic abdominal pain, borborygmus and dizziness in observation group was 4.55%, which was significantly lower than that in control group, 22.73% (P < 0.05). Conclusion — Acupuncture and moxibustion therapy is more effective than conventional western medicine therapy in treatment of chronic functional constipation,which effectively improve the clinical symptoms of patients, reduce the occurrence of adverse reactions, as as result, it is worthy of promotion and universal application.

scholarly journals Analysis on the Application Effect of Abdominal Acupoint Massage on Feeding Intolerance in Premature Infants

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Li Zhu ◽  
Yueqiu Gong
Keyword(s):  
Nutritional Status ◽  
Hospital Stay ◽  
Body Mass ◽  
Premature Infants ◽  
Response Rate ◽  
Length Of Hospital Stay ◽  
Control Group ◽  
Feeding Intolerance ◽  
Development State ◽  
Experimental Group

Objective. Breast milk is the best food for newly born infants because it is more digestible and can relieve infants’ gastrointestinal burdens. The purpose of this study was to investigate the application effect of abdominal acupoint massage on feeding intolerance in premature infants. Methods. A total of 50 premature infants with feeding intolerance admitted to our hospital from January 2018 to October 2019 were selected and randomly divided into the control group (n = 25) and the experimental group (n = 25). Among them, the premature infants in the control group received routine therapy, while based on the treatment in the control group, the premature infants in the experimental group were treated with abdominal acupoint massage. After that, the incidence of feeding intolerance, MNA nutritional status score, body mass, development state, length of hospital stay, and response rate were all compared between the two groups to analyze the application effect of abdominal acupoint massage on feeding intolerance in premature infants. Results. The incidence of feeding intolerance of the premature infants in the experimental group was significantly lower than that in the control group, with statistically significant differences ( P < 0.05 ); the MNA nutritional status scores of the premature infants in the experimental group were significantly higher than those in the control group, with statistically significant differences ( P < 0.05 ); the body mass and development state of the premature infants in the experimental group were significantly better than those in the control group, with statistically significant differences ( P < 0.05 ); the length of hospital stay of the premature infants in the experimental group was significantly shorter than that in the control group, with statistically significant differences ( P < 0.05 ); the response rate in the experimental group was significantly higher than that in the control group, with statistically significant differences ( P < 0.05 ). Conclusions. Abdominal acupoint massage therapy can significantly reduce the incidence of feeding intolerance, shorten the length of hospital stay, and improve nutritional status, development state, and response rate in premature infants, with obvious therapeutic effect, which is worthy of application and promotion in clinical practice.

scholarly journals The Observation of the Curative Effects of Nursing Intervention on the Premature Infant with Jaundice

2015 ◽  
Vol 4 (3) ◽  
pp. 19
Author(s):  
Hui Yang
Keyword(s):  
Premature Infants ◽  
Adverse Reactions ◽  
Clinical Effect ◽  
Serum Bilirubin ◽  
Abdominal Distension ◽  
Nursing Intervention ◽  
Control Group ◽  
Observation Group ◽  
Bilirubin Concentration ◽  
Serum Bilirubin Concentration

<strong>Objective:</strong> To analyze the clinical effect of comprehensive nursing intervention on preterm infant with jaundice. <strong>Methods: </strong>During the treatment in our hospital as the research purpose from January 2004 to January 2014, 94 cases of premature infants were randomly divided into two groups which is control group and observation group. For control group patients, they were given routine nursing while the observation group patients were given comprehensive nursing intervention. These two groups of patients were analyzed with serum bilirubin concentration respectively, the comparison between patient weight and the time of fetal turn yellow and the occurrence of the disease. <strong>Results:</strong> Compared to control group, the serum bilirubin concentration in the observation group was significantly decreased, weight and meconium turned yellow time increased significantly, the incidence of complications such as apnea, abdominal distension and feeding intolerance was significantly lower and the differences were statistically significant (<em>p</em> &lt; 0.05). <strong>Conclusion:</strong> Comprehensive nursing intervention can effectively improve the growth and development of premature infants and recovery, reduce the incidence of adverse reactions, has a significant clinical effect and it is worth promoting.

