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儿童排尿问题与父母的关系。

The relationship between children with voiding problems and their parents.

机构信息

Department of Perinatology and Gynecology, (University Children's Hospital), University Medical Center Utrecht, Utrecht, The Netherlands.

出版信息

J Urol. 2010 May;183(5):1887-91. doi: 10.1016/j.juro.2010.01.004. Epub 2010 Mar 29.

Abstract

PURPOSE

We determined whether parents of children with overactive bladder and dysfunctional voiding had had similar symptoms in childhood.

MATERIALS AND METHODS

A case-control study was done in parents with and without children with overactive bladder or dysfunctional voiding. All were recruited from an outpatient clinic. Diagnoses in children were made according to the International Children's Continence Society standardization report. Childhood symptoms in parents were assessed by a 19-item questionnaire and current urogenital symptoms were assessed by the Urogenital Distress Inventory. Comparisons between groups were made with categorical and interval statistics.

RESULTS

A total of 173 cases and 98 controls were entered in the study. Statistically significantly more mothers of children with overactive bladder or dysfunctional voiding reported having had similar symptoms in childhood than mothers of children without lower urinary tract symptoms. Overactive bladder symptoms of childhood persisted into adulthood. No association between childhood dysfunctional voiding symptoms and adult emptying disorders was noted. Fathers of children with overactive bladder reported to have stopped bed-wetting at a significantly later age than control fathers.

CONCLUSIONS

Results reveal an association between overactive bladder symptoms in children and their parents. To a lesser extent this finding also holds true for dysfunctional voiding symptoms.

摘要

目的

我们旨在确定膀胱过度活动症和功能性排尿障碍患儿的父母在儿童时期是否有类似的症状。

材料与方法

对有和没有膀胱过度活动症或功能性排尿障碍患儿的父母进行病例对照研究。所有参与者均从门诊诊所招募。根据国际儿童尿控协会的标准化报告对儿童进行诊断。通过 19 项问卷调查评估父母的儿童期症状,通过尿生殖窘迫问卷评估当前的尿生殖症状。使用分类和区间统计比较组间差异。

结果

共有 173 例病例和 98 例对照纳入研究。与没有下尿路症状的儿童的母亲相比,有膀胱过度活动症或功能性排尿障碍儿童的母亲报告在儿童时期有类似症状的比例显著更高。儿童时期的膀胱过度活动症状持续到成年期。儿童功能性排尿障碍症状与成年期排空障碍之间没有关联。与对照组父亲相比,膀胱过度活动症患儿的父亲报告停止尿床的年龄明显较晚。

结论

研究结果表明,儿童膀胱过度活动症症状与其父母之间存在关联。在一定程度上,这一发现也适用于功能性排尿障碍症状。

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