睡眠障碍是否影响遗尿症患儿的预后及对治疗的反应?

IF 1 Q4 UROLOGY & NEPHROLOGY
Pietro Ferrara, Ignazio Cammisa, Margherita Zona, Davide Ottaviani, Cristiana Agazzi, Antonio Gatto
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引用次数: 0

摘要

目的:目前的研究描述了退热儿童睡眠障碍的患病率,游戏是影响治疗反应和复发风险的因素。材料和方法:数据收集于2020年9月至2021年2月,涉及114名年龄在5至14岁之间的儿童,他们被诊断为夜间遗尿症和伴随的睡眠障碍,这些儿童被送往罗马生物医学大学校园儿科。对利尿剂患儿进行回顾性和临床评估。调查的睡眠障碍包括睡眠呼吸暂停、睡眠说话、打鼾、磨牙症、睡眠不安和梦游症。每个患者都接受了药物和非药物治疗,并监测了3个月,以确定复发的存在。根据治疗反应将患者分为2组,并进行统计分析以评估遗尿复发的可能变量。结果:睡眠障碍的患病率很高:8/114名儿童(7%)患有睡眠呼吸暂停,47/114名儿童(41.2%)患有磨牙症,66/114名儿童(57.8%)患有打鼾,54/114名儿童有睡眠障碍(47.3%),18/114名儿童有不安睡眠。114名儿童中有43名(37.7%)复发:21/43(49%)复发发生在仅患有1种睡眠障碍的儿童中,而22/43(51%)复发发生于患有2种或2种以上睡眠障碍的孩子中。据报道,接受双重治疗的儿童复发风险较低。结论:睡眠障碍与夜间遗尿广泛相关,是夜间遗尿临床过程中的合并症。在3个月的随访中,联合治疗似乎与较低的遗尿复发率有关。需要采用多学科的方法来改善患者的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Do Sleep Disorders Influence the Prognosis and the Response to the Therapy in Enuretic Children?

Do Sleep Disorders Influence the Prognosis and the Response to the Therapy in Enuretic Children?

Objective: The current study describes the prevalence of sleep disorders in enuretic children, playing as influencing factors in the response to treatment and risk of relapse.

Materials and methods: Data were collected from September 2020 to February 2021 in 114 children aged between 5 and 14 years, with a diagnosis of nocturnal enuresis and concomitant sleep disorders, referred to the Pediatric Unit, Campus BioMedico University, Rome. Enuretic children were subjected to an anamnestic and clinical assessment. Sleep disorders investigated were sleep apnea, sleep talking, snoring, bruxism, restless sleep, and somnambulism. Each patient was subjected both to pharmacological and to non-pharmacological treatments and monitored for 3 months to identify the presence of relapse. Patients were divided into 2 groups according to therapy response, and statistical analysis was performed to evaluate possible variables involved in enuresis relapse.

Results: A high prevalence of sleep disorders was documented: 8/114 children (7%) had sleep apnea, 47/114 (41.2%) had bruxism, 66/114 (57.8%) had snoring, 54/114 (47.3%) had sleep talking, 18/114 (15.7%) had restless sleep. Forty-three of 114 children (37.7%) had relapses: 21/43 (49%) relapses occurred in children with only 1 sleep disorder, while 22/43 (51%) relapses occurred in children with 2 or more sleep disorders. Lower risk of relapses was reported in children subjected to dual therapy.

Conclusion: Sleep disorders were widely associated with nocturnal enuresis, acting as comorbidities in the clinical course of nocturnal enuresis. Combined therapy seems to be associated with a lower rate of relapse of enuresis in a 3-month follow-up. A multidisciplinary approach is required to improve patients' management.

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来源期刊
Turkish journal of urology
Turkish journal of urology Medicine-Urology
CiteScore
2.10
自引率
0.00%
发文量
53
期刊介绍: The aim of the Turkish Journal of Urology is to contribute to the literature by publishing scientifically high-quality research articles as well as reviews, editorials, letters to the editor and case reports. The journal’s target audience includes, urology specialists, medical specialty fellows and other specialists and practitioners who are interested in the field of urology.
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