1.Efficacy of laparoscopic operation in treating type Ⅲ child biliary atresia and its influence on postoperative infection
Chongqing Medicine 2014;(26):3424-3426
Objective To investigate the effects of laparoscopic operation in treating type Ⅲ child biliary atresia and its influence on postoperative infections .Methods 85 children cases of type Ⅲ biliary atresia were randomly divided into the conventional sur-gery group(OP group ,n=42) and the laparoscopic surgery group(LP group ,n=43) .The operation situation ,postoperative changes of inflammatory factors ,changes of liver function indexes before and after operation and postoperative infection were compared be-tween the two groups .Results The operative time of the LP group was longer than that of the OP group (P<0 .05) ,the intraoper-ative blood loss and the VAS scores of the LP group were less than those of OP group (P<0 .05) ,the postoperative eating recovery time of the LP group was earlier than that of the OP group (P<0 .05) ,the length of hospital stay of the LP group was shorter than that of the OP group(P<0 .05) and the postoperative infection rate of the LP group was lower than that of the OP group (P<0 . 05) .The liver function indexes recovery showed no statistically significant differences before and in postoperative 1 ,3 ,6 ,12 months between the two groups(P>0 .05) .Conclusion The laparoscopic operation and the conventional operation in treating type Ⅲ child biliary atresia have their own advantages and disadvantages .The appropriate operation mode should be selected according to the children′s actual situation .
2.Current Treatment of Cerebral Palsy (review)
Wei LIU ; Gang CHEN ; Guangming CHI
Chinese Journal of Rehabilitation Theory and Practice 2007;13(12):1118-1120
Cerebral palsy (CP) is the most common physical disability in childhood, and severely affects child's development, but there is no effective treatment presently. It causes huge spire, economic burden for patients, families and society. With the development of perinatology, the mortality of neonates has decreased dramatically, but the morbidity of CP has shown rising trend. Therefore the treatment of CP has become the hot and hard spot for each national scientific research. At present the treatment of CP includes: medicine, operation, rehabilitation and other measurements. The main principle is detecting and treating in time. The prompt, long-term and regular rehabilitation training is the most fundamental measurement for the treatment of CP. The surgical, medical and other measurements can only create the condition for rehabilitation training or as supplementary method, but it can't substitute the rehabilitation training.