Bristol Urological Institute, Southmead Hospital, Bristol, UK.
Acta Paediatr. 2010 Jul;99(7):1031-6. doi: 10.1111/j.1651-2227.2010.01739.x. Epub 2010 Feb 25.
Few studies have looked at the prevalence of daytime incontinence in a longitudinal cohort of children. This study set out to determine the prevalence of daytime incontinence and relationships between daytime incontinence and bedwetting, faecal incontinence and urgency in a large cohort of British children.
Parents of children taking part in the Avon Longitudinal Study of Parents and Children (ALSPAC) were asked questions concerning the child's daytime wetting, bedwetting and faecal incontinence at different time points, 4.5, 5.5, 6.5, 7.5 and 9.5 years. The difference between the sexes for these different conditions was compared.
Data were available for 10 819 of the 13 973 children who entered the study. The prevalence of any daytime incontinence declined from 15.5% at 4.5 years to 4.9% at 9.5 years, and was mainly described as infrequent. Daytime incontinence was more common in girls than boys and frequent (DSM-IV) incontinence was more commonly related to urgency, bedwetting and faecal incontinence than infrequent incontinence.
Daytime incontinence is relatively common among children of primary school age and frequent incontinence more commonly coexists with other conditions, such as bedwetting and urgency. This study suggests the need for treatment to focus on children with frequent incontinence.
很少有研究在儿童的纵向队列中观察日间尿失禁的患病率。本研究旨在确定在英国一大群儿童中，日间尿失禁的患病率，以及日间尿失禁与遗尿、粪便失禁和尿急之间的关系。
参加阿冯纵向研究父母和儿童（ALSPAC）的儿童的父母在不同时间点（4.5、5.5、6.5、7.5 和 9.5 岁）被问及有关孩子日间湿尿、遗尿和粪便失禁的问题。比较了这些不同情况下男女之间的差异。
在进入研究的 13973 名儿童中，有 10819 名儿童的数据可用。任何日间尿失禁的患病率从 4.5 岁时的 15.5%下降到 9.5 岁时的 4.9%，主要表现为不频繁。日间尿失禁在女孩中比男孩更常见，频繁（DSM-IV）尿失禁比不频繁尿失禁更常与尿急、遗尿和粪便失禁同时存在。
日间尿失禁在小学年龄的儿童中较为常见，频繁的尿失禁更常与遗尿和尿急等其他情况同时存在。本研究表明，需要对频繁发生尿失禁的儿童进行治疗。
