治疗和天气变量对夜间尿尿失禁的影响:使用分类和回归树模型的长期分析
Yuta Onuki1, Teruo Miyano2, Yuma Iwanaka1
1Pediatrics, Showa Medical University Northern Yokohama Hospital, Yokohama, JPN.
Cureus
|January 12, 2026
概括
这项研究发现,天气和临床因素显著影响儿童的夜间尿泡 (NE). 考虑这些变量 (如温度和季节) 的个性化治疗计划对于有效的长期管理床上是至关重要的.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 环境医学 环境医学
- 数据科学数据科学数据科学
背景情况:
- 夜间尿尿 (NE) 或床上尿是一种常见的儿科疾病,需要长期治疗.
- 现有的关于NE风险因素的研究往往忽视了临床和环境变量组合的长期影响.
- 本研究涉及NE的复合风险因素的未开发领域,包括气象影响.
研究的目的:
- 在儿科患者中调查夜间尿尿 (NE) 的复合危险因素.
- 评估联合临床和气象因素对东北地区的长期影响.
- 为了确定NE管理策略的潜在改进.
主要方法:
- 使用不平衡面板数据和分类和回归树 (CART) 模型的前性观察研究.
- 在日本,对19名儿科患者 (6-15岁) 的临床和气象数据进行了14个月的分析.
- 在风险因素分析中包括人口统计学变量,五种治疗方式和六种气象因素.
主要成果:
- 气象变量,特别是每日平均环境温度和日历月份,被确定为NE风险的复合因素.
- 导致NE风险的因素包括特定的治疗史 (例如,没有vibegron的desmopressin),治疗持续时间,没有警报疗法和某些月份.
- 与其他治疗方法相比,Vibegron在降低NE风险方面显示出更高效的潜力.
结论:
- 有效的长期管理NE需要个性化治疗计划.
- 临床和与天气有关的变量,包括季节性和环境因素,应纳入NE管理.
- 个性化方法考虑患者特定的临床数据和外部环境条件是成功治疗NE的关键.
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