Department of Urology, Kosin University College of Medicine, Busan, Korea.
Urology. 2010 Jul;76(1):215-9. doi: 10.1016/j.urology.2009.12.022. Epub 2010 Feb 16.
To evaluate the prevalence of abnormal voiding and bowel habits in healthy children, and to identify possible relationships between personal and familial factors and voiding and/or bowel habits.
A randomly selected cross-sectional study was conducted in 19,240 children (5-13 years old) nationwide in the Republic of Korea. Parents were asked to complete questionnaires, which included items about nocturnal enuresis, daytime dysfunctional voiding symptoms (DVSs), and abnormal bowel habits (ABHs). Rates and associated factors were investigated.
The overall rates of DVS, ABH, and of both were 46.4%, 31.3%, and 18.4%, respectively, and nocturnal enuresis was reported in 919 (5.6%). Daytime dysfunctional voiding symptoms were as follows: increased voiding frequency in 419 (2.5%), decreased voiding frequency in 720 (4.4%), urgency in 2740 (16.6%), daytime incontinence in 1854 (11.2%), urge incontinence in 2775 (16.8%), and holding maneuvers or postponed voiding in 3888 (23.5%). ABHs were as follows: constipation by frequency in 1103 (6.7%), constipation by the Bristol scale in 1941 (11.8%), fecal incontinence in 1293 (7.8%), and difficult or painful defecation in 2609 (15.8%). Delayed stool control, history of urinary tract infection, and a double-income family were positively associated with DVS or ABH or both. Furthermore, fathers with a low level of education and a low income were found to be associated with higher risk of ABH or DVS or both.
Delayed stool control, a history of urinary tract infection, a low paternal level of education, a double-income family, and a lower family income had a negative effect on voiding or bowel habits in children.
评估健康儿童排尿和排便习惯异常的发生率，并确定个人和家族因素与排尿和/或排便习惯之间可能存在的关系。
在韩国全国范围内，对 19240 名（5-13 岁）儿童进行了一项随机的横断面研究。父母被要求填写问卷，其中包括遗尿、日间功能性排尿症状（DVS）和异常排便习惯（ABH）的项目。调查了发生率和相关因素。
DVS、ABH 和两者均有的总体发生率分别为 46.4%、31.3%和 18.4%，遗尿发生率为 919 例（5.6%）。日间功能性排尿症状如下：排尿频率增加 419 例（2.5%）、排尿频率减少 720 例（4.4%）、尿急 2740 例（16.6%）、日间尿失禁 1854 例（11.2%）、急迫性尿失禁 2775 例（16.8%）和憋尿或延迟排尿 3888 例（23.5%）。ABH 如下：按频率便秘 1103 例（6.7%）、按布里斯托量表便秘 1941 例（11.8%）、大便失禁 1293 例（7.8%）和排便困难或疼痛 2609 例（15.8%）。排便控制延迟、尿路感染史和双收入家庭与 DVS 或 ABH 或两者均呈正相关。此外，父亲教育程度低、收入低与 ABH 或 DVS 或两者的风险增加有关。
排便控制延迟、尿路感染史、父亲教育程度低、双收入家庭和家庭收入低对儿童的排尿或排便习惯有负面影响。
