关键词: 唤醒水平, 遗尿症, 神经心理发育, 社会环境因素, 儿童

Abstract: Objective To learn about the clinical features and the related influencing factors of nocturnal enuresis(NE) children with different arousal levels at night, so as to provide reference for individualized treatment. Method The clinical manifestations of 100 patients diagnosed with primary monosymptomatic nocturnal enuresis were investigated from June to September 2017 and descriptive statistical analysis was performed. Results There were 58 male cases and 42 females,and the age ranged from 5 to 16 years old,with an average age of (7.78±2.76) years old.The number of children with enuresis ≤3 times /week,4 to 7 times/week,8 to 14 times/week,and ＞14 times/week were 24(24%),49(49%),14(14%) and 13(13%),respectively.Most of nocturnal enuresis(36%) occurred at 11:00 PM to 12 PM,followed by 10:00 PM to 11:00 PM.The numbers of children waking up after a little bedwetting,bedwetting a lot and finish urination were 9(9%),9(9%) and 12(12%),respectively.Single factor analysis showed that hyperactivity,grinding teeth,and the teacher's criticism were related to the failure to wake up after enuresis(P＜0.05).Multivariate Logistic regression analysis showed that hyperactivity was an independent risk factor for the failure to wake up after enuresis(OR=2.798,95%CI:1.034-7.572.). Conclusion When formulating the individualized diagnosis and treatment plan for children with enuresis,it is necessary to comprehensively consider the neuropsychological development and social environmental factors.

Key words: arousal level, nocturia, neuropsychological development, social environmental factors, children