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目的观察苗药醒脾养儿颗粒结合心理行为疗法治疗小儿原发性夜间遗尿症的临床疗效及复发率。方法 157例确诊为原发性单一症状性夜间遗尿症的患儿,在家长和患儿同意进行2个月的治疗并坚持随访情况下,将其随机分为2组:①单纯心理行为治疗组70例;②联合治疗组87例,醒脾养儿颗粒口服结合心理行为疗法治疗。家长和患儿决定暂不治疗或延期治疗的64例患儿归为对照组,并定期随访。对3组患儿2个月治疗结束时,和停止治疗3个月后遗尿症的缓解情况进行比较分析。结果联合治疗组总有效率为72.09%,单纯心理行为治疗组总有效率为46.37%,两组比较差异有统计学意义,联合治疗组复发率为12.79%,明显低于单纯心理行为治疗组的26.47%,两者比较差异有统计学意义。结论醒脾养儿颗粒结合心理行为疗法治疗小儿原发性遗尿症疗效显著且复发率低,临床用药简单,无明显不良反应,易被广大遗尿症患儿接受,值得临床推广应用。
Objective To observe the clinical efficacy and relapse rate of Miao medicine Xingpi pellet combined with psychological behavioral therapy in treating children with primary nocturnal enuresis. Methods A total of 157 children with primary nocturnal enuresis who were diagnosed as primary single nocturnal enuresis were randomly divided into two groups: parents and children who agreed to be treated for 2 months and were followed up. 70 cases; ② combined treatment group of 87 cases, Xingpi Yangner Granules oral treatment of psychological behavior therapy. Sixty-four children, who were decided not to treat or postpone the treatment, were divided into control group and were followed up regularly. At the end of the two months of treatment, the three groups were compared with the relief of enuresis after 3 months of stopping treatment. Results The total effective rate was 72.09% in the combination therapy group and 46.37% in the simple psychological behavior therapy group. The difference between the two groups was statistically significant. The recurrence rate was 12.79% in the combined therapy group, which was significantly lower than that in the simple psychological behavior therapy group 26.47%, the difference between the two was statistically significant. Conclusion Xingpi Yangling particles combined with psychological behavior therapy for children with primary enuresis has a significant effect and low recurrence rate, simple clinical use, no obvious adverse reactions, easily accepted by the general enuresis, worthy of clinical application.