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[原发性和继发性夜间遗尿症。它们是不同的病症吗?]

[Primary and secondary nocturnal enuresis. Are they different entities?].

作者信息

Lapeña López de Armentia S, Rodríguez Fernández L M, Marugán de Miguelsanz J M, Palau Benavides M T, Reguero Celada S, Gutiérrez Fernández M, Torres Hinojal M C, San Martín Sastre J L

机构信息

Servicio de Pediatría, Complejo Hospitalario, León.

出版信息

An Esp Pediatr. 1996 Apr;44(4):345-50.

PMID:8849085
Abstract

The aim of this study was to know the prevalence and predominant factors of primary and secondary enuresis in schoolchildren. For this purpose, a randomized epidemiological study was performed on a representative sample of the general population of children, aged 6 and 10 years, living in the province of Leon. Their parents responded to a questionnaire that evaluated, in both forms of enuresis, what are the predominant factors, including: familiar, socioeconomic, personal, education and psychological factors. We found that in a selected population of 1,307 children, 171 presented nocturnal enuresis when they were 6 years old (13.09% +/- 0.93%). Of these, 133 had primary (10.18 +/- 0.84%) and 38 (2.91 +/- 0.46%) secondary enuresis. We found no significant differences between the two forms in regards to familiar, socioeconomic, personal education or psychological factors. The only differences were that in secondary enuresis, the parents were older (p < 0.05) and less education (p < 0.01) on the subject of bladder control, and a later onset of the same (p < 0.05), was given. We conclude that the prevalence of primary enuresis is 10.18% +/- 0.84% and that of secondary enuresis is 2.91% +/- 0.46%. We do not find clear differences that permit us to consider these two types of enuresis as different forms.

摘要

本研究的目的是了解学龄儿童原发性和继发性遗尿症的患病率及主要影响因素。为此,我们对居住在莱昂省的6至10岁儿童的一般人群代表性样本进行了一项随机流行病学研究。他们的父母回答了一份问卷,该问卷评估了两种遗尿症形式中的主要影响因素,包括:家庭、社会经济、个人、教育和心理因素。我们发现,在选定的1307名儿童中,171名在6岁时出现夜间遗尿症(13.09%±0.93%)。其中,133名患有原发性遗尿症(10.18±0.84%),38名(2.91±0.46%)患有继发性遗尿症。我们发现,在家庭、社会经济、个人教育或心理因素方面,这两种遗尿症形式之间没有显著差异。唯一的差异是,在继发性遗尿症中,父母年龄较大(p<0.05),在膀胱控制方面的教育程度较低(p<0.01),且发病较晚(p<0.05)。我们得出结论,原发性遗尿症的患病率为10.18%±0.84%,继发性遗尿症的患病率为2.91%±0.46%。我们没有发现明显差异,使我们能够将这两种遗尿症视为不同的形式。

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