Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2013 Jul;28(7):1065-70. doi: 10.3346/jkms.2013.28.7.1065. Epub 2013 Jul 3.
We performed a nationwide epidemiological study to evaluate the prevalence and characteristics of nocturnal enuresis (NE) in Korean adolescents and adults. A questionnaire was sent via e-mail to 51,073 people aged 16-40 yr by stratified sampling according to age, sex, and region among a 200,000 internet survey panel pool. The questionnaire included following information; presence or absence of NE, frequency of NE, possible risk factors for NE, self-esteem scale score and depression score results, and measures for the treatment of NE. Among the 2,117 responders, 54 (2.6%) had NE (≥1 enuretic episode within 6 months). Of 54 bedwetters, 9.3% wet ≥1 night per week and 20.5% wet ≥1 per month. The prevalence rates remained relatively stable with no apparent trend of reduction with age. The presence of sleep disturbance, family history, urgency, or urge incontinence increased the probability of NE episode significantly. The self-esteem score was lower (P=0.053) and the depression scale score was higher (P=0.003) in bedwetters compared with non-bedwetters. Overall 2.6% of Korean aged 16-40 yr have NE. The higher rate of urgency and urge incontinence in adolescent and adult enuretics suggests that bladder function has an important role in adolescent and adult NE.
我们进行了一项全国性的流行病学研究，以评估韩国青少年和成年人夜间遗尿症（NE）的患病率和特征。通过分层抽样，根据年龄、性别和地区，向一个 20 万互联网调查小组中的 51073 人发送了一份电子邮件问卷。问卷包括以下信息：是否存在 NE、NE 的频率、NE 的可能危险因素、自尊量表评分和抑郁评分结果以及 NE 治疗措施。在 2117 名应答者中，有 54 人（2.6%）患有 NE（6 个月内有 1 次以上遗尿发作）。在 54 名尿床者中，9.3%每周尿床≥1 次，20.5%每月尿床≥1 次。患病率相对稳定，没有明显随年龄降低的趋势。存在睡眠障碍、家族史、尿急或急迫性尿失禁会显著增加 NE 发作的概率。与非尿床者相比，尿床者的自尊评分较低（P=0.053），抑郁量表评分较高（P=0.003）。总体而言，16-40 岁的韩国人中有 2.6%患有 NE。青少年和成年遗尿者中尿急和急迫性尿失禁的发生率较高，表明膀胱功能在青少年和成年 NE 中起重要作用。
