儿童尿失禁的管理
The management of childhood urinary incontinence.
作者信息
Maternik Michal, Krzeminska Katarzyna, Zurowska Aleksandra
机构信息
Department of Pediatrics, Nephrology, Hypertension, Medical University of Gdansk, Gdansk, Poland,
出版信息
Pediatr Nephrol. 2015 Jan;30(1):41-50. doi: 10.1007/s00467-014-2791-x. Epub 2014 Mar 11.
Abstract
The International Children's Continence Society (ICCS) has undertaken an enormous effort to standardize both the terminology and management of various aspects of incontinence in children, including enuresis, bladder overactivity, dysfunctional voiding and psychological comorbidities. A number of guidelines have been published to aid those involved in the care of children with lower urinary tract symptoms. This review addresses a number of recommended diagnostic and therapeutic strategies, including urotherapy and pharmacological treatment, with emphasis on a focused medical history, information acquired from bladder diaries and uroflow evaluations. The major role of urotherapy is underlined with supportive pharmacotherapy, when indicated. The article provides both a summary of ICCS guidelines and a brief review of recently published papers related to the contemporary management of childhood incontinence, a health issue still underestimated by both the child's caregivers and healthcare providers.
摘要
国际儿童尿控协会（ICCS）付出了巨大努力，对儿童尿失禁各方面的术语和管理进行标准化，包括遗尿症、膀胱过度活动症、排尿功能障碍和心理共病。已发布了多项指南，以帮助那些参与照料下尿路症状儿童的人员。本综述阐述了一些推荐的诊断和治疗策略，包括尿流改道术和药物治疗，重点是详细的病史、从膀胱日记和尿流率评估中获取的信息。在有指征时，尿流改道术的主要作用通过支持性药物治疗得到强化。本文既总结了ICCS指南，又简要回顾了最近发表的与儿童尿失禁当代管理相关的论文，这一健康问题仍未得到儿童照料者和医疗服务提供者的充分重视。
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