综合疗法治疗小儿遗尿60例

目的 探讨儿童遗尿的诊断与治疗。方法 分别采用中草药及西药遗尿丁等，配合膀胱锻炼法、穴位物理疗法、食疗、心理治疗等综合疗法治疗遗尿患儿６０例。结果 痊愈４０例，好转１６例，无效４例，有效率９３％。结论 遗尿症绝大多数属于功能属于功能性遗尿，采用综合疗法治疗效果明显。     

小儿遗尿症的新疗法

遗尿症,俗称尿床。是小儿常见多发病。据调查该病占儿科就诊人数15～20％。儿童遗尿给家长增加苦恼,给自己带来痛苦。近几年,我们博众家之长,采用遗尿治疗仪、皮内针疗法、脐敷疗法、药物疗法等综合治疗措施,收到了良好的效果,具体方法如下:     

以遗尿为主要表现的儿童蛲虫病11例分析

目的:探讨儿童蛲虫感染与遗尿的关系,为不明原因遗尿的诊断与治疗提供新的思路。方法:使用透明胶纸法检查蛲虫感染,采用问卷方式了解有无遗尿及周次数等情况。结果:3年共调查3 016例,蛲虫感染583例,其中有11例以遗尿为主要临床表现,经治疗后10例痊愈。结论:对原因不明的遗尿者应检查是否有蛲虫感染。     

中药遗尿贴片穴位透入治疗小儿遗尿症临床观察

遗尿症是小儿常见病,直接影响患儿的身心健康,日渐受到人们的关注,目前尚无特效疗法.为寻求有效的治疗方法,根据祖国医学内病外治及国际最新经皮治疗理论研制出中药遗尿贴片,采用经皮射频药物治疗机穴位透入治疗小儿遗尿症50例,并设对照组作对比脱察,以了解中药遗尿贴片穴位透入治疗小儿遗尿症的疗效.     

腰椎间盘突出症167例疗效分析

目的 探讨综合疗法治疗腰椎间盘突出症的疗效.方法 将167例腰椎间盘突出症患者随机分为综合疗法组92例和对照组75例,综合疗法组采用腰椎三维牵引、推拿、药酒内服和中药离子导入,配以腰围固定、腰背肌力训练等综合治疗.对照组采用药酒内服和直流电中药导入治疗.结果 综合治疗组92例中,治愈54例,好转36例,未愈2例,治愈率58.70% 对照组75例中,治愈24例,好转32例,未愈19例,治愈率32.00%.两组患者治愈率经统计学分析,差异有显著性意义（P〈0.01）.结论 综合疗法治疗腰椎间盘突出症能发挥各疗法的协同作用,疗效显著,适用于基层医院康复治疗.     

运动疗法结合盘龙七片治疗膝骨关节炎临床观察

目的观察运用运动疗法、中成药综合疗法治疗膝骨性关节炎的临床疗效。方法将患有膝骨性关节炎78例患者,运用随机数字表法分为2组,治疗组(A组)39例采用运动疗法、盘龙七片中成药综合疗法治疗,对照组(B组)39例单纯采用非甾体消炎止痛药口服治疗,以6~12个月为观察期,观察治疗前后病人的疼痛、膝关节活动等改善情况。结果 A组疼痛、膝关节活动等症状改善情况明显优于B组。结论运用综合疗法治疗膝骨性关节炎有助于改善关节活动、减轻疼痛,提高关节稳定性,延缓病情进展,提高患者的生活质量,是较为理想的治疗方法。     

综合治疗先天性鼻泪管阻塞

目的：探讨综合疗法治疗先天性鼻泪管阻塞的临床效果.方法：行泪囊区按摩、泪道加压冲洗及鼻泪管探通等综合疗法治疗先天性鼻泪管阻塞 132 例 172 眼.结果：鼻泪管探通法较按摩、泪道冲洗法治愈率均高,为 87.79%,探通法治疗可出现部分并发症.结论：短期的按摩、加压冲洗治疗无效者,可由家长签署知情同意书,及时行鼻泪管探通法.     

