儿童遗尿症1500例问卷及检查分析.doc

中国实用儿科杂志2008年6月第23卷第6期· 914 儿童遗尿症1500例问卷及检查分析 刘亚兰,文飞球,周克英,孙枫 作者单位:暨南大学医学院附属二院深圳市人民医院,广东深 圳　518020 E - mail: annalyl@126. com 【摘　要】　目的　调查研究儿童遗尿症病因及特征。方法　深圳市人民医院1999年10月至2006年10月通过 对1500例遗尿症患儿的问卷调查及临床检查,对其遗尿特征、遗传状态、器质性病变以及学习成绩等进行分析。 结果　(1)男∶女= 854∶646 (113∶1) , 5～7岁787例( 5215% ) ; > 7～10岁518例( 3415% ) ; > 10～14岁181例 (12% ) ; > 14～18岁14例(1% ) 。(2)遗尿次数≥7次/周的患儿1022例,占68%。(3)发现有器质性病变781 例(占5313% ) ,包括:隐性脊柱裂、包茎、下尿路感染、高钙尿症、肾结石、单纯性血尿、单肾不发育、癫疒间等。(4) 继发性遗尿症34 例( 212% ) 。( 5) 学习成绩中等及中下者1233 例( 8212% ) 。( 6 ) 有遗尿家族史者435 例 (29% ) 。结论　在深圳地区就诊的遗尿患儿中,近1 /3的患儿合并有器质性病变,近1 /3的患儿有遗尿家族史, 绝大多数遗尿患儿学习成绩不理想,说明遗尿患儿需要早期的专科检查并治疗。 【关键词】　遗尿症;儿童 中图分类号: R72　　文献标志码:A The investiga tion and ana lysis of 1500 ch ildren with nocturna l enuresis. 　　L IU Ya2lan,W EN Fei2qiu, ZHOU Ke2 ying, et al. 3 Departm ent of Pediatrics, the Second Aff iliated Hospital of J inan University, Shenzhen People’s Hospital, Shenz2 hen 518020, China Abstract　Objective　To investigate and analyse the basic clinical data of children with nocturnal enuresis in large sam2 p le in Shenzhen aera. Methods　A total of 1500 children with bedwetting( at least 1 wet night perweek) were asked to comp lete the enuresis questionnaires and receive physical examination,B2ultrosound, X ray of lumbar vertebrae and urine test. The details of bed wetting, the state of inheritance, some organic abnormalities and the children’s learning in school should be understood and recorded. All the clinical data were comp iled and analysed by a Statistical Package. Results　 Among the enuretic children, 854 were boys and 646 were girls ( M∶F = 113∶1) , and the most part of them were at the age of 5～10 ( 1305 in total, 87% ). There were also 1% ( 14 cases ) of children older than 15 who were stillwet. Of the 1500 children, 1022 ( 68% ) were severe nocturnal enuresiswith at least 7 wet days perweek; 781 cases of children with nocturnal enuresis lasting from the infantile were found to have some organic abnormalities, such as congenital occult bifid sp ine, phi