Watanabe H
Department of Urology, Kyoto Prefectural University of Medicine, Japan.
Eur Urol. 1998;33 Suppl 3:2-11. doi: 10.1159/000052234.
To clarify the pathogenesis of nocturnal enuresis.
Overnight simultaneous monitoring of electroencephalogram and cystometrogram, developed in 1985, was the basic method.
Nocturnal enuresis was classified into types I, IIa and IIb. In type I, activation of the arousal center functioned correctly, but the development of the function to switch light sleep to complete awakening was immature. In type IIa, activation of the arousal center failed. In type IIb, transmission of the urinary sensation to the upper centrum was ineffective because of the disturbance of bladder function.
There is a possibility that a universal concept embracing the various theories for enuresis proposed in the past could be obtained from this theory.
阐明夜间遗尿症的发病机制。
1985年开发的脑电图和膀胱压力图的夜间同步监测是基本方法。
夜间遗尿症分为I型、IIa型和IIb型。在I型中，觉醒中枢的激活功能正常，但将浅睡眠转换为完全觉醒的功能发育不成熟。在IIa型中，觉醒中枢的激活失败。在IIb型中，由于膀胱功能紊乱，尿意向上位中枢的传递无效。
从该理论有可能获得一个涵盖过去提出的各种遗尿症理论的通用概念。
