[1]汪玺正),文一博),王庆伟),等.使用尿不湿对夜间遗尿症发病率的影响[J].郑州大学学报(医学版),2018,(02):202-206.[doi:10.13705/j.issn.1671-6825.2017.11.017]
 WANG Xizheng),WEN Yibo),WANG Qingwei),et al.Impact of using diapers on children's nocturnal enuresis[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2018,(02):202-206.[doi:10.13705/j.issn.1671-6825.2017.11.017]
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使用尿不湿对夜间遗尿症发病率的影响()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2018年02期
页码:
202-206
栏目:
应用研究
出版日期:
2018-03-20

文章信息/Info

Title:
Impact of using diapers on children's nocturnal enuresis
作者:
汪玺正1)文一博1)王庆伟1)尚小平2)郎景和3)刘延锦4)娄小平4)文建国1)
1)郑州大学第一附属医院泌尿外科和尿动力学中心 郑州 450052
2)郑州大学第一附属医院病案科 郑州 450052
3)北京协和医院妇产科 北京 100730
4)郑州大学第一附属医院护理部 郑州 450052
Author(s):
WANG Xizheng1) WEN Yibo1) WANG Qingwei1) SHANG Xiaoping2) LANG Jinghe3) LIU Yanjin4) LOU Xiaoping4) WEN Jianguo1)
1)Department of Urology and Urodynamic Center, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052
2)Department of Medical Records, the First Affiliated Hospital,Zhengzhou University, Zhengzhou 450052
3)Department of Gynecology a
关键词:
尿不湿 遗尿症 发生率 儿童 排尿控制
Keywords:
diaper enuresis incidence children voiding control
分类号:
R726.9
DOI:
10.13705/j.issn.1671-6825.2017.11.017
摘要:
目的:探讨尿不湿的使用对夜间遗尿症(NE)发病率的影响。方法:2016年10月~2017年2月采用分层抽样和单纯随机抽样的方法从河南省18个地级市中选取6个地级市,随机选取15所幼儿园、15所小学的5~11岁的6 955名儿童进行NE流行病学调查。采用无记名调查问卷的方式,由儿童父母填写孩子的排尿控制(包括NE)情况,并回顾儿童出生后尿不湿使用情况及其他相关信息。结果:5岁儿童NE发病率为14.4%,11岁儿童NE发病率为3.0%,整体NE发病率为9.6%,与2006年作者团队调查的NE发病率相比有所升高(P<0.05)。尿不湿的使用时长[OR=1.019(1.012~1.027),P<0.001]是NE的危险因素。结论:近年NE发生率明显升高; 尿不湿的使用可能是NE发病率升高的危险因素。
Abstract:
Aim: To investigate the impact of using diapers on children's nocturnal enuresis(NE)incidence.Methods: A stratified sampling and random sampling study of using diapers was performed by distributing 6 955 children age from 5 to 11 year-old from 15 kindergartens and 15 primary school in 6 prefecture level cities in Henan Province. The questionnaire was filled by parents including information of age, gender, arousal dysfunction, diapers usage, NE, physical or psychological disorders, et al.Results:The prevalence of NE was 14.4% for 5-year-old children and 3.0% for 11-years-old children, the overall prevalence of PNE was 9.6%, which is significant higher than former result in 2006(P<0.05). Analysis of risk factors showed that using time of diapers is a risk factor[OR=1.019(1.012-1.027),P<0.001.Conclusion: Increasing use of diapers might contribute to the increasing incidence of NE in children.

参考文献/References:

[1] AUSTIN PF,BAUER SB,BOWER W,et al.The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society[J]. Neurourol Urodyn,2015,35(4):471
[2] WEN JG, WANG QW, CHEN Y, et al. An epidemiological study of primary nocturnal enuresis in Chinese children and adolescents[J]. Eur Urol, 2006, 49(6): 1107
[3] 文建国,王庆伟,文建军,等.儿童和青少年原发性夜遗尿症患病率现状和回顾性调查[J].中华小儿外科杂志,2007,28(11): 583
[4] BYRD RS,WEITZMAN M,LANPHEAR NE,et al.Bed-wetting in US children:epidemiology and related behavior problems[J].Pediatrics,1996,98(3 Pt 1):414
[5] SPEE-VAN DER WEKKE J,HIRASING RA,MEULMEE-STER JF,et al.Childhood nocturnal enuresis in the Netherlands[J].Urology,1998,51(6):1022
[6] DRAKE MJ, FOWLER CJ, GRIFFITHS D, et al. Neural control of the lower urinary and gastrointestinal tracts: supraspinal CNS mechanisms[J]. Neurourol Urodyn, 2010, 29(1): 119
[7] KUSHNIR J,COHEN-ZRUBAVEL V,KUSHNIR B.Night diapers use and sleep in children with enuresis[J].Sleep Med,2013,14(10):1013
[8] PATRIZI A, NERI I, RICCI G, et al. Advances in pharmacotherapeutic management of common skin diseases in neonates and infants[J]. Expert Opin Pharmacother,2017,18(7):717
[9] SHELOV SP, HANNEMANN RE. Caring for your baby and young child[M]. 北京:中国劳动社会保障出版社,2004.
[10]THIEL M, BEZERRA ES, THIEL RDO R, et al.Early initiation of toilet training for urine was associated with early urinary continence and does not appear to be associated with bladder dysfunction[J]. Neurourol Urodyn,2015,34(2):203
[11]CHEN Y,WEN JG,LI Y,et al.Twelve-hour daytime observation of voiding pattern in newborns <4 weeks of age[J].Acta Paediatr,2012,101(6):583
[12]ZHANG YS, HUANG CX, WEN JG, et al. Relationship between brain activity and voiding patterns in healthy preterm neonates[J]. J Pediatr Urol, 2016, 12(2): 113
[13]文建国,晋朝娜,杨黎,等. 新生儿缺血缺氧性脑病对早产儿排尿方式的影响[J]. 中华小儿外科杂志,2012,33(1):35
[14]文建国,李燕,张茜,等.不同程度高胆红素血症对新生儿排尿方式影响的初步研究[J]. 中华小儿外科杂志, 2012, 33(2): 105
[15]BENDER JM, SHE RC. Elimination communication: diaper-free in America[J]. Pediatrics, 2017, 140(1): e20170398
[16]BARONE JG, JASUTKAR N, SCHNEIDER D. Later toilet training is associated with urge incontinence in children[J]. J Pediatr Urol, 2009, 5(6):458

备注/Memo

备注/Memo:
【基金项目】国家自然科学基金资助项目(81370869); 郑州市科技领军人才基金资助项目(131PLJRC657)
【作者简介】文建国,通信作者,男,1964年3月生,博士,教授,研究方向:小儿尿动力、排尿异常和肾积水,E-mail:wenjg@hotmail.com
更新日期/Last Update: 2018-03-20