An Epidemiologic Study of Voiding and Bowel Habits in Korean Children: A Nationwide Multicenter Study
An Epidemiologic Study of Voiding and Bowel Habits in Korean Children: A Nationwide Multicenter Study
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DOI：
10.1016/j.urology.2009.12.022
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发表时间：
2010-07-01
期刊：
影响因子：
2.1
通讯作者：
Han, Sang Won
中科院分区：
文献类型：
--
作者：
Chung, Jae Min;Lee, Sang Don;Han, Sang Won
为了评估健康儿童异常排尿和排便习惯的患病率，并确定个人和家庭因素与排尿和/或排便habits.METHODS之间可能存在的关系，在韩国全国范围内进行了随机选择的横断面研究，19240名儿童（5-13岁）。父母被要求完成问卷调查，其中包括关于夜间遗尿，白天排尿功能障碍症状（DVS）和异常排便习惯（ABH）的项目。结果DVS、ABH和两者的总发生率分别为46.4%、31.3%和18.4%，919例（5.6%）报告夜间遗尿。日间排尿功能障碍症状如下：排尿频率增加419例（2.5%），排尿频率减少720例（4.4%），尿急2740例（16.6%），日间尿失禁1854例（11.2%），急迫性尿失禁2775例（16.8%），排尿动作暂停或延迟3888例（23.5%）。ABH如下：1103例（6.7%）便秘，1941年布里斯托量表便秘（11.8%），1293例大便失禁（7.8%），2609例排便困难或疼痛（15.8%）。大便控制延迟、尿路感染史和双收入家庭与DVS或ABH或两者均呈正相关。此外，父亲的教育水平低，低收入被认为是与较高的风险ABH或DVS或both.CONCLUSIONS延迟大便控制，尿路感染史，父亲的教育水平低，双收入家庭，和家庭收入较低的孩子排尿或排便习惯有负面影响。泌尿学76：215-219，2010年。(C)2010年爱思唯尔公司
OBJECTIVES To evaluate the prevalence of abnormal voiding and bowel habits in healthy children, and to identify possible relationships between personal and familial factors and voiding and/or bowel habits.METHODS A randomly selected cross-sectional study was conducted in 19 240 children (5-13 years old) nationwide in the Republic of Korea. Parents were asked to complete questionnaires, which included items about nocturnal enuresis, daytime dysfunctional voiding symptoms (DVSs), and abnormal bowel habits (ABHs). Rates and associated factors were investigated.RESULTS The overall rates of DVS, ABH, and of both were 46.4%, 31.3%, and 18.4%, respectively, and nocturnal enuresis was reported in 919 (5.6%). Daytime dysfunctional voiding symptoms were as follows: increased voiding frequency in 419 (2.5%), decreased voiding frequency in 720 (4.4%), urgency in 2740 (16.6%), daytime incontinence in 1854 (11.2%), urge incontinence in 2775 (16.8%), and holding maneuvers or postponed voiding in 3888 (23.5%). ABHs were as follows: constipation by frequency in 1103 (6.7%), constipation by the Bristol scale in 1941 (11.8%), fecal incontinence in 1293 (7.8%), and difficult or painful defecation in 2609 (15.8%). Delayed stool control, history of urinary tract infection, and a double-income family were positively associated with DVS or ABH or both. Furthermore, fathers with a low level of education and a low income were found to be associated with higher risk of ABH or DVS or both.CONCLUSIONS Delayed stool control, a history of urinary tract infection, a low paternal level of education, a double-income family, and a lower family income had a negative effect on voiding or bowel habits in children. UROLOGY 76: 215-219, 2010. (C) 2010 Elsevier Inc.