儿童原发性夜间遗尿症的中西医结合治疗探讨

Clinical Study of Chinese Medicine Combined with Western Medicine on Children with Primary Nocturnal Enuresis

目的:探讨儿童单症状原发性夜间遗尿症中西医结合治疗新方法。方法:对106例单症状原发性夜间遗尿症患儿在干床训练治疗的基础上,随机分为3组:弥凝组,中药组,治疗组(弥凝+中药),治疗8周,治疗结束时和结束后追踪3个月观察其疗效和复发率。结果:疗程结束时和追踪观察3个月后治疗组总有效率、治愈率高于弥凝组和中药组,差异有统计学意义。疗程结束后追踪3个月后治疗组复发率低于弥凝组和中药组,差异有统计学意义。结论:治疗组治疗单症状原发性夜间遗尿症明显提高了总有效率,降低了复发率,但远期疗效有待进一步追踪研究。

Objective：To investigate the new treatment of integrated traditional chinese and western medicine on children with monosymptomatic.Methods：106 children with monosymptomatic PNE were all treated with dry bed training and randomly subdivided into 3 groups treated with oral DDAVP,Chinese medicine and combined therapy group（combined DDAVP and Chinese medicine） respectively for 8 weeks.Therapeutic effect were studied in the end of treatment and relapse rate of different treatments were studied for 3 months after stopping treatment.Results：Efficacy of combined therapy group were significantly higher than that of DDAVP or Chinese medicine.Relapse rate of combined therapy group was lower than that of Chinese medicine and DDAVP.Conclusion：combined therapy group had relatively low relapse rate and relatively high efficacy than monotherapy,but its prostecdtive efficacy on PNE needs further study.