Possibilities of correction of menopausal disorders in women with the use of medicine Menopace

2016 ◽  
pp. 95-100
Author(s):  
G.I. Reznichenko ◽  
◽  
N.Yu. Reznichenko ◽  
V.Yu. Potebnya ◽  
K.I. Kovalenko ◽  
...  
Keyword(s):  
General Condition ◽  
Clinical Symptoms ◽  
Average Score ◽  
Control Group ◽  
Climacteric Syndrome ◽  
Basic Subgroup ◽  
Menopausal Syndrome ◽  
Natural Menopause ◽  
Surgical Menopause ◽  
Observation Period

The objective: to determine the efficacy of medicine «Menopace» in treatment of women with natural and surgical menopause. Patients and methods. 20 women (I group) with a natural menopause were examined (basic subgroup consisted of 10 patients who used Menopace for 3 months; control subgroup consisted of 10 patients). 20 women (II group) with surgical menopause were examined (basic subgroup consisted of 10 patients who received Menopace for 3 months; control subgroup consisted of 10 patients). Results. The average score of neurovegetative and emotional manifestations of climacteric syndrome during the observation period decreased in women with natural and surgical menopause who used Menopace, compared with subgroups of patients who had not used the medicine. Conclusions. 1. The use of the medicine Menopace in women with natural menopause after 3 months showed the disappearance of clinical symptoms of climacteric syndrome in 70% of the cases, and significant improvement in general condition in 30% of cases. 2. During surgical menopause after 1 month of treatment with Menopace manifestations of sweating were observed 4.5 times less often than in control group, tides were observed 7 times less often than in control group. Neurovegetative and psychoemotional symptoms of menopause were absent in 80% of women after 3 months of treatment and in 20% of cases significant improvement was shown. 3. The obtained results give grounds to recommend wide use of Menopace in practical work for the treatment of menopausal syndrome during natural and surgical menopause. Key words: menopause, therapy, Menopace.

Scrub typhus (Orientia tsutsugamushi), A rapidly spreading epidemic in Chennai - A standalone lab experience

2016 ◽  
Vol 5 (09) ◽  
pp. 4896
Author(s):  
Sripriya C.S.* ◽  
Shanthi B. ◽  
Arockia Doss S. ◽  
Antonie Raj I. ◽  
Mohana Priya
Keyword(s):  
Scrub Typhus ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Febrile Illness ◽  
Orientia Tsutsugamushi ◽  
The Past ◽  
Igm Elisa ◽  
The Mean ◽  
Specific Symptoms ◽  
Symptoms And Signs

Scrub typhus (Orientia tsutsugamushi), is a strict intracellular bacterium which is reported to be a recent threat to parts of southern India. There is re-emergence of scrub typhus during the past few years in Chennai. Scrub typhus is an acute febrile illness which generally causes non-specific symptoms and signs. The clinical manifestations of this disease range from sub-clinical disease to organ failure to fatal disease. This study documents our laboratory experience in diagnosis of scrub typhus in patients with fever and suspected clinical symptoms of scrub typhus infection for a period of two years from April 2014 to April 2016 using immunochromatography and IgM ELISA methods. The study was conducted on 648 patients out of whom 188 patients were found to be positive for scrub typhus. Results also showed that pediatric (0 -12 years) and young adults (20 – 39 years) were more exposed to scrub typhus infection and female patients were more infected compared to male. The study also showed that the rate of infection was higher between September to February which also suggested that the infection rate is proportional to the climatic condition. Statistical analysis showed that the mean age of the patients in this study was 37.6, standard deviation was 18.97, CV % was 50.45. 

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