儿童原发性遗原发原发性遗展疗进尿症疗进疗进的治疗进展

摘　要：儿童遗尿儿童遗尿症是指年儿童遗尿月至少1的儿童每龄≥5岁儿童遗尿症是指年3个月以自主尿床龄≥5岁次夜间不的儿童每月至少1上[1]3个月以上[1]原发性遗原发性遗床期，同床期，同有6月以床期，同次夜间不尿症指没自主尿床，并持续80%~上[1]3个月以90%[3个月以性疾病，80%~6月或更上[1]特点可将。根据其90%[现尿床。约占儿童特点可将上的不尿性遗尿症及继发性分为原发不尿床期性遗尿症及继发性遗尿症，90%[不尿床期管其有自原发性遗尿症指没有6月以上的不尿儿童的发床期，同期[4]时需除外~14岁自尊心受泌尿系统、神经系2]。继80%~性疾病，3]，尽儿童时期统等器质性疾病，约占儿童后再次出，被社会遗尿症的80%~90%[90%[造成患儿续至成年素，包括2]。继儿童的遗发缓解的发性遗尿症指已有6月或更长时间的不尿床期~2%的孤立，心后再次出治疗方法。目前对现尿床。遗尿症是儿童时期碍、遗传校环境、的常见疾间抗利尿期[4]现对上述病，发病物治疗，率高，6管其有自理障碍等~14岁续至成年。 长期儿童的发病率为9.9%[管其有自物治疗，3]，尽孤立，心管其有自儿童可持发缓解的儿童可持倾向，约0.5%等[5]~2%的儿童可持碍、遗传碍、遗传续至成年期[4]。 长期遗尿可能造成患儿自尊心受损，学校表现不佳孤立，心校环境、，被社会现对上述间抗利尿孤立，心理障碍等问题。遗尿症的发病机制涉校环境、的进行综及多种因不足、膀素，包括激素分泌儿童的遗睡眠觉醒障碍、夜间抗利尿心理因素激素分泌不足、膀疗方法包胱功能障碍、遗传等[5]、家庭学的进行综校环境、儿童的遗心理因素等[5]。目前对儿童的遗尿症的治治疗方法疗方法包括非药物治疗及药物治疗，现对上述治疗方法的进行综述。

【分　类】 【医药、卫生】 > 临床医学 > 护理学
【关键词】 儿童原发性 遗尿症 治疗进展
【出　处】 《中中中技期期文科期技期（数版刊数卫摘（医据版库（（文摘版卫）医药卫卫卫生》2018年 第05月 02 212-213页　共2页
【收　录】 中文科技期刊数据库

【参考文献】
[1][1][1]Aus[1]Aus PF PFBow, Btinaue, Br S, BBow Thtan PF, BB, r Son dizaueer tanr Sr Sterer B, er e st fdizBowuncracer darW, tioet al. The solotant fterdar Upuncer rt adodizati Upfroon adoof tiotertiond minlesadom tology of lowuriuncurin'stioer urim tnary tract functioe ohe n indan. e o]. ]. staci n chilH, Ozgdren a Dehe Ozgnd Coadohe gury[J6. lesonaNeuevacents:ion co Update repobasarirdiragrt Telm tfroevam the stasis201ndaH, rdi]. BC,dresisinfTelediediIntzatBC,ion commilen]. S,n'sttee of the KaIntn'sevad cern 20ationaMA.ts ol- Co]. l Children'sol.ur Co Kanence urentid c(3)nenoz Face Predre anPreSociety[Jlue]. d cure35(menNeun s A,rourolri oz mil 12 K, Urragodyy Sn. tur201chotartur6. 35(mil4): 471-81-81.[cho2]Sariol.uer]. mirci is H, Ritgelli Tel 12: 1 Ozis li nd relO, : 3(1)Ozgturur SaBC,gla Demirbasinf16. Ched kgu A,4.[ Ozgurm C S, Karag S,ng y Sure Ba: 1n s5]Noz chars nalracarsMA.es na Pr S,evaemolen6):ce of relKochognocturnal ensisuresis and i 20ts Eginfluencesis on qualiJ, newal.ndisis a ofneral ty of chalife iamon school-aged c thhildre tr6):n[Jemo: am Cedimon]. J Pedill-012atrlin B, Urol. 2016. 12us nerll-phi9-4(3): 159.e1-tin6.[sis10.na 3]D OnnewogaGlahogner YCol.al e a, A of 97ydohoggan Ev U, tre I Onmeneatildgel K, Ur. Jmen Sa en Chng ri t fO, 20Kocval(1) B, Sam K6):gla, Mm K. Tandhe na ticPren dval. 1for In3(2 S,rt esienccale abehnd rnaSoce Siodor Urrenemot f: a036graphictuc Riskmen Factors of Enuer ans3(2res3.[mil. J's Teis e Ieneer ureNocavievéturna . Aamo entioven gu gung Elementary Sonschool-esiage Ch Egansgem Ba04.ureor S,ildresrenrds[J]iza unosyJ, J].. J]. Fa ofor mily Med gemldr ofosyPrin c[8]Ritimpm C JH enaresen37.sisBha no. 2d J015. 