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小兒夜尿中醫治療之病例報告

A Case Report of Significant Curative Effect of Traditional Chinese Medicine Treatment Applied on Children with Nocturia

摘要


小兒夜尿是一個自古至今一直困擾著孩童及父母的問題,一般小孩可控制排尿的歲數常有不同,有些正常小孩在3至4歲才可控制排尿,但仍有些小孩持續被遺尿問題困擾。本病歷為一位12歲小弟,夜尿情形已數年,經西醫檢查無器質性問題,遂而尋求中醫治療。患童自108年7月起就診治療,臨床診斷小兒夜尿,治則溫補腎陽兼健脾益肺,以中藥合併雷射針灸治療一年至今,尿床症狀明顯改善,原每週回診現已可拉長至每月回診,藉由此病例探討西醫治療以及中醫運用於此患童之療效,值得推廣。

關鍵字

小兒夜尿 小兒遺尿 中醫藥

並列摘要


Nocturia in children is a problem that has plagued children and their parents since ancient times. Generally, the age at which children can control urination is often different. Some normal children can only control urination at the age of 3 to 4, but some children continue to suffer from enuresis. This medical record is a 12-year-old boy who has had nocturia for several years. He had been under several examination and no organic problems was found. Therefore, he turned to Traditional Chinese medicine for help. The patient in this article has been treated since July 2019. The principle of clinical treatment of nocturia in children is to enhance the yang of kidney and invigorate the spleen and lungs. The follow-up treatment has been conducted for one year. The effect is worth promoting.

參考文獻


Naiwen D Tu, Laurence S Baskin: Nocturnal enuresis in children: Management, In: UpToDate, 2020.
Robson WL. Clinical practice. Evaluation and management of enuresis. N Engl J Med 2009; 360: 1429.
Caldwell PH, Nankivell G, Sureshkumar P. Simple behavioural interventions for nocturnal enuresis in children. Cochrane Database Syst Rev 2013; CD003637.
Glazener CM, Evans JH. Desmopressin for nocturnal enuresis in children. Cochrane Database Syst Rev 2002; CD002112.
Caldwell PH, Codarini M, Stewart F, et al. Alarm interventions for nocturnal enuresis in children. Cochrane Database Syst Rev 2020; 5: CD002911.

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