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夜间遗尿症。

Nocturnal enuresis.

作者信息

Alon U S

机构信息

Division of Pediatric Nephrology, Children's Mercy Hospital, University of Missouri at Kansas City 64108, USA.

出版信息

Pediatr Nephrol. 1995 Feb;9(1):94-103.

PMID:7742233
Abstract

Nocturnal enuresis is a very common pediatric problem which often has strong genetic roots. In the vast majority of children it resolves spontaneously, with time, therefore research and treatment of bedwetting cannot carry any risk to the child. The research on the etiology of bedwetting has been focused on sleep disturbances, nocturnal urine production and functional bladder capacity. So far it has not provided conclusive evidence of the pathophysiology of the phenomenon. It is possible that different factors may be predominant in different age groups. Although bedwetters are basically mentally healthy, several studies have shown that the problem may cause secondary emotional and social problems which can be alleviated with successful intervention. Of the treatment modalities currently available to the pediatrician, the most effective is the moisture alarm. Combined with its safety and low cost it should become the treatment of choice in most cases.

摘要

夜间遗尿是一个非常常见的儿科问题,通常有很强的遗传根源。在绝大多数儿童中,随着时间推移它会自行解决,因此对尿床的研究和治疗不能对儿童有任何风险。对尿床病因的研究一直集中在睡眠障碍、夜间尿量产生和膀胱功能容量上。到目前为止,它尚未提供该现象病理生理学的确凿证据。在不同年龄组中,可能不同因素占主导地位。虽然尿床儿童基本心理健康,但多项研究表明,该问题可能会导致继发性的情绪和社交问题,而成功干预可以缓解这些问题。在儿科医生目前可用的治疗方式中,最有效的是湿度报警器。鉴于其安全性和低成本,在大多数情况下它应成为首选治疗方法。

相似文献

1
Nocturnal enuresis.夜间遗尿症。
Pediatr Nephrol. 1995 Feb;9(1):94-103.
2
Nocturnal enuresis.夜间遗尿症。
Pediatr Nephrol. 1995 Jun;9(3):94-103.
3
Pathophysiology and impact of nocturnal enuresis.夜间遗尿症的病理生理学及影响
Acta Paediatr. 1997 Sep;86(9):919-22. doi: 10.1111/j.1651-2227.1997.tb15170.x.
4
Nocturnal enuresis (bedwetting).夜间遗尿症(尿床)。
Curr Opin Urol. 2003 Jul;13(4):337-43. doi: 10.1097/00042307-200307000-00011.
5
Response of bedwetting to the enuresis alarm. Influence of psychiatric disturbance and maximum functional bladder capacity.尿床对遗尿报警器的反应。精神障碍和最大功能性膀胱容量的影响。
Arch Dis Child. 1982 May;57(5):394-6. doi: 10.1136/adc.57.5.394.
6
Primary nocturnal enuresis in children. Background and treatment.儿童原发性夜间遗尿症。背景与治疗。
Scand J Urol Nephrol Suppl. 1994;156:1-48.
7
The pathophysiology of enuresis in children and young adults.儿童及青年成人遗尿症的病理生理学
Clin Pediatr (Phila). 1993 Jul;Spec No:5-9. doi: 10.1177/0009922893032001s02.
8
Childhood nocturnal enuresis: developing a conceptual framework.儿童夜间遗尿症:构建一个概念框架。
Clin Psychol Rev. 2004 Dec;24(8):909-31. doi: 10.1016/j.cpr.2004.07.001.
9
Enuresis--background and treatment.遗尿症——背景与治疗
Scand J Urol Nephrol Suppl. 2000(206):1-44.
10
[Nocturnal enuresis in children].[儿童夜间遗尿症]
Nord Med. 1998 Jan;113(1):13-5, 15.

本文引用的文献

1
Enuresis in adults and abnormality of sleep.成人遗尿与睡眠异常。
Lancet. 1950 Jul 22;2(6621):133-5. doi: 10.1016/s0140-6736(50)91079-8.
2
On the ability of enuretic children to hold urine.关于遗尿症儿童的憋尿能力。
Acta Paediatr (Stockh). 1950;39(1-2):87-93. doi: 10.1111/j.1651-2227.1950.tb08508.x.
3
Diurnal rhythm in urine flow.尿流的昼夜节律
J Physiol. 1951 May;113(4):528-36. doi: 10.1113/jphysiol.1951.sp004593.
4
Nocturnal enuresis in twins. I. Methods and material.双胞胎中的夜间遗尿症。I. 方法与材料。
Acta Psychiatr Scand. 1960;35(1):73-90. doi: 10.1111/j.1600-0447.1960.tb07593.x.
5
Nocturnal enuresis: aetiologic aspects.夜间遗尿症:病因学方面。
Acta Paediatr Suppl (Upps). 1959 Sep;48(Suppl 118):66-74. doi: 10.1111/j.1651-2227.1959.tb17503.x.
6
Sleep levels in enuresis.遗尿症中的睡眠水平。
Am J Psychiatry. 1955 Jun;111(12):913-20. doi: 10.1176/ajp.111.12.913.
7
ENURESIS--AN ETIOLOGIC AND THERAPEUTIC STUDY.遗尿症——一项病因与治疗的研究。
J Pediatr. 1965 Sep;67:423-31. doi: 10.1016/s0022-3476(65)80403-6.
8
ENURETIC CHILDREN TREATED WITH IMIPRAMINE (TOFRANIL): A CYSTOMETRIC STUDY.用丙咪嗪(托弗尼尔)治疗遗尿症儿童:一项膀胱测压研究。
Ann Paediatr Fenn. 1965;11:53-9.
9
The depth of sleep in enuretic school-children and in non-enuretic controls.遗尿学龄儿童与非遗尿对照儿童的睡眠深度。
J Psychosom Res. 1960 Jul;4:274-81. doi: 10.1016/0022-3999(60)90003-9.
10
Imipramine hydrochloride (Tofranil) and enuresis.盐酸丙咪嗪(托弗尼尔)与遗尿症。
Am J Psychiatry. 1960 Dec;117:551. doi: 10.1176/ajp.117.6.551.