Friman P C, Warzak W J
University of Pennsylvania Medical School, Philadelphia.
Pediatrician. 1990;17(1):38-45.
Nocturnal enuresis is a common, largely inherited condition wherein children involuntarily pass urine while asleep. What is inherited appears to be a mild maturational delay that expresses itself partly in terms of growth and development and primarily in terms of diminished urinary control. Drugs are the most frequently used treatment but the recent literature shows that they are inappropriate as a primary treatment because of potential risks to child health and/or questionable long-term effectiveness. Effective treatment requires the specific teaching of continence skills, and several behavioral methods suitable to that purpose are described in this paper.
夜间遗尿是一种常见的、很大程度上由遗传决定的病症,即儿童在睡眠时会不由自主地排尿。遗传的似乎是一种轻微的成熟延迟,它部分通过生长发育表现出来,主要通过排尿控制能力减弱表现出来。药物是最常用的治疗方法,但最近的文献表明,由于对儿童健康存在潜在风险和/或长期效果存疑,它们不适宜作为主要治疗方法。有效的治疗需要进行具体的控制排尿技能教学,本文介绍了几种适用于此目的的行为方法。