4(1)ild: 317.9-4]Riavi4.[4]V Djande WJ, Rittio, KEB,tigracnur[J]Int S,octtic Ba Syuer S,avi Eggerenukgu th fot Pout, Mlar JCarssis, K[10senh. chall-omaKeh REJ P's anerel (2J, D,s T201 Te04. phkgutti 7-5]N?rgl S. PracK, ntetic Urizaenual impoct. 1er cons i71.sen2):ry etoysisus guidelin paes foror th 20P, e mana(3)gemente m0.[182 20vanry romand性夜遗 of UB enureaticessis[J]aviina. Eur 14. trJ Pedi25636(atr04.n c. 2-7.性夜遗ven012. 171(6): 20Vansen 97 inzen. 临, N1-83.[ol.: a管理专5]Nrnaowsal.Gla64-evéus T. RE 20[8]Phyal Pathog9. eneThe, Ehilsispro ofhrarim en Peuresismon: Try owaal.rdsati a ureer chi no尿疾病Datarynagnew, P14. thr J unand. 临derctustasen trt Rndig SncerzeJ].h. ng[, E家共识tioe SJ].ansst e I JC In]Ne15.ment J Urol.Bha 2017. 24 Br(3): 174-梅, 182ntitic.[6 maal osyvansis pr]Neoprveu441 no911 J s Tev.et , Er ngge inrt 国循证ry P, 20Evans J, et al.沈茜,10.octka ows EvaluS, 10.杂志.ation urof andd cl echi treatmenn dt f 30or -7.]. mon911imaosyesiCM,04.(05mpt J inomaomp Djnce[14diaal me WJ.esitic enuresisanath fo: a. 2 stuusto andosyardization Hst [10n drinasee SCM,ocumenin t fromtie th Daduatabe Iencnteesirna. (-97zu tioandnal Childomanocng renctu's 7-Condiaspomendes198tinncenti, N杂志. 20tinence Society[J]zu . J 18eelf d Urnceol.57( 2010.ina 18 no. C3(2 foy e): 441-7.[7]Glazener lenCM, Ev尿疾病ansm i JHs i. S杂志. Coimpssito le beh6. avid cig oural , Nary姚勇等andnud JB遗尿症 Deows13], Gnt f d phoctysiprery ry nudcalBhaJP.. ( inns ess 10 32igory ter 金星ventions tt fordomopren[e t nol tE, larctunurJS,rna Col e8]A的探讨ma ds nur]. esiacys iry (05n chil志. dre应用去n[J Ev]. al[Cochra4-6A. ne Databa(4 Nese essSysres6. urnt RJP.ev.sio 20smo04.71.ono, D, C氨加压 ur (2): CD0036素疗效37.ncein l d[8] moGlazenPedenu2):198(05chier ymp MJ.[1CM,2. Evansurh JH Eu, Peto RE. Alarm inte JBrventions foPedr n9. octurnesig Sc noutal 家共识yniarc, NVanry enu-97. Cres D,e-bis dianal[J] Chin chi Ta K,[J]ldrizien[J].n H Cochr1): 17nt 20osy Heane nomat DaP, ssiPt atiemeis:tablenediomaasediaurn Syst mpeontRev): tt . 2]Ri ur005. (N?ra S2): CD D,002198rma911 Yan msym.[9n aesi]Jarinry 12in S, BhacesS, tt GC. 2019] Adds [J]vancese S inE, th Ame mt oanaresgement of-7.son Ptizi primaesinalCopry J].r N-36cs.monosy[22mpteelomaiurerg Mc. O M,a Mram7-3JS,esitic no C, a Fectu: 4urelen梅, : 4for08.ttirnal enuresint efertTaflactoms i Urn cfic, G wi08.yninoctie ma JCosyhilnd dren[J]. l. antPaeuroaryoctdia en[J]09-ncetr rzeInt Child He9):alteijh. 5. [217. 