Ozkan Seçil, Durukan Elif, Iseri Elvan, Gürocak Serhat, Maral Işil, Ali Bumin M
Gazi University Medical Faculty, Department of Public Health, Ankara, Turkey.
Indian J Urol. 2010 Apr;26(2):200-5. doi: 10.4103/0970-1591.65387.
To determine the prevalence of primary monosymptomatic nocturnal enuresis (PMNE) and assess risk factors that can cause this disease.
After the determination of 15 primary schools in the provincial center of Ankara, questionnaires were given to 15,150 students to be answered by their parents. Detailed urologic history was obtained and physical examination applied to the students whose parents answered the questionnaire. After excluding children with polysymptomatic NE, 14060 questionnaires of MNE patients were evaluated. Demographic features with social and medical history of students and their parents, general approach of family to the children, school success of the students and general behavioral attitudes, method of toilet training and the presence of nocturnal enuresis were questioned.
MNE was determined in 9.0% (n: 1266) of the students and nocturnal enuresis frequency was higher in boys than girls (P<0.05). Univariate analysis revealed gender, method of toilet training, sleep problems, school success, and general approach of the family to children and general behavioral attitudes of the children as significant factors. In logistic regression analysis; age, male gender, toilette training with threatening method, deep sleeper, sleep walking, being introverted and shy, significantly increases the risk of nocturnal enuresis.
The current study suggests that the methods of toilet training are extremely important to prevent bedwetting and behavioral disorders due to enuresis. Parents should be well-informed about the appropriate toilet training method.
确定原发性单症状性夜间遗尿症（PMNE）的患病率，并评估可能导致该疾病的危险因素。
在安卡拉省中心选定15所小学后，向15150名学生发放问卷，由其家长作答。获取详细的泌尿病史，并对家长回复问卷的学生进行体格检查。排除多症状性遗尿症患儿后，对14060份单症状性遗尿症患者的问卷进行评估。询问了学生及其家长的人口统计学特征、社会和病史、家庭对孩子的一般态度、学生的学业成绩和一般行为态度、如厕训练方法以及夜间遗尿情况。
9.0%（n = 1266）的学生被诊断为单症状性遗尿症，男孩的夜间遗尿频率高于女孩（P<0.05）。单因素分析显示，性别、如厕训练方法、睡眠问题、学业成绩、家庭对孩子的一般态度以及孩子的一般行为态度是重要因素。在逻辑回归分析中，年龄、男性性别、采用威胁方法进行如厕训练、深度睡眠者、梦游、内向和害羞显著增加夜间遗尿的风险。
当前研究表明，如厕训练方法对于预防尿床和遗尿引起的行为障碍极为重要。应让家长充分了解适当的如厕训练方法。
