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尿床的管理

Management of bedwetting.

作者信息

Moulden Annie

机构信息

Royal Children's Hospital, Melbourne.

出版信息

Aust Fam Physician. 2002 Feb;31(2):161-3.

PMID:11917829
Abstract

BACKGROUND

Nocturnal enuresis (bedwetting) is a common inherited medical condition affecting both children and adults. It is not due to laziness. It can be distressing, embarrassing, humiliating and has a negative impact on self esteem and mood especially in children and young people over the age of 10 years.

OBJECTIVE

To assist busy general practitioners develop a better understanding of bedwetting and the importance of its diagnosis and treatment.

DISCUSSION

Spontaneous remission rates over the age of 10 years are low at 5% per year and approaches often tried at home such as waking to void, reward charts or fluid restriction are not effective. However, treatment with alarm systems or desmopressin for those who fail to respond to alarms is successful in over 90% of cases.

摘要

背景

夜间遗尿症(尿床)是一种常见的遗传性疾病,影响儿童和成人。这并非由于懒惰。它可能令人苦恼、尴尬、羞辱,对自尊和情绪有负面影响,尤其是对10岁以上的儿童和青少年。

目的

帮助忙碌的全科医生更好地了解尿床及其诊断和治疗的重要性。

讨论

10岁以上的自然缓解率较低,每年为5%,在家中经常尝试的方法,如叫醒排尿、奖励图表或液体限制等均无效。然而,对于那些对报警器无反应的患者,使用报警器系统或去氨加压素治疗,超过90%的病例是成功的。

相似文献

1
Management of bedwetting.尿床的管理
Aust Fam Physician. 2002 Feb;31(2):161-3.
2
[Further development of 'Enuresis nocturna' guidelines for children with persistent problems].[针对存在持续性问题的儿童的“夜间遗尿症”指南的进一步制定]
Ned Tijdschr Geneeskd. 2004 Jan 3;148(1):17-21.
3
Combination therapy for nocturnal enuresis with desmopressin and an alarm device.去氨加压素与警报装置联合治疗夜间遗尿症。
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4
Nocturnal enuresis.夜间遗尿症。
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[Results of a therapeutic strategy against monosymptomatic nocturnal enuresis].[针对单症状性夜间遗尿症的治疗策略结果]
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Simple behavioural interventions for nocturnal enuresis in children.儿童夜间遗尿的简单行为干预措施。
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Alarm treatment: influence on functional bladder capacity.警报治疗:对膀胱功能容量的影响。
Scand J Urol Nephrol Suppl. 1997;183:59-60.
8
Nocturnal enuresis.夜间遗尿症。
Am Fam Physician. 2003 Apr 1;67(7):1499-506.
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Evidence against a synergistic effect of desmopressin with conditioning in the treatment of nocturnal enuresis.去氨加压素与行为疗法联合治疗夜间遗尿症不存在协同效应的证据。
J Pediatr. 2004 Mar;144(3):351-7. doi: 10.1016/j.jpeds.2003.12.019.
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Simple behavioural and physical interventions for nocturnal enuresis in children.儿童夜间遗尿的简单行为和物理干预措施。
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