Bergmann Manuela, Corigliano Teresa, Ataia Iris, Renella Raffaele, Simonetti Giacomo D, Bianchetti Mario G, von Vigier Rodo O
Department of Pediatrics, Mendrisio and Bellinzona Hospitals and University of Bern, Bern, Switzerland.
Pediatr Nephrol. 2009 Apr;24(4):789-95. doi: 10.1007/s00467-008-1082-9. Epub 2008 Dec 18.
Childhood extraordinary daytime urinary frequency is likely a common but underreported condition characterized by daytime frequent voiding and typically not linked with complaints of burning, urinary incontinence, altered urinary stream, changes in the nighttime voiding pattern, excessive fluid intake and excessive urinary volume. To determine the features and outcome of extraordinary daytime urinary frequency, we report our experience with 14 children and the results of a formal systematic analysis of peer-reviewed English-language literature on this topic. Nineteen case series were found (together with 16 mostly pertinent comments), with each case series providing details on from one to 119 children. On the basis of our experience and the findings of our systematic analysis, we conclude that, in general practice, extraordinary daytime urinary frequency is a common cause of urinary frequency, that the age of such patients is, on average, 6 years and that the micturation abnormalities persist for an average of 6 months. The results of this review must be viewed with an understanding of the limitations of the analysis process, which incorporated data exclusively from case series.
儿童期日间异常尿频可能是一种常见但未得到充分报告的病症,其特征为日间排尿频繁,通常与灼痛、尿失禁、尿流改变、夜间排尿模式变化、液体摄入过多及尿量过多等主诉无关。为了确定日间异常尿频的特征及转归,我们报告了14例儿童的经验以及对该主题经同行评审的英文文献进行正式系统分析的结果。共发现19个病例系列(连同16条大多相关的评论),每个病例系列提供了1至119名儿童的详细信息。基于我们的经验及系统分析结果,我们得出结论,在一般临床实践中,日间异常尿频是尿频的常见原因,此类患者的平均年龄为6岁,排尿异常平均持续6个月。必须在了解分析过程局限性的情况下看待本综述的结果,该分析过程仅纳入了病例系列的数据。