Alon U S
Division of Pediatric Nephrology, Children's Mercy Hospital, University of Missouri at Kansas City 64108, USA.
Pediatr Nephrol. 1995 Feb;9(1):94-103.
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.
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。