west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "杜青" 4 results
  • Health service system construction and development of rehabilitation for children in China

    Since the 13th Five-Year Plan proposed to practice capacity building in pediatrics and promote rehabilitation of persons with disabilities, children’s rehabilitation in China has achieved large-scale and all-round development in medical care, education, and scientific research. These include the effective implementation of the children’s health program, the establishment of a basic public service system for children with disabilities, the building of a talent pool, and the continuous improvement of evidence-based research. However, there are still some problems such as insufficient total service resources, uneven distribution, shortage of high-quality resources and specialized talents, and lack of high-quality evidence-based evidence for featured technologies. Entering a new stage of development, we need to comprehensively improve the capacity of rehabilitation services for children, further standardize quality control, promote the spread and application of appropriate technologies, accelerate personnel training, promote the research, development, and implementation of new technologies, and improve the health of children throughout their life cycle.

    Release date: Export PDF Favorites Scan
  • Early motor development of children with congenital muscular torticollis and analysis on its related risk factors

    Objective To investigate the early motor development and the risk factors affecting motor development in children with congenital muscular torticollis (CMT) aged 0–3 months. Methods CMT infants admitting to the Department of Rehabilitation Medicine, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine between January 1st, 2016 and April 30th, 2018 were enrolled as CMT group, and contemporaneous age-matched healthy infants were enrolled as the control group. Motor development was assessed with the Alberta Infant Motor scale (AIMS). We collected the birth weight, birth length, mode of birth, sleep position, and prone time when awake as dependent variables, and used multiple linear regression to find the variables that had significant effect on AIMS scores. Results There were 97 CMT infants (62 males and 35 females) with the mean age of (46.8±17.3) days, mean birth weight of (3.34±0.38) kg and mean birth length of (49.56±0.93) cm in the CMT group, while there were 97 healthy infants (60 males and 37 females) with the mean age of (45.1±19.4) days, mean birth weight of (3.38±0.35) kg and mean birth length of (49.84±1.03) cm in the control group, and the differences in sex, age, birth weight, birth length between the two groups were not statistically significant (P>0.05). AIMS centiles showed that 36 infants (37.1%) in CMT group had suspicious or abnormal motor development, while only 12 infants (12.4%) in the control group had; there was a significant statistical difference between the two groups (χ2=15.945, P<0.001). Multiple linear regression analysis showed that the time of prone position when awake and CMT had significant influence on the AIMS scores (F=64.851, P<0.001). Infants who had a long prone position when awake had significantly higher AIMS scores and CMT had a significantly lower AIMS scores (P<0.001). Conclusions The risk of early motor retardation in infants with CMT aged 0–3 months is higher than that in healthy infants of the same age. The decrease in prone position when awake and CMT may be the causes of delayed motor development. Clinical medical personnel and family caregivers should pay more attention to motor development and provide reasonable intervention to CMT infants.

    Release date:2018-10-22 04:14 Export PDF Favorites Scan
  • Discussion on the medicine-engineering interdisciplinary innovative cultivating mode of rehabilitation engineering postgraduates

    Rehabilitation engineering is an important branch of rehabilitation medicine. Relying on combination of medical and engineering research projects to carry out the cultivation of rehabilitation medicine-engineering interdisciplinary postgraduates of medical engineering is an important way to train high-quality composite innovative talents. This article introduces the medicine-engineering interdisciplinary innovative training model of rehabilitation engineering medical workers piloted by the Department of Rehabilitation Medicine of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine and the Research Institute of Rehabilitation Engineering and Technology of University of Shanghai for Science and Technology. By clarifying the objectives of medicine-engineering interdisciplinary postgraduates training, strengthening the construction of mentor teams, establishing multi-disciplinary postgraduates courses, improving teaching arrangements and apprenticeship plans, and encouraging the exchange of postgraduates with different research backgrounds, this training mode cultivates postgraduates to be guided by clinical problems in rehabilitation medicine to expand scientific research and research ideas, pomotes the transformation of research achievements and their application in clinical practice, and cultivates compound-type rehabilitation engineering research talents with post competence. The purpose is to provide a reference for the training of future composite rehabilitation engineering research talents.

    Release date:2020-06-25 07:43 Export PDF Favorites Scan
  • 仅蒂与肝相连的罕见巨大肝间叶错构瘤1例报道并文献复习

    目的 探讨小儿肝脏间叶错构瘤(mesenchymal hamartoma of liver,MHL)的诊治方法,提高术前诊断率。方法 对2021年11月遵义医科大学附属医院收治的1例5岁女性腹腔占位患儿的临床表现、诊断方法、治疗方案、术后情况及病理结果进行回顾性分析,并进行相关文献复习,总结该疾病的诊治方法。 结果 本例患儿术前检查无特异性,相关检查均未发现肿瘤与肝脏相连接,术前诊断困难,经手术探查发现肿瘤仅由一条索状蒂与肝脏相连接,手术完整切除肿瘤,手术顺利,术后康复出院,术后病理诊断为MHL,出院后随访6个月无复发及恶变。文献复习共32例患儿,其中男25例,女7例;肿瘤仅累及肝右叶21例,累及右叶及左叶4例,仅累及尾状叶3例,仅累及左叶4例;肿瘤与肝脏相融合26例,带蒂与肝脏相连接6例。术前实验室检查部分患儿AFP(9例)或肝功能(AST、ALT,5例)异常,术后均逐渐下降至正常值;主要辅助检查为彩超、CT及MRI,检查发现肿瘤体积普遍较大,肿瘤长径5~20 cm、平均13.4 cm。32例均行手术切除,术前明确诊断为MHL 5例(其中1例术前行穿刺活检证实),术后病理诊断均为MHL;术后恢复良好,其中14例进行了术后随访,随访时间1个月~10年不等,中位随访时间为12个月,均无复发。 结论 对于体积较大的腹腔肿瘤或肝脏肿瘤,在无特异性的检验及检查结果时,应考虑为MHL。手术完全切除是治疗MHL的方法,预后较好,由于肿瘤有复发及恶变的可能性,故术后应定期随访复查。

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content