夜尿兒童的治療反應與各科部間治療選擇差異之探討
黃冠中1、洪梵菁1,2、黃國皓1、張宏江1、姜宜妮1
國立台灣大學附設醫院泌尿部1；台北市立聯合醫院陽明院區泌尿部2
Treatment Response of Nocturnal Enuresis Children: A Study of Interdepartmental Prescription and Responses in Taiwan
Kuan Chong Ng1, Fan-Ching Hung1,2, Kuo-How Huang1, Hong-Chiang Chang1, I-Ni Chiang1
Department of Urology, National Taiwan University Hospital1 ; Department of Urology, Yangming Branch, Taipei City Hospital2
Purpose: To assess the medical treatment response, treatment choice, and medication adjustment during clinical follow up in children with nocturnal enuresis in Taiwan.
Materials and Methods: This retrospective study included 287 children with nocturnal enuresis. The patients’ characteristics, treatment response, and medication adjustment after the second clinic visit were analyzed. Treatment options chosen by different medical department was studied.
Results: A total of 287 children was analyzed. 56.8% of children received medical treatment. 68.8% of the children that received medication were older than 7 years old (p<0.001). 45.6% of the children received desmopressin as their first treatment. The presence of daytime symptoms did not increase the prescription of medications at their first clinic visit (p=0.817). 76.9% of children with daytime symptoms that received desmopressin as their first treatment, needed medication adjustment during their second clinic visit (p=0.01). The urologist were more likely to prescribe medication during their first clinic visit (p<0.001).
Conclusions: Enuresis children in Taiwan presented comparable response rate to desmopressin and combination therapy as previous guidelines suggested. More educational efforts should be made to the public and among all medical departments to help the enuresis children.