儿童原发性夜间遗尿症生理心理治疗的疗效及随访评估  

Evaluation of the efficacy of physio-psychological treatment for primary nocturnal enuresis and its follow-up in children

作　　者：马骏[1] 金星明[1] 章依文[1] 吴虹[1] 江帆[1] 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心,上海200127

出　　处：《中国循证儿科杂志》2008年第5期362-367,共6页Chinese Journal of Evidence Based Pediatrics

基　　金：上海市重点学科建设项目资助:T0204

摘　　要：目的应用生理心理治疗观察儿童原发性夜间遗尿症(PNE)的临床远期疗效,并探讨其治疗机制。方法对2004年9月至2006年1月在上海交通大学医学院附属上海儿童医学中心发育行为儿科应用生理心理治疗PNE患儿的资料进行回顾性分析,治疗中2周随访1次(随访观察6个月),治疗结束后1个月随访1次,家长每日记录患儿遗尿频率和夜间自行起床排尿次数。B超测定治疗前和治疗结束时最大憋尿状态下的膀胱容量。统计分析生理心理治疗的远期疗效,遗尿频率、膀胱容量以及夜间自行起床排尿次数的变化情况,采用Logistic回归分析影响生理心理治疗远期疗效的危险因素。结果研究期间应用生理心理治疗的68例PNE患儿远期疗效为:治愈43例(63.2%),显效18例(26.5%),部分有效5例(7.4%),无效2例(2.9%)。治疗前平均遗尿频率为每周(6.12±1.32)次,停止治疗6个月后遗尿频率为每周(1.23±0.18)次(t=2.65,P=0.011)。治疗前平均夜间自行起床排尿次数为每周(0.72±0.15)次,停止治疗6个月后平均夜间自行起床排尿次数为每周(6.83±1.16)次(t=2.25,P=0.026)。治疗前患儿平均膀胱容量/...Objective To Study the clinical long-term efficacy of physio-psychological treatment in children with primary nocturnal enuresis(PNE) and analyze the mechanism of this treatment.Methods The study objects were 68 children who were diagnosed as primary nocturnal enuresis(PNE) and applied physio-psychological treatment in the Department of Developmental and Behavioral Pediatrics of Shanghai Children s Medical Center from September 2003 to January 2006,including 41 boys and 27 girls;The age range was from 5 to ...

关 键 词：儿童 遗尿症 生理心理治疗 报警器 疗效 

分 类 号：R726.9[医药卫生—儿科]