脑瘫患儿膀胱和肠道功能障碍的患病率及其与运动、认知和自主神经功能的关联。
The Prevalence of Bladder and Bowel Dysfunction in Children with Cerebral Palsy and its Association with Motor, Cognitive, and Autonomic Function.
作者信息
Baram Moriah, Zuk Luba, Stattler Tohar, Katz-Leurer Michal
机构信息
Tel Aviv University Sackler Faculty of Medicine, Tel Aviv, Israel.
ALYN Hospital Pediatric and Adolescent Rehabilitation Center, Jerusalem, Israel.
出版信息
Dev Neurorehabil. 2023 Apr;26(3):155-162. doi: 10.1080/17518423.2023.2193268. Epub 2023 Mar 21.
PURPOSE
To describe the prevalence of bladder and bowel dysfunction (BBD) in 8-10-year-old children with cerebral palsy and its association with motor, cognitive, and autonomic dysfunction.
METHODS
A cross-sectional, random sample study of parents of 8-10-year-old children with cerebral palsy. Tools: The Enuresis/Urinary Incontinence Parental Questionnaire, the Functional Independence Measure children's version, the autonomic signs questionnaire, and the Gross Motor Function Classification System.
RESULTS
39 out of 59 parents consented to participate, whereas 25.64% reported complete continence. Of the 29 children with BBD, 21 (72.4%) had lower urinary tract symptoms and bowel problems. Only two of the children received conservative and noninvasive treatments. Lastly, motor, cognitive and autonomic impairments were associated with incontinence.
CONCLUSIONS
BBD is common in 8-10-year-old children with cerebral palsy at all levels of functioning. Most having both lower urinary tract symptoms and bowel problems.
目的
描述8至10岁脑瘫患儿膀胱和肠道功能障碍（BBD）的患病率及其与运动、认知和自主神经功能障碍的关联。
方法
对8至10岁脑瘫患儿的父母进行横断面随机抽样研究。工具：遗尿/尿失禁家长问卷、儿童版功能独立性测量表、自主神经症状问卷和粗大运动功能分类系统。
结果
59位家长中有39位同意参与，其中25.64%报告孩子完全自控。在29例患有BBD的儿童中，21例（72.4%）有下尿路症状和肠道问题。只有两名儿童接受了保守和非侵入性治疗。最后，运动、认知和自主神经损伤与尿失禁有关。
结论
BBD在8至10岁各功能水平的脑瘫患儿中很常见。大多数患儿同时有下尿路症状和肠道问题。
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