2016. 36(1): an 7-: 214.[10 enpy ]Ritti Efth senvesont198g Snin]To, K, G thnudsenono UB, Nol.ure?rgaard JrguP, rgu沈茜, Re of[J]eijtio床儿科l KPedtio wiroll. inaineers. 临en 8. EB, Djka urhTheth idiuusin in Rolury en. P JClin. AA. ic bnormaoyel diurina 儿童nal rhythsism otio6.[): f plasma bet原发性r HPF,4-8lotth vas970atroprth ry essranin ouesiandth ursioinan te i eni A L,ry l Kialoutomp pa isopruryput ma inenu pa 13dy[tients-22 wi199th J]. imenures应用去ros儿童遗is[e t winin3. 疆中医16]witebey m a J].ahaA, e P en(4 ure Am J Physio enombcebedil. 198 Pe(8 K, is[ret. 中9. 256 刘娜dertia(4 J ionto Pt [112): F664-究概况71.betKenresAct[11lin]Mafortern aK, tal(10ninureai nikrfe K,, S M, Krin zemt wins Deka forK, isZurows(1)blec nka iat K,nureel neA. ombThe ma[24 Shnagretin gaaement easof Melek-ent151l K imchildhnceood inmind, url eina): ry inc a 16]ontinence[J]. Psonedibetatr NephrLov儿童遗erzol.al doureseli[J]ine 2015.[J]20]non 30(1): 4 PtBloeriuryy m1-5S, Ta0.[pro12]tal沈茜,, Dmar 刘小梅, timred a nos姚勇等. 中]. lot国儿童 186.[单症状性夜遗尿疾病 J 管理专tri家共识[J]llesal. 临床儿科d, 杂志.001 2014.ctuiat 32(10): ure 刘娜: arap970ize Vasym364nocin nedfic-97is: Re5.[13]Juu stl K166V, n cterVan Herzeele en C, De Br, Rsmoiscpri 10uyn应用去e P, Gnteobl; de S in.[2arca S, W3):sanedikadall. Devé-7.e J57(V, N?rres th10.or to res遗尿症gaaPedsmoBlord JP.en ert]. L,7-3马骏,): De. Blentomsmoantramergomo 12desA, lea Papy ve hee deutypressin meltricacu improertves respodennses t an, Nd cKen in81-onod aBlossi. Jompliat. to nce compaiscredl tng with of esmtab G,catlet in trJ]. wiy r 金星ombeatmen26]of lin017t oe oeraf poctd ay rrimrinary monosymptomatisis. Cc n inoctof urn.[1): ic leaal ntey renurese tis[J].rolol.i P Eur Jcti Peo Sdiatr.5]L 2013. 17tto2(9): 1235-42. ic [14esmpy ]Kamperisl. 217200儿科杂JU 2. K,statim017 Van H, Sled儿科杂erzeel 13maresme C, Ritt Fem Anocig S, S, Van Fede WJ. Opnocudy 65timizing 151nonresponse to . Cdespre5. ombric ra Remopl t mon cr Montressin inkad9):ureof ukh patieacyol.t. [J] inntsimunt onn): wiineth wi. 8ecrmonineeasosymptomaticbet noh mis:ry ionctunosreso Srnal enuresiSirs[J]. Pedy ris:4.[ficOhtiaticar N deephrol. 2十年研017oct. 3or 2(2): 217-22ympsta6.[of Van15]马骏, 金星明, t. is:. [章依文, 吴虹, 江帆. 儿童原发性遗尿症应用去氨加压素疗效的探讨[J]. 中 17国循证o S儿科杂o S al志. exc200bet7. (05): 364-368.[16]oprergmbi: a TaOhtdenomo, R Y, Umino Ya D,nd l. 08. TakadSE,20082(noc尿症近i Aa M, Futyujinagic 20a S, Niij十年研ima S,us Sh 18imiticuryol.Coplaczu ubl(8 preT. Graduaaedtomto , Dl tstain ve enuape疆中医ring of desmc n tronnopressont9(4607al[in leads resto easbetterm J. D outcome s. in nocturnal enuresise-b[J]. Pediatrres Ina Gt. 201erii A5. 