体外磁刺激在儿童单症状性夜间遗尿治疗中的应用研究  

Study application of external magnetic stimulation in the treatment of children with monosymptomatic nocturnal enuresis

作　　者：何建华[1] 朱伟超[2] 王建红 罗爱平 HE Jianhua;ZHU Weichao;WANG Jianhong(Pelvic floor Rehabilitation Department,the First Affiliated Hospital of Ningbo University,Bund District,Ningbo 315010,China;不详)

机构地区：[1]宁波大学附属第一医院外滩院区盆底康复科,浙江宁波315010 [2]宁波大学附属第一医院小儿外科,浙江宁波315010

出　　处：《医师在线》2025年第3期56-59,共4页Journal of Doctors Online

基　　金：宁波市科技计划项目(2022S039)。

摘　　要：目的探讨体外磁刺激在儿童单症状性夜间遗尿(MNE)治疗中的应用效果。方法选取2022年5月~2024年8月期间在宁波大学附属第一医院外滩院区(原宁波大学医学院附属医院)就诊的MNE患儿226例,根据治疗方案不同分为对照组及研究组。对照组给予常规治疗(生活干预、膀胱功能训练及觉醒训练),研究组在常规治疗的基础上给予体外磁刺激。两组均治疗12周。比较两组临床疗效,两组患儿治疗前后的临床指标(每晚遗尿次数、每周遗尿次数、每月遗尿次数、尿出量、夜晚遗尿时间)、治疗前后膀胱功能[功能性膀胱容量(FBC)、膀胱残余尿量、尿渗透压、尿流率]。结果治疗期间17例中途退出随访,最终209例纳入研究,其中,对照组102例,研究组107例。研究组临床总有效率为95.33%,高于对照组的84.31%,差异有统计学意义(P<0.05)。研究组每晚遗尿次数、每周遗尿次数、每月遗尿次数均少于对照组(P<0.05);夜间遗尿时间点晚于对照组,尿出量少于对照组(P<0.05)。治疗后,研究组FBC大于对照组,膀胱残余尿量少于对照组,尿流率及尿渗透压大于对照组(P<0.05)。结论体外磁刺激治疗儿童MNE的疗效确切,可促进患儿膀胱功能恢复,减少尿出量及遗尿次数。Objective To investigate the application effect of external magnetic stimulation in the treatment of children with monosymptomatic nocturnal enuresis(MNE).Methods A total of 226 children with MNE who were treated in the Bund District of the First Affiliated Hospital of Ningbo University(formerly Affiliated Hospital of Ningbo University Medical School)between May 2022 to August 2024 were selected and divided into control group and study group according to different treatment plans..The control group received conventional treatment(life intervention,bladder function training and awakening training),and the study group received external magnetic stimulation on the basis of conventional treatment.Both groups were treated for 12 weeks.The clinical efficacy of the two groups was compared,and the clinical indicators(number of nocturnal enuresis episodes per night,per week,and per month,urine output,and time of nocturnal enuresis)of the children in the two groups before and after treatment,as well as the bladder function[functional bladder capacity(FBC),bladder residual urine volume,urine osmotic pressure and urine flow rate]before and after treatment were compared.Results During the treatment period,17 cases dropped out of follow-up,and 209 cases were finally included in the study,including 102 cases in the control group and 107 cases in the study group.The total clinical effective rate of the study group was 95.33%,which was higher than that of the control group(84.31%),the difference was statistically significant(P<0.05).The number of nocturnal enuresis episodes per night,weekly and monthly in the study group were lower than those in the control group(P<0.05).The nocturnal enuresis time was later than that of control group,and the output was less than that of control group(P<0.05).After treatment,the FBC of the study group was higher than that of the control group,the residual urine volume of the bladder was lower than that of the control group,the urine flow rate and urine osmotic pressure were higher than that of th

关 键 词：体外磁刺激 儿童 单症状性夜间遗尿 功能性膀胱容量 尿流率 尿渗透压 

分 类 号：R24[医药卫生—中医临床基础]