Institute of Clinical and Experimental Medicine, Division of Pediatrics, University of Linköping, Sweden.
J Pediatr Urol. 2010 Oct;6(5):490-5. doi: 10.1016/j.jpurol.2009.11.004. Epub 2009 Nov 27.
Individually applied urotherapy is first-line treatment in children with bladder dysfunction. A new concept of treatment for small groups of children was applied and evaluated.
Two hundred children, 116 of them girls, aged 3-14 years (median 7.2) with bladder dysfunction and incontinence received urotherapy in small groups (2-5), called voiding school (VS). Outcome was evaluated after 3 and 12 months by voiding/leakage diary and questionnaire, and at 3 months by uroflow and post-void residual urine as well.
The outcome of VS was independent of age and gender. At follow up at 3 and 12 months, respectively, 35% and 40% of the children were cured and another 30% and 34% improved (P≤0.0001). Compared with the year before start of VS, urinary tract infections decreased from 34% to 6% (P<0.0001). Median residual urine decreased from 15 ml before VS to 6 ml after 3 months (P<0.001).
The concept of VS is a good alternative to individual urotherapy, with the outcome of fewer urinary tract infections and improved continence. Urotherapy for groups of children compared to individual treatment is also expected to have financial benefits.
针对膀胱功能障碍儿童，采用个体尿路治疗法是一线治疗方法。本文应用并评估了一种针对小部分儿童的新治疗概念。
200 例年龄 3-14 岁（中位数 7.2 岁）的膀胱功能障碍和尿失禁儿童（其中 116 例为女孩）接受了小组尿路治疗（2-5 人一组），称为排尿学校（VS）。治疗 3 个月和 12 个月后，通过排尿/漏尿日记和问卷调查评估治疗结果，并在 3 个月时进行尿流率和残余尿量检查。
VS 的治疗结果与年龄和性别无关。治疗 3 个月和 12 个月后，分别有 35%和 40%的儿童治愈，另外 30%和 34%的儿童得到改善（P≤0.0001）。与 VS 开始前一年相比，尿路感染从 34%降至 6%（P<0.0001）。残余尿量从 VS 前的 15ml 降至 3 个月后的 6ml（P<0.001）。
VS 概念是个体尿路治疗的良好替代方案，其治疗结果尿路感染减少，控尿能力提高。与个体治疗相比，儿童小组尿路治疗有望带来经济效益。
