摘要
目的了解中国儿童和青少年遗尿症的患病情况。方法横断面调查,以中国医师协会肾脏专委会中国儿童遗尿疾病管理协作组(简称:协作组)成员与所在省、自治区和直辖市有工作联系的区县为抽样单位。遗尿症诊断标准为年龄≥5岁,3个月内出现尿床事件≥1次;尿床指夜间睡眠中排尿于床上或尿湿衣裤。调查时间为2017年4月20日至2017年5月12日;调查人群为中国5~18岁儿童及青少年,分为幼儿园(5~6岁)、小学(~12岁),初中(~15岁)和高中(~18岁)。每个区县样本量需>3 073人。自行设计遗尿症调查问卷,本文主要分析基本人口学信息和尿床事件。由儿童或青少年的家长或照护者在手机或其他安装有微信应用终端设备上填写问卷。结果 24个协作组成员所在省、自治区和直辖市中的34个区县中的225所幼儿园和学校参与了调查,其中幼儿园82所,小学61所,初中49所,高中33所。调查目标样本人群129 952人,进入本文分析的调查问卷100 071份(77.0%)。男52 074份,平均年龄(11.0±3.4)岁,汉族占92.5%,幼儿园、小学、初中、高中人数比例约为1∶5∶2∶1。中国儿童和青少年遗尿症患病率为4.8%(4 821/100 071);幼儿园、小学、初中、高中遗尿患病率分别为12.1%、5.1%、1.1%和1.4%;各年龄男孩遗尿症患病率均高于同年龄的女孩;中国境内6大行政区(华北、东北、华东、中南、西南、西北)以样本人群年龄构成比进行标准化后,其患病率分别为4.2%,3.7%、4.6%、5.8%、5.1%和4.9%;4 821名遗尿症患儿中,轻、中、重度遗尿症患儿分别占81.4%、13.5%和5.1%;重度遗尿症幼儿园、小学、初中和高中组比例为6.9%、3.7%、5.3%和10.0%。结论中国幼儿园、小学、初中、高中人群遗尿患病率分别为12.1%、5.1%、1.1%和1.4%,儿童遗尿症患病率总体为4.8%。幼儿园及高中组重度遗尿症的比例较高。
Objective To assess the prevalence of nocturnal enuresis( NE) in children and adolescents in China.Methods This was a cross-sectional study. Samples were selected from districts or counties having work relationships with the province,autonomous region and municipality where members of Chinese Cooperative Group for the Management of Pediatric Enuresis Affiliated to Pediatric Nephrology Committee of Chinese Medical Doctor Association come. The survey respondents were parents or other caregivers of students in the kindergarten,primary school,junior high school and senior high school. This survey was conducted through an online questionnaire. In this survey,people aged ≥ 5 years with bedwetting ≥ 1 time in 3 months were diagnosed as NE. The bedwetting was defined as urination in bed or pants during night sleep. This survey was conducted from April20 to May 12,2017 among children and adolescents aged from 5 to 18 years in China. The children and adolescents were divided into 4 groups: the kindergarten( 5-6 years old),primary school( 7-12 years old),junior high school( 13-15 years old) and senior high school( 16-18 years old) group. The sample size in each district or county was more than 3,073.A self-designed questionnaire was used. This article mainly analyzed basic demographic information and bedwetting events. Parents or caregivers of children or adolescents filled out questionnaires on mobile phones or other devices with We Chat. Results In this survey,225 schools were selected from 34 counties or districts of 24 provinces,autonomous regions or municipalities including 82 kindergartens,61 primary schools,49 junior high schools and 33 senior high schools. A total of 129,952 people were sampled and 100,071 effective questionnaires( 77.0%) were included into the analysis. Among them,52,074 were from boys with the average age of 11.0± 3.4 years;Han population accounted for 92.5% and the proportion of kindergarten,primary school,junior high school and senior high school group was about 1 ∶ 5 ∶ 2 ∶ 1. Based o
作者
无
缪千帆
李艳君
徐虹
无;MIAO Qian?fan;LI Yan?jun;XU Hong(Chinese Cooperative Group for the Management of Pediatric Enuresis Affiliated to Pediatric Nephrology Committee of Chinese Medical;不详)
出处
《中国循证儿科杂志》
CSCD
北大核心
2020年第2期81-86,共6页
Chinese Journal of Evidence Based Pediatrics
关键词
遗尿症
患病率
儿童
青少年
Nocturnal enuresis
Prevalence
Children
Adolescents
