伴隐性脊柱裂小儿遗尿症的中西医研究进展  

Research progress of Chinese and western medicine in enuresis children with occult spina bifida

作　　者：凌浩 莫燕玲 王彦超 李岚[2] LING Hao;MO Yanling;WANG Yanchao;LI Lan(The First Clinical Medical School of Zhejiang Chinese Medicine University,Hangzhou 310053,China;The First Affiliated Hospital of Zhejiang Chinese Medicine University,Hangzhou 310006,China)

机构地区：[1]浙江中医药大学第一临床医学院,杭州310053 [2]浙江中医药大学附属第一医院儿科,杭州310006

出　　处：《中国中西医结合儿科学》2024年第4期297-301,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金项目(81973905);浙江省国医名师(俞景茂)传承工作室建设项目(GZS2020003)。

摘　　要：遗尿症是儿科临床中常见的一种疾病,其病因复杂,病程长且易反复发作,对于儿童生理及心理健康均有不利的影响。现代临床研究发现遗尿患儿X线检查多存在隐性脊柱裂,西医学认为隐性脊柱裂通过造成骶脊髓水平的隐匿性神经功能障碍,削弱膀胱功能,叠加排尿中枢的延迟效应,引起睡眠呼吸障碍,从而抑制肾素-血管紧张素-醛固酮系统等途径参与患儿遗尿。中医层面则从督脉与肾的角度进行探析。本文分别从中西医方面论述隐性脊柱裂与小儿遗尿症的相关性以及可能的作用机制,并阐述了隐性脊柱裂遗尿患儿当前的中西医治疗方法及预后,以期为未来研究隐性脊柱裂的遗尿患儿提供一定的理论依据。Enuresis is a common disease in pediatric clinic,its etiology is complex,the course of disease is long,and it is easy to relapse,which has adverse effects on children′s physical and mental health.Modern clinical studies have found that most children with enuresis have occult spina bifida in X-ray examination.In western medicine it is believed that occult spina bifida leads to enuresis in children by causing occult nerve dysfunction at the sacral spinal cord level,weakening bladder function,adding delayed effects of the urination center,causing sleep dyspnea and inhibiting renin-angiotensin-aldosterone system.In traditional Chinese medicine the disease is analyzed from the supervision vein and kidney.This paper discusses the correlation between occult spina bifida and enuresis in children and the possible mechanism of action from the aspects of Chinese and western medicine.At the same time,the present treatment methods in Chinese and western medicine and prognosis of children with occult spina bifida are also described.It is hoped that this article can provide some theoretical basis for the future study of enuresis children with occult spina bifida.

关 键 词：遗尿 隐性脊柱裂 治疗 儿童 

分 类 号：R256.54[医药卫生—中医内科学]