CAJ | 학술논문

目的：针对拒绝药物治疗的原发性夜间遗尿症患儿实行家庭参与式行为疗法，以探讨其治疗效果。方法对符合条件的原发性夜间遗尿症患儿随机均分为对照组和研究组（n=60）。对照组：入选患儿观察其自然缓解率；研究组：采用家庭参与式行为疗法（饮食生活习惯调整、唤醒治疗、膀胱训练等），进行缓解率疗效的对比研究，得出行为治疗在家长监督参与下的有效方案，并为经济较差的患儿找出经济有效的治疗方案。结果研究组缓解率显著高于对照组，2组差异具有统计学意义（P＜0.05）。结论家庭参与式行为疗法（饮食生活习惯调整、唤醒治疗、膀胱训练等）对小儿原发性夜间遗尿症有明显疗效，值得临床推广。
목적：침대거절약물치료적원발성야간유뇨증환인실행가정삼여식행위요법，이탐토기치료효과。방법대부합조건적원발성야간유뇨증환인수궤균분위대조조화연구조（n=60）。대조조：입선환인관찰기자연완해솔；연구조：채용가정삼여식행위요법（음식생활습관조정、환성치료、방광훈련등），진행완해솔료효적대비연구，득출행위치료재가장감독삼여하적유효방안，병위경제교차적환인조출경제유효적치료방안。결과연구조완해솔현저고우대조조，2조차이구유통계학의의（P＜0.05）。결론가정삼여식행위요법（음식생활습관조정、환성치료、방광훈련등）대소인원발성야간유뇨증유명현료효，치득림상추엄。
Objective To study the effect of refuse medical treatment of primary nocturnal enuresis(PNE) in children refused medical treatment with home-care services of behavior therapy so as to explore its therapeutic effect.Methods A total of 120 cases patients with PNE were randomly divided into the observation group and the control group with 60 cases in each group . To observe natural remission rates of the observation group,while the control group was cared with home-care services of behavior therapy (diet habit, wake up, adjust the treatment of bladder training), the remissions between the two groups were compared .To ifnd the economic and effective treatment for poorer children.To meet the conditions of the primary nocturnal enuresis were randomly grouped, divided into the study group and the control group, the control group: all children to observe its natural remission rate; study group: the use of home-care services of behavior therapy (diet habit, wake up, adjust the treatment of bladder training), and then conducted a comparative study of the efifcacy rate of remission, in order to ifnd the effective treatment scheme of parental supervision behavior in participation, and for poorer children, ifnd a economic and effective treatment.Results By means of intervation, the remission rate of the control group was signiifcantly prior than that of the observation group(P<0.05) remission rate was signiifcantly higher than the control group. Conclusion Home-care services of behavior therapy (diet habit, wake up, adjust the treatment of bladder training) can improve patients’effect, which is practical and worthy of promotion.Home-care services of behavior therapy (diet habit, wake up, adjust thetreatment of bladder training) has obvious curative effect on children with primary nocturnal enuresis, and worth the clinical promotion.