Kruse S, Hellström A L, Hjälmås K
Department of Pediatric Surgery, University Children's Hospital, Gothenburg, Sweden.
Scand J Urol Nephrol. 1999 Feb;33(1):49-52. doi: 10.1080/003655999750016276.
Bedwetting is the most common form of incontinence in children. Research in recent years suggests that there can be many different factors responsible for the problem of bed wetting, one of which is bladder dysfunction. The aim of this pilot study was to identify infrequent voiding ("hold pattern") and to investigate whether increasing the number of micturitions during the day can improve the nocturnal enuresis in children with several failed treatment attempts.
Twenty-two children with severe bedwetting were treated. Twelve of them had had no other treatment than increasing the number of regular micturitions during the day, while 10 patients had had enuresis alarm or desmopressin added.
The number of wet nights after 1 month of treatment decreased in all children and the improvement continued in most of the children during the follow-up period.
This study suggests that bladder training by increasing the number of micturitions during the day can be valuable in the treatment of nocturnal enuresis.
尿床是儿童最常见的失禁形式。近年来的研究表明，导致尿床问题的因素可能有很多，其中之一是膀胱功能障碍。这项初步研究的目的是识别排尿次数少（“憋尿模式”），并调查增加白天排尿次数是否能改善经过多次治疗尝试均失败的儿童的夜间遗尿症。
对22名重度尿床儿童进行了治疗。其中12名儿童除了增加白天规律排尿次数外未接受其他治疗，而10名患者还使用了遗尿报警器或去氨加压素。
所有儿童在治疗1个月后的尿床夜数均减少，且在随访期间大多数儿童的情况持续改善。
本研究表明，通过增加白天排尿次数进行膀胱训练对治疗夜间遗尿症可能有价值。