关节骨关节病综合疗法86例疗效观察

目的 探讨综合疗法治疗膝关节骨关节病的疗效.方法 采用包括手法、玻璃酸钠、中药、功能锻炼的综合疗法治疗86例膝关节骨关节病.结果 86例膝关节骨关节病患者中,优良率97％.结论 治疗膝关节骨关节病,该综合疗法是一种疗效较好的方法.     

102例腰椎间盘突出保守治疗的体会

采用综合疗法治疗腰椎间盘突出症:牵引、针灸,中药、静脉滴注等治疗102例、治愈63例、显效34例、有效3例、无效2例.     

综合疗法治疗腰椎间盘突出症100例疗效分析

目的:观察综合疗法治疗腰椎间盘突出症的临床疗效.方法:把∞0例腰椎间盘突出患者随机分成两组,每组50例,实验组采用中药内服、牵引、电针法、静脉滴注综合治疗;对照组采用牵引治疗,治疗结束后采用统一的疗效标准.结果实验组治愈显效率为94%,总有效率为100%;对照组治愈显效率为68%,总有效率为98%.综合治疗组的疗效明显优于对照组.结论:中药内服、牵引、电针法、静脉滴注综合治疗方法对治疗腰椎间盘突出症能显著提高治疗效果,且有较好的临床应用价值,宜于推广.     

中医热疗治疗小儿遗尿的临床观察

目的观察中医热疗治疗小儿遗尿的临床疗效。方法选取门诊36例小儿遗尿患者为观察对象,采用门诊神灯照射配合在家艾灸小腹的方法进行治疗,其中6例顽固性遗尿患儿配合针灸治疗。结果治愈18例,显效10例,好转3例,共31例患儿有效,总有效率86．1％。结论中医热疗治疗小儿遗尿是一种简便无创、安全有效、儿童依从性好的治疗方法。     

功能性遗尿儿童临床特征及其心理影响研究

目的：了解儿童功能性遗尿的临床特点及其对儿童心理行为的影响，为儿童功能性遗尿的干预提供科学依据。方法：对87例功能性遗尿症患儿进行临床分析和生活、学习情况调查，采用Piers-Harris儿童自我意识量表对遗尿组儿童和正常对照组儿童分别进行测试。结果：功能性遗尿可能的病因依次为隐性脊柱裂、睡眠障碍、家族遗传、中枢神经系统发育延迟与围产期高危病史和心理因素；遗尿组儿童有较高比例的同伴关系不良、学习问题、不良性格、心理行为问题以及不愿参加集体活动；两组自我意识量表结果分析得出：遗尿组患儿在行为、躯体外貌与属性、焦虑、幸福与满足量表得分以及总妥显著低于对照组，多因素分析结果显示：其中躯体外貌和属性因子为主体影响因素。结论：功能性遗尿儿童的影响不仅限于躯体，而且更重要的是影响其心理的发展，社会心理的干预是功能性遗尿康复根本的措施之一。     

Nocturnal enuresis: a survey of parental coping strategies at 7 1/2 years

BACKGROUND: Childhood nocturnal enuresis is a potentially distressing experience. Parents have been found to adopt many approaches designed to help their child become dry at night. This study sought to understand, through a large cohort of children at 7 1/2 years of age, the strategies parents adopt, both during the child's development and currently, to help their child overcome bed-wetting. METHODS: A longitudinal cohort of 13,971 children with expected date of delivery between April 1991-December 1992, in the County of Avon (Bristol) formed the population study group. At 7 1/2 years parents were asked, as part of a regular self-report questionnaire, what methods they had tried or were currently using to help their child stop bed-wetting. Eleven options were supplied. RESULTS: Of 8269 parents responding to the questionnaire, 3376 (40.8%) indicated they had tried at least one of 11 strategies, with restricting night-time fluids and lifting being the predominant methods employed. Amongst strategies employed in the past, lifting and showing displeasure were used significantly more by parents of children with nocturnal enuresis than by those with children dry at 7 1/2 years. However, a greater proportion of parents of dry children encouraged their offspring to toilet more regularly in the daytime than parents of those with nocturnal enuresis or infrequent wetting. In terms of treatment interventions, the enuresis alarm had been employed with 19.2% and medication with 13.1% of those with nocturnal enuresis, although only 31.9% of those with nocturnal enuresis had seen a health worker. The results are discussed in relation to preventative and clinical implications.     

