Chinese Pediatrics of Integrated Traditional and Western Medicine ›› 2025, Vol. 17 ›› Issue (3): 185-198.doi: 10.20274/j.cnki.1674-3865.2025.03.001
Received:
2025-05-25
Revised:
2025-06-02
Published:
2025-06-25
Online:
2025-06-25
Contact:
Xuefeng WANG,Yubin WU,Ping ZHOU
CLC Number:
Table 2
Key points for medical history collection of children with enuresis"
内容 | 询问要点 |
---|---|
排尿情况 | 了解排尿的时间、频率、次数和排尿量,是否有尿急、尿失禁、排尿延迟、排尿困难、间断排尿及异常排尿姿势等,症状出现及加重、缓解因素。通过记录排尿日记可以更好地协助诊断,避免出现描述的主观差异 |
排便情况 | 有无便秘、腹泻和大便失禁 |
饮食习惯、液体摄入量 | 有无重盐、喜甜食,白天饮水量及睡前饮水习惯 |
用药史 | 是否使用抗胆碱能、镇静催眠药、利尿药、抗精神病药、肾上腺素能受体激动药、咖啡因等 |
心理行为表现 | 有无心理、行为和精神异常以及运动和学习障碍 |
手术史 | 是否有先天性巨结肠、尿道膀胱手术史等 |
家族史 | 一级、二级和三级亲属的遗尿史 |
其他 | 有无糖尿病、反复尿路感染、睡眠异常(睡眠通气不良、多梦乱动等)或神经系统疾病 |
Table 3
TCM syndrome differentiation ideas for childhood enuresis"
分型 | 主症 | 次症 | 舌脉 |
---|---|---|---|
肾气不足,开阖失司 | 睡中遗尿,熟睡不易醒,尿量多 | 面色淡白,精神不振 | 舌质淡、苔白、脉沉细 |
肝失疏泄,湿热下注 | 睡中遗尿,伴白天尿频、尿急和尿失禁 | 小便量少色黄,气味腥臊,性情急躁,目睛红赤,夜卧不安或梦语齘齿,口臭,大便黏或干 | 舌质红,苔黄腻,脉滑数 |
心肾不交,阴阳失衡 | 睡中小便自遗 | 伴有五心烦热,形体消瘦,活动过度,多动少静,冲动任性,注意力不集中,夜寐难醒,记忆力差,夜卧不安,多梦易惊,夜间多汗 | 舌质红,苔少,脉沉细数 |
脾胃积热,下移膀胱 | 睡中遗尿 | 夜卧不宁,烦渴易饥,口臭,大便黏或干 | 舌质红,苔黄燥,脉滑数 |
下元虚寒,气化失常 | 病程较长,睡中遗尿,甚者一夜数次 | 尿频尿清而长,神疲乏力,面白肢冷,腰腿酸软,或智力较差 | 舌质淡,苔薄白,脉沉迟无力 |
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