Bakker E, van Sprundel M, van der Auwera J C, van Gool J D, Wyndaele J J
University of Antwerp, Edegem, Belgium.
Scand J Urol Nephrol. 2002;36(5):354-62. doi: 10.1080/003655902320783863.
To determine the prevalence of daytime- with/without night-time wetting, in Belgium, in a group of 10 to 14 year old schoolchildren, and to study the voiding habits.
A questionnaire of 41 questions was developed and completed by 4,332 parents at home.
Wetting or soiling episodes were reported by a total of 528 (12%) of the children: monosymptomatic nocturnal enuresis by 62 (1%), daytime wetting with/without night-time wetting by 343 (8%), and faecal soiling by 123 (3%). We found significantly more girls in the wetting group, and the capacity to regularly postpone the voiding was significantly lower in this group. Significantly more children had nocturia in the group with wetting.
Children with daytime wetting with/without night-time wetting have very often bladder-sphincter dysfunctions, which is in turn correlated with recurrent urinary tract infections. Eight percent of the 10 to 12 year old schoolchildren report daytime wetting with/without night-time wetting with some frequency. Surprisingly few parents, especially in the daytime wetting group, searched for medical help. Physicians and paediatricians should be encouraged to be more attentive to wetting in children and initiate discussion about urinary en faecal problems with parents and children.
确定比利时10至14岁学龄儿童中白天有/无夜间尿床的患病率，并研究排尿习惯。
设计了一份包含41个问题的问卷，由4332名家长在家中填写。
共有528名（12%）儿童报告有尿床或弄脏内裤的情况：单纯夜间遗尿62名（1%），白天有/无夜间尿床343名（8%），大便失禁123名（3%）。我们发现尿床组中女孩明显更多，且该组定期推迟排尿的能力明显更低。尿床组中夜尿症患儿明显更多。
白天有/无夜间尿床的儿童常常存在膀胱括约肌功能障碍，这又与反复尿路感染相关。10至12岁学龄儿童中有8%报告有时白天有/无夜间尿床。令人惊讶的是，很少有家长，尤其是白天尿床组的家长寻求医疗帮助。应鼓励医生和儿科医生更加关注儿童尿床问题，并与家长和孩子展开关于泌尿和粪便问题的讨论。
