使用尿不湿对夜间遗尿症发病率的影响
Impact of using diapers on children's nocturnal enuresis

目的:探讨尿不湿的使用对夜间遗尿症(NE)发病率的影响。方法:2016年10月～2017年2月采用分层抽样和单纯随机抽样的方法从河南省18个地级市中选取6个地级市,随机选取15所幼儿园、15所小学的5～11岁的6 955名儿童进行NE流行病学调查。采用无记名调查问卷的方式,由儿童父母填写孩子的排尿控制(包括NE)情况,并回顾儿童出生后尿不湿使用情况及其他相关信息。结果:5岁儿童NE发病率为14.4%,11岁儿童NE发病率为3.0%,整体NE发病率为9.6%,与2006年作者团队调查的NE发病率相比有所升高(P<0.05)。尿不湿的使用时长[OR=1.019(1.012～1.027),P<0.001]是NE的危险因素。结论:近年NE发生率明显升高; 尿不湿的使用可能是NE发病率升高的危险因素。
Aim: To investigate the impact of using diapers on children's nocturnal enuresis(NE)incidence.Methods: A stratified sampling and random sampling study of using diapers was performed by distributing 6 955 children age from 5 to 11 year-old from 15 kindergartens and 15 primary school in 6 prefecture level cities in Henan Province. The questionnaire was filled by parents including information of age, gender, arousal dysfunction, diapers usage, NE, physical or psychological disorders, et al.Results:The prevalence of NE was 14.4% for 5-year-old children and 3.0% for 11-years-old children, the overall prevalence of PNE was 9.6%, which is significant higher than former result in 2006(P<0.05). Analysis of risk factors showed that using time of diapers is a risk factor[OR=1.019(1.012-1.027),P<0.001.Conclusion: Increasing use of diapers might contribute to the increasing incidence of NE in children