The three systems: a conceptual way of understanding nocturnal enuresis
The three systems: a conceptual way of understanding nocturnal enuresis
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DOI：
10.1080/003655900750042022
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发表时间：
2000-08-01
影响因子：
--
通讯作者：
Holland, P
中科院分区：
文献类型：
--
作者：
Butler, RJ;Holland, P
儿童夜间遗尿症传统上被认为是一个多方面的问题，有各种治疗干预措施。本文提出了一个模型，该模型基于以下三个系统中的一个或多个系统的功能不良而产生夜间遗尿症：睡眠中血管加压素的释放；膀胱不稳定；和/或无法从睡眠中唤醒对膀胱的感觉。概述了每个系统的临床症状，并讨论了每个系统的适当治疗干预措施，认为通过这种方式解决夜间遗尿症将提高整体治疗效果。
Childhood nocturnal enuresis has traditionally been regarded as a multifaceted problem with a variety of treatment interventions. This paper proposes a model based on the notion that nocturnal enuresis arises through the ill functioning of one or more of the following three systems - a tack of vasopressin release during sleep; bladder instability; and/or an inability to arouse from sleep to bladder sensations. Clinical signs of each system are outlined and the appropriate treatment intervention for each is discussed, it is argued that addressing nocturnal enuresis in this way will enhance overall treatment effectiveness.