不同唤醒水平夜间遗尿儿童的临床特征比较研究

目的 了解不同唤醒水平夜间遗尿症儿童的临床特征及相关影响因素,为个体化治疗提供依据。方法 对 2017年6-9月在上海儿童医学中心确诊为原发性单一症状性夜间遗尿症的100例患儿临床表现进行问卷调查,并进行描述性统计分析。结果 100例患儿中男58 例,女 42 例;年龄 5～16 岁,平均年龄(7.78±2.76) 岁;患儿遗尿频率≤3次/周24人(24%),4～7次/周49人(49%),8～14次/周14人(14%),＞14次/周13人(13%);夜间首次遗尿发生时间在晚间11:00-12:00时段的人数最多(占总人数的 36 %),其次为晚间10:00-11:00;遗尿后尿出一点即醒9人(9%)、尿出较多即醒9人(9%)、尿完后再醒的12人(12%),尿完后仍不醒人数为70人,占总例数的70%;单因素分析显示,多动、磨牙、被老师批评与遗尿后不能醒来有关(P<0.05);多因素Logistic回归分析显示,多动是儿童遗尿后不能唤醒的独立危险因素(OR=2.798,95%CI:1.034~7.572)。结论 制定遗尿儿童的个性化诊疗方案时,需综合考虑其神经心理发育及社会环境因素。     

上海市金山区5~13岁儿童遗尿症流行病学调查

目的通过调查上海市金山区5~13岁儿童遗尿症的患病率及流行病学特点,分析相关致病因素,为临床防治儿童遗尿症及其引起的相关性心理疾病提供参考依据。方法采用ICCS(国际小儿尿控协会)的病史采集表(CMT检查表)为指导,以随机整群抽样法对金山区具有代表性的人口相对集中的9所学校的1000例学前、学龄儿童进行问卷调查。结果除去遗失及无效问卷,共计纳入785例,统计出5~13儿童遗尿症的总患病率为7.77%(61例),其中,5~7岁42例(68.85%),8~10岁12例(19.67%),11~13岁7例(11.48%),年龄组间计算差异有统计学意义(χ2=52.87,P=0.001)。患病儿童中城镇占3.31%(26例),农村占4.46%(35例),男性患病率为(38例),女性患病率(23例),组间差异有统计学意义(P<0.05)。对确诊为遗尿症的61例患儿进行遗尿特征、器质性疾病及注意力等分析。遗尿次数≥7次/周的患儿最高(33例),占54.10%;3~6次/周的患儿(19例)占31.15%;2次/周(9例)占14.75%。体检异常(包括尿常规异常:尿路感染、血尿、高尿钙或体检有包茎等)18例,占29.51%。有遗尿家族史者4例(6.56%)。患病儿童中有52例(85.25%)存在心理相关性问题:表现为性格内向、冲动、自卑、注意力不集中或学习成绩中等及偏下等。结论5~13儿童遗尿症的患病率为7.77%,遗尿症存在城乡、年龄及性别的差异。多数患病儿童合并器质性疾病及一定程度的心理问题,可以从及时诊治、心理指导及行为干预等方面对儿童遗尿症进行防治,防止遗尿相关性心理问题的发生。     

