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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 efficacy of psychological behavior therapy in children with single nocturnal enuresis (MNE). Methods From April 2007 to March 2009 in Wuhan City Children’s Hospital enuresis diagnosed 194 cases of MNE children psychological treatment: 1. Psychological counseling for children; 2. On the guidance of parents in life management ; 3. Regular training in children with bladder voiding function; 4. Time alarm wake-up treatment. A total of 1 year follow-up was performed on all children. The frequency of enuresis, the frequency of enuresis and the frequency of spontaneous urinating during the night before treatment and 6 months of treatment were compared, and the treatment efficiency after 1 year was calculated. Data were statistically processed using SPSS 15.0 software. Results The mean frequency of enuresis in MNE children before treatment was 5.91 ± 1.29 weekly and 2.84 ± 0.81 weekly at 6 months (t = 2.59, P <0.05) ). The average number of micturition episodes (1.22 ± 0.35) was significantly lower than that before treatment (5.72 ± 1.38) per week at 6 months (t = 3.12, P <0.05) . After 1 year, 65 cases (33.5%) were cured, 76 cases (39.2%) were cured and 53 cases (27.3%) were ineffective. Conclusion Psychological behavior of children with MNE positive effect, but there is still a high recurrence rate, the need for some children with drug combination therapy, in order to achieve better long-term efficacy.