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影响儿童遗尿症危险因素的逻辑回归分析:一项综合调查研究。

Logistic regression analysis of risk factors influencing childhood enuresis: a comprehensive survey study.

作者信息

Li Daolong, Zhu Ziqiang, Zhang Yin, Zhang Ye, Chao Min

机构信息

Department of Urology Surgery, Anhui Province Children's Hospital 39 Wangjiang East Road, Baohe District, Hefei 230051, Anhui, China.

出版信息

Am J Transl Res. 2024 Jul 15;16(7):3157-3163. doi: 10.62347/TQIR5298. eCollection 2024.

Abstract

OBJECTIVE

To identify risk factors associated with childhood enuresis.

METHODS

We conducted a retrospective analysis of 146 children aged 6 to 13 years diagnosed with enuresis at Anhui Province Children's Hospital between June 2020 and June 2023. Children were categorized based on bedwetting frequency: those with less frequent episodes (once a week to twice a month) were placed in the mild group (60 cases), and those with frequent episodes (two or more times per week) were placed in the severe group (86 cases). We compared demographic data, family histories, and personal characteristics between the groups and performed logistic regression to determine significant risk factors.

RESULTS

The analysis revealed that a stubborn personality, nocturnal polyuria, sleep-wake disorders, and bladder dysfunction significantly increased the risk of enuresis (P < 0.05). These findings underscore the importance of a holistic approach in evaluating psychological aspects, nocturnal urination patterns, sleep quality, and bladder health in managing enuresis.

CONCLUSION

The study identifies stubborn personality, nocturnal polyuria, sleep-wake disorders, and bladder dysfunction as independent risk factors for childhood enuresis. Understanding these factors is crucial for developing targeted interventions that can enhance the management and outcomes of enuresis. Future research should explore the interrelationships among these factors to refine preventive and therapeutic strategies for early childhood enuresis.

摘要

目的

确定与儿童遗尿症相关的风险因素。

方法

我们对2020年6月至2023年6月期间在安徽省儿童医院被诊断为遗尿症的146名6至13岁儿童进行了回顾性分析。根据尿床频率对儿童进行分类:发作频率较低(每周一次至每月两次)的儿童被归入轻度组(60例),发作频率较高(每周两次或更多次)的儿童被归入重度组(86例)。我们比较了两组之间的人口统计学数据、家族史和个人特征,并进行逻辑回归分析以确定显著的风险因素。

结果

分析显示,性格倔强、夜间多尿、睡眠-觉醒障碍和膀胱功能障碍显著增加了遗尿症的风险(P<0.05)。这些发现强调了在管理遗尿症时,采用整体方法评估心理因素、夜间排尿模式、睡眠质量和膀胱健康的重要性。

结论

该研究确定性格倔强、夜间多尿、睡眠-觉醒障碍和膀胱功能障碍是儿童遗尿症的独立风险因素。了解这些因素对于制定有针对性的干预措施至关重要,这些措施可以改善遗尿症的管理和治疗效果。未来的研究应探索这些因素之间的相互关系,以完善幼儿遗尿症的预防和治疗策略。

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