摘要
目的评估心理行为疗法对儿童单症状性夜间遗尿症(MNE)的疗效。方法对2007年4月-2009年3月在武汉市儿童医院遗尿专科门诊确诊的194例MNE患儿进行心理行为治疗:1.对患儿进行心理疏导;2.对家长在生活管理上进行指导;3.定时训练患儿的膀胱排尿功能;4.定时闹钟唤醒治疗。对所有患儿共随访1 a,对治疗前和治疗6个月时的遗尿频率、每周平均夜间自行起床排尿次数进行比较,并统计1 a后的治疗有效率。采用SPSS 15.0软件对数据进行统计学处理。结果治疗前MNE患儿平均遗尿频率为每周(5.91±1.29)次,治疗6个月时为每周(2.84±0.81)次,二者比较差异有统计学意义(t=2.59,P<0.05)。治疗前平均夜间自行起床排尿次数为每周(1.22±0.35)次,治疗6个月时为每周(5.72±1.38)次,二者比较差异有统计学意义(t=3.12,P<0.05)。1 a后65例(33.5%)治愈,76例(39.2%)好转,53例(27.3%)无效。结论心理行为治疗儿童MNE疗效肯定,但仍存在较高的复发率,需对部分患儿采用药物联合治疗,才能取得更好的远期疗效。
Objective To evaluate the clinical efficacy of psycho-behavior therapy on children with primary monosymptomatic nocturnal enuresis（MNE）. Methods One hundred and ninety-four children who were diagnosed as MNE in Wuhan Children′s Hospital from Apr.2007 to Mar.2009 were given physio-psychological treatment and the following issues were addressed during the treatment：1.All the children received psychotherapy;2.Their parents were guided by scientific methods of daily life management;3.All the patients were given regular bladder training;4.Alarm clock treatment was arranged for the patients as well.The follow up was 1 year.The frequency of bed-wetting and getting up for urination by themselves at night were observed and compared before and after 6 months′ treatment.The total effective rate and the curative rate after 1 year were calculated,respectively.The statistical analysis was completed by using SPSS 15.0 software. Results While the average frequency of enuretic onsets before treatment was（5.91±1.29） times per week,the average frequency after 6 months′ treatment was（2.84±0.81） times per week,the difference had statistically significant（t=2.59,P0.05）.The ave-rage frequency of getting up by themselves at night before treatment was（1.22±0.35） times per week;in contrast,the average frequency after 6 months′ treatment was（5.72±1.38） times per week,the difference had statistically significant（t=3.12,P0.05）.After 1 year of treatment,although 53 cases（27.3%） were not improved,65 cases（33.5%） were cured and 76 cases（39.2%） were significantly improved. Conclusions The psycho-behavior treatment possesses a definitely curative effect for children with MNE.As there is still high recurrence rate after using psycho-behavior treatment,some children with MNE need a combined treatment including medication and psycho-behavior treatment to obtain better long-term curative effect.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2011年第5期354-356,共3页
Journal of Applied Clinical Pediatrics
关键词
夜尿症
心理行为治疗
疗效
儿童
nocturnal enuresis
psycho-behavior therapy
efficacy
child