Secondary enuresis in a birth cohort of New Zealand children

The development of secondary enuresis was examined in a birth cohort of New Zealand children studied to the age of 10 years. By this age, 7.9% of children had developed secondary enuresis. Analysis suggested two risk factors were involved in secondary enuresis. First, children who were late to attain nocturnal bladder control had significantly higher risks of secondary enuresis than children who attained early nocturnal bladder control. Secondly, the child's level of exposure to adverse life events was associated with the onset of secondary enuresis. Children who attained bladder control after 5 years were 3.39 (1.76-6.56) times more likely to develop secondary enuresis than those who attained bladder control before the age of 3 years (P less than 0.001); children who were exposed to four or more life events in a given year were 2.56 (1.18-5.50) times more likely to develop secondary enuresis in that year (P less than 0.05). These results suggest that the rate at which the child acquires primary bladder control acts as a vulnerability factor which determines the child's susceptibility to developing secondary enuresis when exposed to stress.     

Enuresis and encopresis in a south Indian population of children

INTRODUCTION: Though bladder and bowel control are important developmental milestones in all cultures, the prevalence of enuresis and encopresis has rarely been studied in developing countries despite there being factors in these countries that could affect it. This study reports the prevalence and associations of enuresis and encopresis in children in Kerala, India. METHOD: The parents of 1403 randomly selected 8-12-year-old children were interviewed. The prevalence of enuresis and encopresis was ascertained using Rutter's A2 scale. Subsamples of children underwent psychiatric, physical and psychometric evaluations. RESULTS: Of the children, 18.6% had had an episode of enuresis in the past year and 4.3% in the past week. Four per cent had had an episode of encopresis in the past year. Enuresis was associated with parents' education, physical and psychiatric symptoms in the child, poor academic achievement and lax parental attitudes to toilet training. Encopresis was associated with male sex, physical and psychiatric symptoms, poor academic achievement, early separation and not having a toilet. DISCUSSION: The prevalence of enuresis compares with western countries, but encopresis is commoner. The associations of enuresis suggested a multifactorial model in which parental competence was prominent. This study de-emphasized the importance of neurodevelopmental factors in enuresis and encopresis in this age group.     

An exploration of children's views of bed-wetting at 9 years

Background Although some empirical investigations have explored the impact of nocturnal enuresis for sufferers, little is known about how children in general understand nocturnal enuresis. This study employed a large cohort of children at 9 years, asking directly about the perceived difficulty of bed‐wetting in relation to an extensive range of life events. Method The sample comprised 8209 children, 4012 (48.9%) male and 4197 (51.1%) female who, as part of the Avon Longitudinal Study of Parents and Children survey, completed a booklet called ‘My World’ which included a section of 21 items concerned with childhood difficulties. Results Bed‐wetting was highly endorsed as a difficulty for children, and factor analysis revealed it to be construed as a social problem. Girls were more likely to consider events of a social and emotional nature to be difficult, whereas boys rated antisocial events as more problematic. Boys and those who suffer from nocturnal enuresis were significantly more likely to view bed‐wetting as more difficult for children. Conclusion Bed‐wetting, which is construed as a social issue, tends to be rated as a major difficulty for children, increasingly so for boys and those who suffer from nocturnal enuresis.     

自拟黄芪缩泉汤治疗原发性小儿遗尿疗效观察

目的观察黄芪缩泉汤治疗原发性小儿遗尿的疗效。方法选择我院2003～2010年门诊及住院患儿96例,给予自拟黄芪缩泉汤治疗。结果治愈59例,显效22例,有效8例,无效7例,总有效率为92.7%。结论临床上运用黄芪缩泉汤治疗原发性小儿遗尿可取得较好的临床疗效。     

The epidemiology and factors associated with nocturnal enuresis among boarding and daytime school children in southeast of Turkey: a cross sectional study

Background  

Nocturnal enuresis is an important problem among young children living in Turkey. The purpose of this study was to determine the possible differences in the prevalence of enuresis between children in boarding school and daytime school and the association of enuresis with sociodemographic factors.