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成功治疗白天尿失禁的儿童的特征
Yosuke Morizawa1, Kosuke Mieda1, Akira Tachibana1
1Department of Urology, Nara Medical University, Kashihara, Nara, Japan.
概括
标准泌尿疗法可以有效地治疗大多数白天尿失禁的儿童. 然而,那些需要药物治疗的人往往有更严重的过度活性膀症状和更低的空化体积,表明需要量身定制的治疗策略.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 节制管理 节制管理
- 过度活跃的膀
背景情况:
- 儿童的白天尿失禁通常是通过逐步的方法来管理的.
- 标准泌尿疗法是推的第一线治疗方法.
- 当泌尿疗法不足时,可以考虑药理疗法.
研究的目的:
- 描述和比较患有膀过活和白天尿失禁的儿童.
- 区分那些仅通过泌尿疗法实现禁欲的人与那些需要药理干预的人.
- 为了确定儿童尿失禁治疗反应的预测因素.
主要方法:
- 对221名完全保持白天禁欲的儿童进行了回顾性研究.
- 基于标准泌尿疗法和药理干预措施的治疗结果分析.
- 在治疗组之间对基线失禁事件和空白体积进行比较.
主要成果:
- 47%的儿童仅使用标准泌尿疗法就实现了节制.
- 53%的患者除了泌尿疗法外还需要药物治疗.
- 需要药物治疗的儿童有明显更多的白天失禁情节和更低的空化体积.
结论:
- 标准泌尿疗法对大多数白天尿失禁的儿童是有效的.
- 一半的患者在初始查和膀日记使用后实现了节制.
- 需要药理治疗的儿童表现出更严重的过度活性膀特征.
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