不同严重程度儿童遗尿症的临床特征分析  

Clinical characteristics of childhood nocturnal enuresis with different severity

作　　者：李洁[1] 许园园[1] 高洁 容丽萍[1] 蒋小云[1] 陈丽植[1] LI Jie;XU Yuanyuan;GAO Jie;RONG Liping;JIANG Xiaoyun;CHEN Lizhi(Department of Pediatric Nephrology and Rheumatology,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院儿童肾脏风湿病中心,广州510080

出　　处：《中国中西医结合儿科学》2024年第6期508-512,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：广东省科技计划项目科技创新普及领域项目(2023A1414020013)。

摘　　要：目的了解严重遗尿症与非严重遗尿症患儿临床特征的差异。方法回顾性分析2014年7月至2023年8月于中山大学附属第一医院儿童肾脏风湿病中心就诊的遗尿症患儿318例的临床资料,根据每周尿床夜数将患儿分为严重遗尿症256例和非严重遗尿症62例。比较严重遗尿症和非严重遗尿症患儿的临床特征。结果遗尿症318例患儿中男197例,就诊中位年龄为8.0(6.3,10.6)岁。严重遗尿症患儿遗尿发生在前半夜、大量遗尿(P<0.05),尿床后觉醒困难(P<0.001)和穿纸尿裤睡觉(P<0.01)的比例更高。结论觉醒困难是严重遗尿症患儿最常见的临床表现。对于严重遗尿症患儿应关注睡眠情况和膀胱功能,个体化地采取诊疗措施。Objective To explore the differences in clinical characteristics between children with severe nocturnal enuresis(NE)and those with non-severe NE.Methods The clinical data of children with NE who were admitted to Department of Pediatric Nephrology and Rheumatology,The First Affiliated Hospital,Sun Yat-sen University from July 2014 to August 2023 were retrospectively analyzed.The patients included in the study were divided into severe NE group(n=256)and non-severe NE group(n=62)according to the number of wet nights per week.The clinical characteristics of the two groups were compared.Results Among the 318 NE children with a median age of 8.0(6.3,10.6)years at visiting the hospital,there were 197 boys.The proportion of the children in severe NE group was higher,who had NE in the first half of the night,large amount of enuresis(P<0.05),difficulty in awakening after bedwetting(P<0.001)and wearing diapers during sleep(P<0.01).Conclusion Difficulty in awakening is the most common clinical manifestation in children with severe NE.Sleeping state and bladder function should be paid attention to in the children with severe NE in order to take individualized diagnosis and treatment measures.

关 键 词：遗尿症 临床特征 觉醒困难 儿童 

分 类 号：R256.54[医药卫生—中医内科学]