Marugán de Miguelsanz J M, Lapeña López de Armentia S, Rodríguez Fernández L M, Palau Benavides M T, Torres Hinojal M C, Menau Martín G, Gutiérrez Fernández M, Alvaro Iglesias E
Servicio de Pediatría, Hospital de León.
An Esp Pediatr. 1996 Jun;44(6):561-7.
The objective of this study was to better understand the development of nocturnal bladder control in our population of children and to analyze the different factors that influence this process. A transversal epidemiological study in a randomly chosen sample of schoolchildren, between the ages of 6 and 10 years, in the province of Leon was performed. The study was carried out by means of an anonymous survey given to the children's parents through the school center. The survey was comprised of personal, environmental and sphincter control development questions. We define nocturnal enuresis as at least one wet night per month in children older than 6 years of age. Of the surveys distributed, 65.1% were answered. The prevalence of primary, secondary and total nocturnal enuresis was 10.18%, 2.91% and 13.09%, respectively, for children 6 years of age and 6.59%, 0.9% and 7.49%, respectively in 10 year old children. Among the children without nocturnal enuresis, in the event of family antecedents of nocturnal enuresis, in absence of toilet training, or when sphincter education was started later than 15 months of age, slower maturation of sphincter control was observed. We conclude, that the nocturnal enuresis prevalence is similar to that reported in other related countries and that bladder control maturation among children without bed-wetting tendencies is related to the educational attitude of the parents and family antecedents of nocturnal enuresis.
本研究的目的是更好地了解我们所研究的儿童群体夜间膀胱控制能力的发展情况，并分析影响这一过程的不同因素。在莱昂省对6至10岁的学童进行了随机抽样的横断面流行病学研究。该研究通过学校中心向儿童家长发放匿名调查问卷的方式进行。调查问卷包括个人、环境和括约肌控制发育方面的问题。我们将6岁以上儿童每月至少尿床一次定义为夜间遗尿症。在发放的调查问卷中，65.1%得到了回复。6岁儿童原发性、继发性和总体夜间遗尿症的患病率分别为10.18%、2.91%和13.09%，10岁儿童的患病率分别为6.59%、0.9%和7.9%。在无夜间遗尿症的儿童中，如果有夜间遗尿症的家族史、未进行如厕训练，或括约肌训练开始时间晚于15个月大，则观察到括约肌控制成熟较慢。我们得出结论，夜间遗尿症的患病率与其他相关国家报告的患病率相似，并且无尿床倾向儿童的膀胱控制成熟与父母的教育态度和夜间遗尿症的家族史有关。
