家庭参与式行为疗法对小儿原发性夜间遗尿症的疗效研究

目的针对拒绝药物治疗的原发性夜间遗尿症患儿实行家庭参与式行为疗法,以探讨其治疗效果。方法对符合条件的原发性夜间遗尿症患儿随机均分为对照组和研究组(n=60)。对照组:入选患儿观察其自然缓解率;研究组:采用家庭参与式行为疗法(饮食生活习惯调整、唤醒治疗、膀胱训练等),进行缓解率疗效的对比研究,得出行为治疗在家长监督参与下的有效方案,并为经济较差的患儿找出经济有效的治疗方案。结果研究组缓解率显著高于对照组,2组差异具有统计学意义(P<0.05)。结论家庭参与式行为疗法(饮食生活习惯调整、唤醒治疗、膀胱训练等)对小儿原发性夜间遗尿症有明显疗效,值得临床推广。

Objective To study the effect of refuse medical treatment of primary nocturnal enuresis（PNE） in children refused medical treatment with home-care services of behavior therapy so as to explore its therapeutic effect. Methods A total of 120 cases patients with PNE were randomly divided into the observation group and the control group with 60 cases in each group. To observe natural remission rates of the observation group,while the control group was cared with home-care services of behavior therapy （diet habit, wake up, adjust the treatment of bladder training）, the remissions between the two groups were compared .To find the economic and effective treatment for poorer children.To meet the conditions of the primary nocturnal enuresis were randomly grouped, divided into the study group and the control group, the control group： all children to observe its natural remission rate; study group： the use of home-care services of behavior therapy （diet habit, wake up, adjust the treatment of bladder training）, and then conducted a comparative study of the efficacy rate of remission, in order to find the effective treatment scheme of parental supervision behavior in participation, and for poorer children, find a economic and effective treatment. Results By means of intervation, the remission rate of the control group was significantly prior than that of the observation group（P〈0.05） remission rate was significantly higher than the control group. Conclusion Home-care services of behavior therapy （diet habit, wake up, adjust the treatment of bladder training） can improve patients＇effect, which is practical and worthy of promotion.Home-care services of behavior therapy （diet habit, wake up, adjust thetreatment of bladder training） has obvious curative effect on children with primary nocturnal enuresis, and worth the clinical promotion