如厕训练年龄与功能性排尿障碍的关联。
The association of age of toilet training and dysfunctional voiding.
作者信息
Hodges Steve J, Richards Kyle A, Gorbachinsky Ilya, Krane L Spencer
机构信息
Department of Urology, Wake Forest University, Winston-Salem, NC, USA.
出版信息
Res Rep Urol. 2014 Oct 3;6:127-30. doi: 10.2147/RRU.S66839. eCollection 2014.
Abstract
OBJECTIVE
To determine whether age of toilet training is associated with dysfunctional voiding in children.
MATERIALS AND METHODS
We compared patients referred to the urologic clinics for voiding dysfunction with age-matched controls without urinary complaints. Characteristics including age and reason for toilet training, method of training, and encopresis or constipation were compared between both groups.
RESULTS
Initiation of toilet training prior to 24 months and later than 36 months of age were associated with dysfunctional voiding. However, dysfunctional voiding due to late toilet training was also associated with constipation.
CONCLUSION
Dysfunctional voiding may be due to delayed emptying of the bowel and bladder by children. The symptoms of dysfunctional voiding are more common when toilet training early, as immature children may be less likely to empty in a timely manner, or when training late due to (or in association with) constipation.
摘要
目的
确定如厕训练年龄是否与儿童排尿功能障碍有关。
材料与方法
我们将因排尿功能障碍转诊至泌尿外科诊所的患者与年龄匹配、无泌尿系统症状的对照组进行比较。比较两组的特征，包括年龄、如厕训练的原因、训练方法以及大便失禁或便秘情况。
结果
24个月之前及36个月之后开始如厕训练与排尿功能障碍有关。然而，因如厕训练过晚导致的排尿功能障碍也与便秘有关。
结论
排尿功能障碍可能是由于儿童肠道和膀胱排空延迟所致。当过早进行如厕训练时，排尿功能障碍症状更常见，因为幼儿可能不太可能及时排空，或者当因便秘（或与便秘相关）而训练过晚时也会出现。
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