Schmitt B D
University of Colorado School of Medicine, Denver, USA.
Pediatr Rev. 1997 Jun;18(6):183-90; quiz 91. doi: 10.1542/pir.18-6-183.
The answer to nocturnal enuresis is nocturnal self-awakening. Enuresis alarms teach this skill and, therefore, have the highest cure rate and the lowest relapse rate of any intervention. An alarm costs the same as a 2-week supply of desmopressin. Alarms can be used anytime from age 5 onward if the child elects to use one. If an alarm alone is not successful, combining it with medication increases the cure rate. The ability to teach a family how to use an enuresis alarm is an important part of pediatric office practice.
夜间遗尿的解决办法是夜间自我唤醒。遗尿警报器能教会这项技能,因此,在所有干预措施中,其治愈率最高,复发率最低。一个警报器的费用与两周的去氨加压素供应量相同。如果孩子选择使用,5岁及以上的任何时候都可以使用警报器。如果仅使用警报器不成功,将其与药物联合使用可提高治愈率。教会家庭如何使用遗尿警报器的能力是儿科门诊实践的重要组成部分。