小儿遗尿症668例临床分析

A clinical analysis on 668 children with enuresis

目的:探讨小儿遗尿症的临床特点。方法:收集668例确诊为遗尿症儿童的性别、年龄、遗传史等资料,然后进行腰骶椎平片、泌尿系统超声及血微量元素等检查。结果:遗尿症儿童发病年龄多见于5岁～7岁;男女比例为1.6:1。天气变化如阴雨天为主要诱发因素;伴随症状主要表现为学习困难,占55.1%,其次是抽动、多动占15.6%;性格特点主要表现为胆小内向,占44.6%,脾气急躁占35.5%。有遗尿家族遗传史者占40.2%。腰骶椎隐裂占89.8%。微量元素锌缺乏占57.9%。结论:儿童遗尿症与多种因素有关,应综合治疗。

Objective To analyze the clinical data of children with enuresis. Methods The general data such as gender, age, genetic history of family were collected in 668 cases of enuresis, and then lumbosacral vertebral X-ray, urinary tract ultrasound and blood trace elements were checked. Results Enuresis was more common at the ages from 5 years to 11 years old. The ratio of male to female was 1.6:1. 49.7%children with enuresis aggra-vated in cold or rainy days, 19.1%children with enuresis aggravated when drinking, 13.9%children with enuresis aggravated when facing stress. Concomitant symptoms included learning disability accounted for 55.1%, tic, hy-peractivity for 15.6%. 44.6% children with enuresis were shy and timid, 35.5% of all children were impatient. 40.2%of all cases had the family history of enuresis. 89.8%children suffered from lumbosacral vertebral subfis-sure. 57.9% children were deficient in trace element zinc. Conclusion Enuresis is related to many factors, and should be treated comprehensively.