Chromá O, Dragula M, Buchanec J, Slamen J, Marcek I
Cesk Pediatr. 1989 Nov;44(11):650-2.
The authors treated by psychotherapy 70 children aged 3 to 15 years with encopresis and constipation. In all irrigographic examination revealed idiopathic megacolon. In the course of treatment and after treatment 93.1% of the children are free from complaints, of these 48% are without any treatment, the others are given intermitently small doses of lactulose and Clavigrenin. 4.6% of children have occasional problems, 2.3% of the patients did not improve. Improvement of the condition depends on the cooperation of the parents, in particular the mothers. In mothers of the treated children by means of Knobloch's test a higher score of neuroticism was found, as compared with mothers of children with common infections.
作者对70名3至15岁患有大便失禁和便秘的儿童进行了心理治疗。所有患者的灌肠造影检查均显示为特发性巨结肠。在治疗过程中及治疗后,93.1%的儿童症状消失,其中48%未接受任何治疗,其余儿童间断给予小剂量乳果糖和克拉维格林。4.6%的儿童偶尔有问题,2.3%的患者病情未改善。病情的改善取决于家长,尤其是母亲的配合。通过诺布洛赫测试发现,接受治疗儿童的母亲的神经质得分高于普通感染儿童的母亲。