Chen W F, Huang S C
Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1995 Jun;18(2):115-9.
Forty-eight children (28 males and 20 females) with acute onset of isolated daytime urinary frequency were retrospectively reviewed. Their age at the onset of symptom ranged from 4 to 7.8 years (median 6.3 years). Clinical evaluations by noninvasive means are completely normal in all patients. Treatment with anticholinergics or antibiotics did not relieve the symptom. In all patients, urinary frequency was resolved spontaneously after an average of 1.8 months from time of onset. There was no particular relationship between the season and the occurrence of the symptoms. Although the actual cause of pollakiuria is still not known, some kinds of psychophysiologic reaction has been implicated. In only 19 out of 48 patients, the possible trigger factor could be obtained. It should be emphasized that this clinical entity is a benign, self-limited situation that requires no invasive investigation or management other than reassurance.
回顾性分析了48例急性起病的单纯日间尿频患儿(男28例,女20例)。症状出现时的年龄为4至7.8岁(中位年龄6.3岁)。所有患者通过非侵入性手段进行的临床评估均完全正常。使用抗胆碱能药物或抗生素治疗未能缓解症状。所有患者的尿频症状在起病后平均1.8个月自行缓解。症状的发生与季节之间无特定关系。尽管遗尿症的实际病因尚不清楚,但推测与某种心理生理反应有关。48例患者中只有19例能找到可能的触发因素。需要强调的是,这种临床情况是一种良性的自限性疾病,除给予安慰外,无需进行侵入性检查或治疗。