Järvelin M R, Moilanen I, Kangas P, Moring K, Vikeväinen-Tervonen L, Huttunen N P, Seppänen J
Department of Paediatrics, University of Oulu, Finland.
Acta Paediatr Scand. 1991 Mar;80(3):361-9. doi: 10.1111/j.1651-2227.1991.tb11863.x.
Aetiological factors for enuresis in 68 nightwetting (NW) and 73 day and mixed day and nightwetting (DW/MW) children were examined against a random sample of 142 control children drawn from a population of 3,375 seven-year-old children. Twenty-six variables concerning age, sex, social background, life changes, familial and perinatal history, development, growth, neurological damage, psychic structure and urinary tract disorders were included in the logistic regression analysis. The familial influence on enuresis was clearly seen in both nightwetters and daywetters. The NW children were further discriminated from the controls by items connected with delayed development, such as slower growth and poorer visuomotor and spatial perception. Marital separation or birth of a sibling were also found to be precipitating factors especially for nightwetters. The DW/MW children were discriminated from the controls by perinatal risk factors, signs of neurological dysfunction and smaller voided volume, and especially secondary daywetters by urinary tract infections. These models showed that there are similarities between nocturnal and diurnal enuresis, although there are still many differences and every individual case requires consideration of all these disposing factors.
对68名夜间尿床（NW）儿童和73名日间及日夜混合尿床（DW/MW）儿童的遗尿病因进行了检查，对照从3375名7岁儿童中随机抽取的142名对照儿童。逻辑回归分析纳入了26个变量，涉及年龄、性别、社会背景、生活变化、家族和围产期病史、发育、生长、神经损伤、心理结构和泌尿系统疾病。遗尿的家族影响在夜间尿床者和日间尿床者中均清晰可见。NW儿童通过与发育迟缓相关的项目与对照儿童进一步区分开来，例如生长较慢以及视觉运动和空间感知较差。婚姻分居或兄弟姐妹的出生也被发现是促发因素，尤其是对夜间尿床者而言。DW/MW儿童通过围产期危险因素、神经功能障碍体征和排尿量较小与对照儿童区分开来，特别是继发性日间尿床者与尿路感染有关。这些模型表明，夜间遗尿和日间遗尿之间存在相似之处，尽管仍有许多差异，且每个个体病例都需要考虑所有这些易感因素。
