| 일차성 야뇨증 아동에서 야간 수분 제한의 치료 효과 |
| 이수진, 양재영, 김혜순, 이승주 |
1이화여자대학교 의과대학 소아과학 교실
2이화여자대학교 의과대학 소아과학 교실
3이화여자대학교 의과대학 소아과학교실
4이화여자대학교 의과대학 소아과학교실 |
| Therapeutic Effect of Nocturnal Water Restriction in Children with Primary Nocturnal Enuresis |
| Soo Jin Lee, Jae Young Yang, Hae Soon Kim, Seung Joo Lee |
1Department of Pediatrics, College of Medicine, Ewha Womans - University
2Department of Pediatrics, College of Medicine, Ewha Womans - University
3Department of Pediatrics, College of Medicine, Ewha Womans - University
4Department of Pediatrics, College of Medicine, Ewha Womans - University |
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| ABSTRACT |
Purpose : Treatment of primary nocturnal enuresis (PNE) includs folk remedies and various treatments based on pathogenesis. We assessed the therapeutic effect of nocturnal water restrict ion as the primary treatment of PNE.
Materials and methods : From October 1998 to June 1999, 41 children with PNE (>3 wet nights per week) who visited Ewha Womans University Mokdong hospital and who had good compliances to nocturnal water restriction for 2 months were included. Before and during nocturnal water restriction, daily fluid intake and urine volume were recorded for 2 days every 2 weeks. Responses to nocturnal water restriction were classified according to the decrease of wet nights as complete (>90$%$), partial (50-90$%$) and no (<50$%$) response. Predictors such as age, sex, daytime voiding dysfunction, fluid intake, urine volume, maximum urine volume per void and fasting urine osmolality were evaluated. Results . The response rate to nocturnal water restriction fir 2 month was 82.9$%$(34/41) [complete response 39.0$%$(16/41), partial response : 43.9$%$(18/41)]. The response rate to nocturnal water restriction was significantly higher in monosymptomatic PNE than polysymptomatic PNE and more effective in PNE with or nocturnal fluid intake, nocturnal urine volume, and maximum urine volume than lower nocturnal fluid intake, nocturnal urine volume and maximum urine volume per void (P<0.05). Nocturnal urine volume, maximum urine volume per void and luting urine osmolality after nocturnal water restriction has significantly increased higher in complete response and partial response group than in no response group (P<0.05).
Conclusion : The nocturnal water restriction was effective in monosymptomatic PNE with nocturnal polydypsia, nocturnal polyuria and high bladder capacity. (J, Korean Soc Pediatr Nephrol 5 : 51- 8, 2001) |
| Key words:
Primary Nocturnal Enuresis | Nocturnal Water Restriction Monosymptomatic | Nocturnal polydypsia | Nocturnal polyuria | Bladder capacity |
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