57(tor4): 65y m6-8. [tme17]Lovering ustJS,latonn Tallett t aSE,Gep Mc MGl. Kendrya P JB. Oxybutynin3. efficacy17( in thevéesie treatment of rolpriont2. of endo mary enuresis[J]. stPediat anombrics. rac1988. , D82(2011): mod w 10dy[4-6tiatom.[18]Austopr疆中医armin PF,35(oxy Felatrguson G, Yaptonosn Ymatess, Celiampesmigottois: MJ, Royer ME, ai Coplen DEaed ur. B2011. . C noombination tr Hessherolll. apy. 新 en-bl2(5 with desmopres issinus and an antichoedi究概况[24denlin 刘娜erg. 2ic medication for nonresponders to dIntesmopress疆中医 enin for monosymptomatic nmatoct9-4ptourn enal 151ussenuresis: a rannalukhdomized, double-blind, placve ebo-co[21ntrolld bed trial[J]. Pe thdia.mattrics. 2008.): 12enu7-3ramtur2(5): en1027-32.[min19]racMontalR, elido P, Taf, Euro L, Re-10a M, N, N35(84(arc201miziso V, Iossa ACA, , Del GR.[J]ase DesmoadbpreuryssiBlon and tivoxyn abutynior n in monosymptomatic nocturrnanal enionureActa Gsis of pi: a raionndomiz(6)ctied, double-b 17lind, ostplacebo-controllednte tr疆中医ial and an areasseol pilssment of predictive fac: 2tors[J]. BJU st Int. lat2012. 11026](8 Pt B): E381-6.[20]Gep enA, 7. erteatz SVan, Nevérmo-reus T. Imi7. praracama: 1 neminympe for Url Otherapy resistant atienum Aresis: a retrospective e4.[sal. 2ne eurval 13uation[J]. J Urol. 2004. 171(6 Pt 2): 2607-10; d a asereaiscussion 2609-10. 20[21]Tomasi PA, Siracusano S, M B.onni AM, Mela G, Delitala Gtor. D: aecreased nocombturnal urinary ukhantidiurel. -retic166 hormone 84(excret疆中医ion in enuresis is increased by imipramine[J]. BJU Intebe. 2001. 8 MG8(9): 932-7.[22matf p]Leebeek-Groenewegen A, Blom J, Sukhai : 1refR, Van Der Heijden B. Efficacy of deic ntesmopre pissin comb alined with alurnarm theral. py J].26]for monosymptomatic nocturnal enuresis[J]. J Urol. ic 2001. 166(6): 2456-8.[23]Bradbury MGaha, Meadow SR. CombinedA, treatment with enuresis alarm and desmopressin for noctuialrnal enuresis[J]. Acta Paediatr. 1995. 84(9):res 10ica14-8. [24]Raheem AA, Farahat Y, El-Gamal O, eol t al. Role of posterior tibial nerve stimulation in the treatment of refractory monosymptomatic nocturnal enuresis: a pilot study[J]. J Ur3):ol. 2013. 189(4): 1514-8.[25]Lee HE, Park e iK. Efficacy of salvage interferenwittial electrical stimulation therapy in patients with medication-refractory enuresis: a pilot study[J]. Int Neurourol J. 2013. 17(3): 139-44.[26]吴颖, 刘娜娜, 刘智艳. 中医治疗儿童遗尿症近十年研究概况[J]. 新疆中医药. 2017. 35(05): 137-139.

原文预览