摘要
小儿夜遗尿是一种常见病,通过详细询问病史、体格检查和记录排尿日记,排除日间症状和合并症因素而确诊的单症状性夜遗尿,大多可得到很好的治疗。本文为儿科医生提供了治疗夜遗尿的基本处置流程,通过简单而全面的实践工具(如检查表、日记模版和快速参考流程图)指导一般儿科实践,最终实现对儿童夜遗尿的全面评价,同时也为选择具体治疗策略提供依据。指出积极的临床教育和生活方式指导是儿童夜遗尿的治疗基础,个体化的治疗策略(如去氨加压素和遗尿报警器)是治疗成功的关键。
Monosymptomatic nocturnal enuresis (MNE) is a frequent problem in children older than five years of age. Once comprehensive history taking and evaluation has eliminated daytime symptoms or comorbidities, MNE can be managed effi- caciously in the majority of patients. We outline the recom- mended strategies to determine the most appropriate course of care, and aims to equip a general pediatric practice for com-plete evaluation (i.e., checklists, diary templates, and quick- reference flowcharts) and successful treatment (i.e., desmopres- sin therapy, and enuresis alarm) of enuresis.
出处
《中国实用儿科杂志》
CSCD
北大核心
2015年第4期261-265,共5页
Chinese Journal of Practical Pediatrics
关键词
单症状性
夜遗尿
多尿
monosymptomatic
nocturnal enuresis
polyuria