Differences in toileting habits between children with chronic encopresis, asymptomatic siblings, and asymptomatic nonsiblings.
Differences in toileting habits between children with chronic encopresis, asymptomatic siblings, and asymptomatic nonsiblings.
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慢性大便失禁儿童、无症状兄弟姐妹和无症状非兄弟姐妹之间的如厕习惯差异。
DOI：
10.1097/00004703-199906000-00002
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Sutphen,JL
中科院分区：
文献类型：
--
作者：
Borowitz,SM;Cox,DJ;Sutphen,JL
尚无研究比较失禁儿童与无症状儿童的如厕特定行为，并控制父母态度、养育方式和浴室设施等环境因素。这项研究前瞻性地检查了 86 名长期失禁儿童的如厕习惯，并与 27 名无症状的兄弟姐妹和 35 名无症状的非兄弟姐妹进行了比较。尽管与对照组相比，失禁儿童经历的粪便明显更多，但三组的每日排便总数 (±SD) 相当（失禁儿童为 . 92±. 76，而兄弟姐妹和非兄弟姐妹分别为 1.14±. 43 和 1.08±. 47）。与对照组相比，失禁儿童在排便时更容易感到疼痛。在 14 天的研究期间，与对照组相比，失禁儿童抱怨疼痛的天数为 2.75±4.03 天。兄弟姐妹对照组为 58±1.84 天，非兄弟姐妹对照组为 2.31±3.21 天。遗尿儿童的平均疼痛评分为。 76±1.00 相比。 05±。 15 和。 26±。兄弟姐妹和非兄弟姐妹分别为 38。所有三组儿童每天在没有父母提示的情况下坐在马桶上的次数相同。总之，患有慢性大便失禁的儿童似乎不会避免如厕，并且他们表现出的如厕行为与无症状的兄弟姐妹以及非兄弟姐妹对照的行为非常相似。
No studies have compared toileting-specific behaviors of encopretic children with those of asymptomatic children and have controlled for environmental factors such as parental attitudes, parenting styles, and bathroom facilities. This study prospectively examined the toileting habits of 86 chronically encopretic children compared with those of 27 asymptomatic siblings and 35 asymptomatic nonsiblings. Although encopretic children experienced significantly more soiling than did controls, the total number of daily bowel movements passed in the toilet (±SD) was comparable in the three groups (. 92±. 76 in encopretic children compared with 1.14±. 43 and 1.08±. 47 in siblings and nonsiblings, respectively). Encopretic children experienced pain with defecation more often than did controls. During the 14-day study period, encopretic children complained of pain on 2.75±4.03 days compared with. 58±1.84 days among sibling controls and 2.31±3.21 days among nonsibling controls. The mean pain score in encopretic children was. 76±1.00 compared with. 05±. 15 and. 26±. 38 among siblings and nonsiblings, respectively. All three groups of children sat on the toilet without parental prompting the same number of times each day. In summary, children with chronic encopresis do not seem to avoid toileting, and they exhibit toileting behaviors that are very similar to those of asymptomatic siblings as well as to those of nonsibling controls.