Wang Ling,Wu Shengde.Advances in diagnosis and treatment of extraordinary daytime only urinary frequency in childhood[J].Journal of Clinical Pediatric Surgery,2022,21(08):785-788.[doi:10.3760/cma.j.cn101785-202002069-015]
儿童特异性日间尿频的诊疗进展
- Title:
- Advances in diagnosis and treatment of extraordinary daytime only urinary frequency in childhood
- Keywords:
- Frequent Micturition/DI; Frequent Micturition/TH; Extraordinary Daytime Only Urinary Frequency; Child
- 摘要:
- 儿童特异性日间尿频(extraordinary daytime only urinary frequency,EDOUF)又称精神性尿频、假性尿路感染或日间尿频综合征,是一种常见的儿童下尿路功能障碍性疾病,是指受过如厕训练的儿童仅在日间出现尿频,每小时至少排尿1次,平均每次排尿量少于预期膀胱容量的50%(常为10%~15%),入睡后症状消失,不伴尿急和遗尿。目前EDOUF的病因及发病机制尚不明确,通常与焦虑或压力事件有关,也可能与饮食习惯、自身体质有关。其治疗目前国内外相关报道较少,临床上以认知行为疗法、泌尿疗法及药物治疗为主,近年来骶旁神经电刺激疗法也被逐步应用。本文对儿童EDOUF的诊疗进展进行综述。
- Abstract:
- Extraordinary daytime only urinary frequency (EDOUF),also known as mental urinary frequency,pseudo urinary tract infection or daytime urinary syndrome,is a common lower urinary tract dysfunction in children.EDOUF refers to the daytime urinary frequency of at least once per hour in a previously toilet-trained child.with an average voided volume less than 50%(typically 10%-15%) of expected bladder capacity (EBC).The child usually rarely presents incontinence and nocturia.As EDOUF’s etiology and pathogenesis have remained unclear,it is usually correlated to anxiety,stressful events,dietary habits and metabolism.At present,few studies have been published on EDOUF,and cognitive behavioral therapy (CBT),urotherapy and drug therapy are adopted as the major treatment of EDOUF,while parasacral electrical stimulation therapy (TENS) is being gradually applied in recent years.This review summarized recent diagnostic and therapeutic advances of EDOUF.
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备注/Memo
收稿日期:2020-2-25。
基金项目:国家自然科学基金项目(81873828);重庆市中青年医学高端人才项目,重庆市留学人员创业创新支持计划(2019030)
通讯作者:吴盛德,Email:shengdewu@hospital.cqmu.edu.cn