困惑家长的小儿“尿床”-南充市顺庆区妇幼保健院

困惑家长的小儿“尿床”

2024-07-22 17:05:48

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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。

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。

遗尿症的分类

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。

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。

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。

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。

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。

遗尿症概述

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。

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。

遗尿症

相对来说是比较简单的疾病

预后相对较好

有这方面倾向的儿童

家长要尽早带娃娃到医院进行诊断

遗尿症的存在

会给儿童带来心理障碍方面的疾病

病程越长

心理障碍方面的疾病越多

所以早期诊断

规范化治疗

特别重要！

参考文献

[1]陆林.沈渔邨精神病学第六版.北京:人民卫生出版社，2017.

[2]杨德森，刘协和，许又新.湘雅精神病学.北京:科学出版社，2015.

[3]江开达.精神病学.第二版.北京:人民卫生出版社，2010.

[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.

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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":"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。 \n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。\n \n遗尿症的分类\n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。 \n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。 \n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。\n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。 \n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。\n \n遗尿症概述\n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。\n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。\n \n遗尿症\n相对来说是比较简单的疾病\n预后相对较好\n有这方面倾向的儿童\n家长要尽早带娃娃到医院进行诊断\n遗尿症的存在\n会给儿童带来心理障碍方面的疾病\n病程越长\n心理障碍方面的疾病越多\n所以早期诊断\n规范化治疗\n特别重要！\n \n \n参考文献\n[1]陆林.沈渔邨精神病学第六版.北京:人民卫生出版社，2017.\n[2]杨德森，刘协和，许又新.湘雅精神病学.北京:科学出版社，2015.\n[3]江开达.精神病学.第二版.北京:人民卫生出版社，2010.\n[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.","status":0,"pv":45,"link":"","createdAt":"2024-07-22T09:05:48.000Z","updatedAt":"2025-08-01T02:14:14.000Z","bigfile":[],"simpleintroduce":"","sortId":0,"field":{},"tags":[]}

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