综合排尿指导在功能性排尿异常患儿治疗中的效果  

Effect of urination instructions in treatment of functional voiding abnormality

作　　者：范咏[1] 顾莺[1] 万嫣敏[1] 周燕华 

机构地区：[1]复旦大学附属儿科医院,上海201102

出　　处：《上海护理》2017年第5期21-23,共3页Shanghai Nursing

基　　金：2013国家临床重点专科建设项目(2013-544)

摘　　要：目的探讨综合排尿指导在功能性排尿异常患儿治疗中的效果。方法选择2012年10月—2013年6月于复旦大学附属儿科医院就诊的功能性排尿异常患儿170例,随机分为观察组86例和对照组84例。对照组进行常规治疗和健康宣教,观察组在对照组的基础上,采用排尿日记、排尿指导和生物反馈治疗等综合排尿指导。3个月和6个月后进行电话随访并评估,12个月后门诊随访复查尿流率和B超残余尿量。每次随访根据症状评分和客观评价判定治疗效果。结果患儿12个月后随访,观察组中,治愈72例,占83.7%;改善9例,占10.5%;无改善5例,占5.8%。对照组中,治愈26例,占31.0%;改善36例,占42.9%;无改善22例,占26.2%。两组患儿比较,差异有统计学意义(P<0.05)。结论排尿日记、排尿指导和生物反馈治疗等综合排尿指导对功能性排尿异常患儿具有一定的治疗效果。Objective To investigate the effect of urination instructions in the treatment of functional voiding abnormality. Methods From October 2012 to June 2013 totally 170 children with functional voiding abnormality in Children＇ s Hospital of Fudan University were chosen. They were randomly divided into the experimental group （ n = 86） and control group （ n = 84）. The control group was given the routine treatment and health education, and the experimental group was given additional comprehensive urination instructions including voiding diary, urination guidance and biofeedback therapy. Telephone follow-up was performed 3 months and 6 months later and outpatient follow-up was completed 12 months later to assess the therapeutic effects. Results In the experimental group, 72 were cured （83.7%） , 9 improved （ 10.5% ）, and 5 invalid （5.8%）. In the control group, 26 were cured （31.0%）, 36 improved （42.9%）, and 22 invalid （26.2%）. There were significant differences between the two groups （P 〈 0. 05 ）. Conclusion The comprehensive urination instructions has a certain therapeutic effect in the treatment of functional voiding abnormality.

关 键 词：功能性排尿异常 患儿 排尿指导 排尿日记 生物反馈治疗 效果 

分 类 号：R473.72[医药卫生—护理学]