Cracco A, Belloli G P, Ronconi G F
Pediatr Med Chir. 1984 Sep-Oct;6(5):681-9.
The Authors present the study and results in 180 cases of infantile enuresis, treated with a new bell alarm associated to conditioning psychological treatment (toilet training, token economy, motivational counseling, urine stop exercises, etc.). The cases have been subdivided into the type of enuresis, age and sex. 140 (77.8%) subjects aged from 6 years to 16 years with primary enuresis, and 40 (22.2%) aged from 6 years to 15 years with secondary enuresis have been treated. The following results were obtained in the primary enuresis with this type of treatment after a follow-up of 6-12 months: permanent recovery in 85.71% of the cases, relapse after 6 months in 11.42%, improvement in 5% and failures in 9,29% of the cases. In secondary enuresis the following results were obtained: permanent recovery after 12 months in 75% of the cases, relapse after 6 months in 10%, improvement in 7.5% and failures in 17.5% of the cases. The differences in the results between the two types of enuresis with respect to the age of the cases up to 12 years are proved and relatively less with respect to the average time of treatment for the total remission. Regarding the sex of the cases no significant therapeutic answer was noted neither in the final results nor in the time of treatment in both types of enuresis. Finally, it is not the substitution of symptoms which are proved but the benefits of a general and psychological level.
作者介绍了对180例小儿遗尿症进行治疗的研究及结果，采用了一种新型的铃声报警器并结合条件性心理治疗（如厕训练、代币法、动机咨询、憋尿练习等）。病例按遗尿症类型、年龄和性别进行了细分。治疗了140例（77.8%）年龄在6岁至16岁的原发性遗尿症患者，以及40例（22.2%）年龄在6岁至15岁的继发性遗尿症患者。对原发性遗尿症采用这种治疗方法进行6至12个月的随访后，得到以下结果：85.71%的病例永久治愈，11.42%的病例在6个月后复发，5%的病例有所改善，9.29%的病例治疗失败。在继发性遗尿症中得到以下结果：75%的病例在12个月后永久治愈，10%的病例在6个月后复发，7.5%的病例有所改善，17.5%的病例治疗失败。证明了两种类型的遗尿症在12岁以下病例年龄方面结果存在差异，而在完全缓解的平均治疗时间方面差异相对较小。关于病例的性别，在两种类型的遗尿症中，无论是最终结果还是治疗时间，均未观察到显著的治疗反应。最后，证实的并非症状的替代，而是总体和心理层面的益处。
