100例儿童遗尿症临床特征回顾性分析

Retrospective analysis of clinical characteristics of 100 cases of enuresis

目的探讨门诊遗尿症患儿的临床特征,帮助儿科医生准确地评估儿童遗尿状况并找到针对性的干预方法。方法对上海儿童医学中心遗尿症专科2017年6—8月100例遗尿症患儿进行遗尿症临床特征的临床问卷研究,对遗尿症相关临床特征进行描述性统计分析。结果在遗尿症儿童中,70%为单纯夜间遗尿,64%存在睡眠障碍(如打鼾、磨牙等)问题,58%有饮食问题,42%有多动,34%有注意力不集中,68%在遗尿后仍然不醒。与同学关系紧张好发于>12岁的遗尿症患儿,直系亲属有遗尿、独立行走晚、磨牙等临床特征在9~12岁年龄组的发生率高于其他年龄组。结论绝大多数遗尿症患儿为夜间遗尿,并存在挑食、厌食、尿后仍然不醒、磨牙等临床特征。年龄越大的孩子越容易因为遗尿导致多种社会关系紧张。

Objective To investigate the clinical characteristics of children with enuresis,and to help pediatricians accurately assess children＇s enuresis and find targeted interventions. Methods In Clinic of Enuresis of Shanghai Children＇s Medical Center,between June and August 2017,the questionnaires about clinical features of enuresis were fulfilled in 100 children suffering from enuresis,and statistical analysis was conducted. Results In the population of the survey,70% children with enuresis had simple night enuresis,64% suffered from sleep disorders like snoring and grinding teeth while sleeping,58% had bad diet habit,42% had hyperactivity,34% had attention deficit,and 68% still did not wake up after bed-wetting. Tensing relationship with classmates used to occur in over 12-year-old children group with enuresis. The clinical features including enuresis in the immediate family,walking alone late,and grinding teeth occurred more in the 9-12 age group than other age groups. Conclusion The majority of children with enuresis have nocturnal enuresis,and there are clinical features such as picky eaters,anorexia,non-awakening,and grinding teeth. The older the child is,the more likely enuresis leads to a variety of the tensions of social relationships.