1.Study on the treatment of children dependent on network game of psychological intervention combined with drug
Dongping WANG ; Shiqiang WEI ; Heqin ZHAN
Chinese Journal of Applied Clinical Pediatrics 2014;29(15):1170-1173
Objective To study the curative effect of psychological intervention combined with drug treatment of children addicted to the network game.Methods One hundred and twelve children addicted to the network game were selected,who were admitted to the outpatient department of the Second Affiliated Hospital of Xinxiang Medical University from Feb.2009 to Oct.2013 were selected,according to the admission time sequence,they were randomly divided into drug treatment group,psychological intervention group(as control group) and psychological intervention combined with drug therapy group(test group).Each of the control groups had 38 cases of patients,while treatment group had 36 cases.Drug treatment group was treated with oral Fluoxetine Hydrochloride Capsules 10 mg,1 time/d; the psychological intervention group was given the general psychological conversation,until discharged from the hospital; the test group adopted the cognitive restructuring,imagine the debate,self suggestion,remind yourself of cognitive therapy and behavior contract,behavior reinforcement,behavior extinction,aversive stimulus,self-regulation of behavior therapy combined with drug therapy.Respectively,before treatment,2 weeks,4 weeks and 8 weeks after the end of the treatment,Chinese Internet Addiction Scale,Coping Style Questionnaire (CSQ) and symptom checklist 90 (SCL-90) of each factor were evaluated.Results By the end of the 2 weeks and 8 weeks after the treatment,CIAS scores in the treatment group were significantly lower than that in drug therapy and psychological intervention group,the differences were statistically significant (t =2.49,2.03,all P < 0.05 ; t =2.72,2.72,all P < 0.01) ; scores of 3 factors of fantasy,self accusation and retreat in CSQ group in coping style questiennaire in the coping style questionnaire in the treatment group were lower than those in control groups,the differences were statistically significant (t =3.99,3.78,2.15,all P < 0.05; t=2.64,4.20,3.72,all P < 0.01); the problem solving,help seeking factor in the test group were higher than those in the control groups,the differences were statistically significant (t =2.69,2.43,5.31,2.25; all P < 0.01) ; variation test combined physicochemical factors scores at different stages had on difference comparison of those in the 2 control groups (all P > 0.05).Comparison of the SCL-90 score between the test group and the 2 control groups,the differences were statistically significant (t =5.05,4.31,all P < 0.01).There was no significant difference of the scores between the 2 control groups (all P > 0.05).Conclusions Psycholoical intervention therapy including cognitive therapy,behavior therapy combined with drug treatment have good effect on children's addiction to Web games.
2.Analysis and strategy of complication for 528 cases of scoliois surgery
Shiqiang ZHAN ; Liangan ZHOU ; Yuhong KE
Orthopedic Journal of China 2006;0(19):-
[Objective]To retrospectively analyze the complications of 528 cases of scoliosis surgery,and evaluate its strategy.[Method]From January 1980 to January 2001,528 patients with scoliosis underwent correction.There were 336 females and 192 males.The average age at surgery was 14.2 years.The average preoperation Cobb's angle was 48.2?(ranged from 34? to 102?).[Result]The patients were followed up for 3~24 years,the average was 12.5 years.The postoperative Cobb's angle averaged 24?.The average correction was 50.2%.Complications included 1 case of spinal cord injury,151 cases of sympathetic nerve injury,12 cases of superior mesenteric artery syndrom,6 cases of screw fracture,13 cases of rod fracture,3 cases of steel cable breakage,25 cases of hook displacement,20 cases of wire breakage,30 cases of flatback syndrome,6 cases of crankshaft phenomenon and 9 pseudoarthroses.[Conclusion]Satisfactory results could be obtained to treat scoliosis.
3.Posterior hemivertebra resection and instrumentation correction in the treatment of congenital scoliosis
Shiqiang ZHAN ; Yisheng WANG ; Yuanchen MA
Orthopedic Journal of China 2006;0(03):-
[Objective]To evaluate the clinical results of posterior hemivertebra resection and correction with transpedicular instrumentation for congenital scoliosis.[Method]From July 2002 to December 2006,thirty-nine consecutive cases,including 22 males and 17 females,underwent posterior hemivertebra resection and correction using transpedicular instrumentation.The average age at surgery was 8.3 years ranging from 3 to 15 years.There were 30 cases with fully segmented hemivertebra and 9 cases with partial segmented hemivertebra.Instrument included 16 cases of ISOLA,10 cases of CD-Horizon,10 cases of Moss-Miami and 3 cases of TSRH.The pre-and post-operative standing radiographic and at final follow-up were measured,and the Cobb's angles in the coronal and sagittal plane were analyzed,respectively.[Result]The average follow-up was 2.8 years ranging from 1 to 4.5 years.The Cobb's angle in coronal plane was corrected from 48? to 13?postoperatively and 13.2? at final follow-up,representing 70.2% correction rate.The kyphosis was corrected from 39? to 12.1? postoperatively and 12.7? at final follow-up,representing 68.7% correction rate.All cases had bony fusion,there was no neurological complication,no implant failure or infection.One case had crankshaft phenomenon.[Conclusion]Posterior hemiveterbra resection with instrumentation is a safe and effective treatment option for congenital scoliosis.Congenital scoliosis should be treated in early age.