骶神经磁刺激联合康复训练治疗儿童原发性夜间遗尿症  

Sacral nerve magnetic stimulation combined with rehabilitation training in the treatment of primary nocturnal enuresis in children

作　　者：吴洁 袁梦 吴野 张明[3] Wu Jie;Yuan Meng;Wu Ye;Zhang Ming(Department of Rehabilitation Medicine,the Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University,Xuzhou 221003,China;Department of Rehabilitation Medicine,Xuzhou Children′s Hospital,Xuzhou 221004,China;Department of Rehabilitation Medicine,Xuzhou Central Hospital,Xuzhou 221009,China)

机构地区：[1]徐州医科大学附属徐州康复医院康复医学科,221003 [2]徐州市儿童医院康复医学科,221004 [3]徐州市中心医院康复医学科,221009

出　　处：《中华儿科杂志》2021年第8期684-688,共5页Chinese Journal of Pediatrics

基　　金：徐州市国家临床重点专科培育项目(2018ZK002)。

摘　　要：目的探究骶神经磁刺激(SMS)联合康复训练治疗儿童原发性夜间遗尿症(PNE)的临床价值。方法前瞻性选择徐州市康复医院、徐州市中心医院和徐州市儿童医院康复科2019年10月至2020年9月就诊的57例PNE患儿,采用随机数字表法将患儿分为观察组和对照组。对照组采取膀胱功能训练、觉醒训练和生活与心理干预治疗,观察组基于以上方法增加SMS对PNE患儿进行治疗。治疗前、后通过遗尿程度(正常、轻度、中度、重度)、遗尿次数、疗效评价及膀胱容量进行评估对比。组间比较采用χ2检验和t检验。结果57例PNE患儿纳入观察组28例(男15例)、对照组29例(男19例)。两组患儿在年龄、男性比例、遗尿程度及次数方面差异均无统计学意义(均P>0.05)。观察组治疗1个月后遗尿程度均优于对照组(12比7例、8比8例、5比9例、3比5例,χ^(2)=-2.269,P=0.030);遗尿次数低于对照组[(4.2±1.8)比(8.1±2.0)次,t=4.475,P<0.01];疗效评价总有效率和膀胱容量均高于对照组[82%(23/28)比48%(14/29)、(225±25)比(199±21)ml,Z=11.238、t=-2.249,均P<0.05]。结论SMS是治疗儿童PNE的有效手段,可以减少儿童遗尿程度和次数,增加患儿膀胱容量,提高治疗总有效率,值得临床推广应用。Objective To explore the clinical value of sacral magnetic stimulation(SMS)combined with rehabilitation training in the treatment of primary nocturnal enuresis(PNE)in children.Methods The clinical data of 57 children with PNE admitted to the Department of Rehabilitation Xuzhou Rehabilitation Hospital,Xuzhou Central Hospital and Xuzhou Children′s Hospital from October 2019 to September 2020 were collected and analyzed.The children were divided prospectively into observation group and control group by using random number table method.Bladder function training,awakening training and life and psychological intervention were performed in both groups,while the observation group was treated with SMS based on the above treatment methods.Before and after treatment,the degree and the frequency of enuresis(normal,mild,moderate,severe),therapeutic evaluation and bladder volume were compared.Chi-square test and T test were used for comparison between the two groups.Results Finally,28 cases in the observation group and 29 cases in the control group were included.There was no significant difference in age,sex,degree and of frequency enuresis of children between the two groups(all P>0.05).The degree of enuresis in the observation group after 1 month of treatment was better than that in the control group(12 vs.7 cases,8 vs.8 cases,5 vs.9 cases,3 vs.5 cases,χ^(2)=-2.269,P=0.030).Enuresis times in observation group was lower than that in the control group[(4.2±1.8)vs.(8.1±2.0),t=4.475,P<0.01].The total effective rate and bladder capacity of efficacy evaluation were higher than those of control group[82%(23/28)vs.48%(14/29),(225±25)vs.(199±21)ml,Z=11.238,t=-2.249,both P<0.05].Conclusions SMS is an effective method for the treatment of PNE in children,which can reduce the degree and frequency of enuresis in children,increase the bladder volume and improve the total effective rate of treatment.It is worthy of clinical promotion and application.

关 键 词：康复 儿童 夜遗尿症 

分 类 号：R726.9[医药卫生—儿科]