Harris James, Lipson Alisa, Dos Santos Joana
Canadian Paediatric Society, Community Paediatrics Committee, Ottawa, Ontario, Canada.
Paediatr Child Health. 2023 Sep 23;28(6):362-376. doi: 10.1093/pch/pxad023. eCollection 2023 Oct.
Assessing enuresis involves distinguishing monosymptomatic from non-monosymptomatic for this common paediatric problem, and identifying concomitant comorbidities. Addressing co-occurring factors concurrently ensures the best opportunity for a satisfactory outcome. Treatment begins with patient and family education on the natural history of enuresis and practical behavioural guidance. Evidence to support particular interventions is limited, and children and families should be involved when choosing appropriate therapy. Enuresis alarms and desmopressin are treatment options when more active intervention is desired. Clinical refinements and combined treatment modalities are emerging.
评估遗尿症涉及区分这种常见儿科问题的单症状型与非单症状型，并识别伴随的合并症。同时处理共同出现的因素可确保获得满意结果的最佳机会。治疗始于对患者及其家庭进行关于遗尿症自然病程的教育以及实用的行为指导。支持特定干预措施的证据有限，在选择合适的治疗方法时应让儿童及其家庭参与。当需要更积极的干预时，遗尿报警器和去氨加压素是治疗选择。临床改进措施和联合治疗模式正在不断涌现。
