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article------>{"id":149,"cid":43,"subCid":"","title":"困惑家长的小儿“尿床”","shortTitle":"","tagId":"","attr":"","articleView":"","source":"","author":"","description":"","img":"","content":"<p><span style=\"font-size: 19px;\">遗尿症(enuresis )俗称\"尿床\",是指年龄在5岁以上的儿童反复出现排尿失去控制现象,此行为至少连续3个月,且每周2次的频率。 </span></p>\n<p><span style=\"font-size: 19px;\">该行为与患儿生理上的年龄及智力不相当,也非服用药物或自身基础疾病所引起,常常伴有心理和行为障碍。</span></p>\n<p><span style=\"font-size: 19px;\"><strong> </strong></span></p>\n<p><span style=\"font-size: 19px;\"><strong>遗尿症的分类</strong></span></p>\n<p><span style=\"font-size: 19px;\">根据是否伴有日间尿路症状,遗尿症可分为单症状性夜遗尿及非单症状性夜遗尿。前者也称夜间型遗尿症,后者指患儿不仅伴有夜间遗尿,还伴有日间下尿路症状。 </span></p>\n<p><span style=\"font-size: 19px;\">根据遗尿症状发生的时间,遗尿症又可分为夜间型、日间型和混合型,三种类型中夜间型遗尿症最为常见。 </span></p>\n<p><span style=\"font-size: 19px;\">根据遗尿症发生前患儿小便控制情况,遗尿症可分为原发性症和继发性。</span></p>\n<p><span style=\"font-size: 19px;\">继发性的遗尿症,如泌尿系统感染、畸形、尿崩症、糖尿病;除此以外,还会有一些神经方面的疾病,如神经源性膀胱;还有一些属于心理障碍型的疾病,这些因素都可能引起继发性的小孩遗尿症。 </span></p>\n<p><span style=\"font-size: 19px;\">原发性夜间型遗尿症是指在其它基础疾病的情况下,一直未建立正常夜间控制小便的能力,占遗尿症患者的90%,一般6岁前会自愈。继发性遗尿症占10%,之前曾经连续6个月不尿床后来又开始每周至少尿床两次,持续至少3个月的儿童或成人的睡眠遗尿,被认为是继发性夜间型遗尿症。</span></p>\n<p> </p>\n<p><span style=\"font-size: 19px;\"><strong>遗尿症概述</strong></span></p>\n<p><span style=\"font-size: 19px;\">遗尿症的发病率很高,属于儿童常见病,目前,对于五岁这个年龄段的儿童,约有16%的儿童有遗尿的表现。随着年龄增加,每年有15%的自发缓解率;到了七岁左右,发生率降至10%左右,十一到十二岁,只有5%的患儿可能还有遗尿现象,这5%的患儿中有1%到2%的概率,遗尿现象会持续到成年,甚至伴随终生。</span></p>\n<p><span style=\"font-size: 19px;\">当今社会对小孩遗尿症的重视程度越来越高,过去,人们可能只关注一些器质性的疾病,如发烧、儿童肺炎,或一些严重的功能障碍性疾病,现在,该疾病得到了极大重视。首个\"世界遗尿日\"确定于2015年10月17日,我国也分别于2023年、2024年成立儿童遗尿管理专家协作组、发布了儿童遗尿疾病管理专家共识。</span></p>\n<p> </p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">遗尿症</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">相对来说是比较简单的疾病</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">预后相对较好</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">有这方面倾向的儿童</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">家长要尽早带娃娃到医院进行诊断</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">遗尿症的存在</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">会给儿童带来心理障碍方面的疾病</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">病程越长</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">心理障碍方面的疾病越多</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">所以早期诊断</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">规范化治疗</span></p>\n<p style=\"text-align: center;\"><span style=\"font-size: 19px;\">特别重要!</span></p>\n<p> </p>\n<p> </p>\n<p><span style=\"font-size: 19px;\">参考文献</span></p>\n<p><span style=\"font-size: 19px;\">[1]陆林.沈渔邨精神病学第六版.北京:人民卫生出版社,2017.</span></p>\n<p><span style=\"font-size: 19px;\">[2]杨德森,刘协和,许又新.湘雅精神病学.北京:科学出版 社,2015.</span></p>\n<p><span style=\"font-size: 19px;\">[3]江开达.精神病学.第二版.北京:人民卫生出版社,2010.</span></p>\n<p><span style=\"font-size: 19px;\">[4]美国精神病学学会(著),张道龙等(译).精神障碍诊断与统计手册(案头参考书第五版)[J].2014.</span></p>","status":0,"pv":183,"link":"","createdAt":"2024-07-22T09:05:48.000Z","updatedAt":"2026-01-08T17:20:44.000Z","bigfile":[],"simpleintroduce":"","sortId":0,"field":{},"tags":[]}
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