Campos Renata Martins, Gugliotta Antonio, Ikari Osamu, Perissinoto Maria Carolina, Lúcio Adélia Correia, Miyaoka Ricardo, D'Ancona Carlos Arturo Levi
Einstein (Sao Paulo). 2013 Apr-Jun;11(2):203-8. doi: 10.1590/s1679-45082013000200012.
To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis.
A total of 47 children were randomized using opaque and sealed envelopes sequentially numbered. Group I was composed of 21 children who underwent antimuscarinic treatment (oxybutynin), and Group II was composed of 26 patients who underwent pelvic floor muscle training. Both groups were instructed as to behavioral modifications.
The voiding diary results were compared each month between Groups I and II. In the first month of treatment, children in Group I presented 12.2 dry nights, 13.4 in the second month, and 15.9 in the last month. In Group II, the results were: 14.9 dry nights in the first month, 20.8 dry nights in the second and 24.0 dry nights in the last month. There was a significant difference between the groups in second and third months.
Pelvic floor exercises associated with behavioral changes were more effective than pharmacological treatment in children with urinary incontinence.
验证并比较行为矫正加盆底肌训练与行为矫正加氯化奥昔布宁治疗非单纯症状性遗尿症患儿的效果。
采用依次编号的不透明密封信封对47名儿童进行随机分组。第一组由21名接受抗胆碱能治疗（奥昔布宁）的儿童组成，第二组由26名接受盆底肌训练的患者组成。两组均接受行为矫正指导。
每月对第一组和第二组的排尿日记结果进行比较。在治疗的第一个月，第一组儿童有12.2个干爽夜晚，第二个月为13.4个，最后一个月为15.9个。在第二组中，结果分别为：第一个月14.9个干爽夜晚，第二个月20.8个，最后一个月24.0个。在第二个月和第三个月，两组之间存在显著差异。
对于尿失禁患儿，与行为改变相结合的盆底肌锻炼比药物治疗更有效。
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