不同唤醒水平夜间遗尿儿童的临床特征比较研究  

Comparatives study on clinical features of nocturnal enuresis children with different arousal levels

作　　者：熊祯 张安易 马骏[2] XIONG Zhen;ZHANG An-yi;MA Jun(Department of Children's Health Care.Wuhan Children's Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan,HuBei 430015,China;Department of Developmental and Behavioral Pediatrics,Shanghai Children's Medical Center,Shanghai 200127,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院儿童保健科,湖北武汉430015 [2]上海交通大学附属上海儿童医学中心发育行为儿科,上海200127

出　　处：《中国儿童保健杂志》2019年第12期1304-1307,共4页Chinese Journal of Child Health Care

基　　金：上海市2016年度“科技创新行动计划”项目基金(16411952800);2017年上海市浦东新区科技和经济委员会民生科研专项基金(PKJ2017-Y06);2018年上海市科学技术委员会科研计划项目(18411960200)

摘　　要：目的了解不同唤醒水平夜间遗尿症儿童的临床特征及相关影响因素,为个体化治疗提供依据。方法对2017年6-9月在上海儿童医学中心确诊为原发性单一症状性夜间遗尿症的100例患儿临床表现进行问卷调查,并进行描述性统计分析。结果100例患儿中男58例,女42例;年龄5~16岁,平均年龄(7.78±2.76)岁;患儿遗尿频率≤3次/周24人(24%),4~7次/周49人(49%),8~14次/周14人(14%),>14次/周13人(13%);夜间首次遗尿发生时间在晚间11:00-12:00时段的人数最多(占总人数的36%),其次为晚间10:00-11:00;遗尿后尿出一点即醒9人(9%)、尿出较多即醒9人(9%)、尿完后再醒的12人(12%),尿完后仍不醒人数为70人,占总例数的70%;单因素分析显示,多动、磨牙、被老师批评与遗尿后不能醒来有关(P<0.05);多因素Logistic回归分析显示,多动是儿童遗尿后不能唤醒的独立危险因素(OR=2.798,95%CI:1.034~7.572)。结论制定遗尿儿童的个性化诊疗方案时,需综合考虑其神经心理发育及社会环境因素。Objective To learn about the clinical features and the related influencing factors of nocturnal enuresis(NE)children with different arousal levels at night,so as to provide reference for individualized treatment.Method The clinical manifestations of 100 patients diagnosed with primary monosymptomatic nocturnal enuresis were investigated from June to September 2017 and descriptive statistical analysis was performed.Results There were 58 male cases and 42 females,and the age ranged from 5 to 16 years old,with an average age of(7.78±2.76)years old.The number of children with enuresis≤3 times/week,4 to 7 times/week,8 to 14 times/week,and>14 times/week were 24(24%),49(49%),14(14%)and 13(13%),respectively.Most of nocturnal enuresis(36%)occurred at 11:00 PM to 12 PM,followed by 10:00 PM to 11:00 PM.The numbers of children waking up after a little bedwetting,bedwetting a lot and finish urination were 9(9%),9(9%)and 12(12%),respectively.Single factor analysis showed that hyperactivity,grinding teeth,and the teacher′s criticism were related to the failure to wake up after enuresis(P<0.05).Multivariate Logistic regression analysis showed that hyperactivity was an independent risk factor for the failure to wake up after enuresis(OR=2.798,95%CI:1.034-7.572.).Conclusion When formulating the individualized diagnosis and treatment plan for children with enuresis,it is necessary to comprehensively consider the neuropsychological development and social environmental factors.

关 键 词：唤醒水平 遗尿症 神经心理发育 社会环境因素 儿童 

分 类 号：R726.9[医药卫生—儿科]