Comparison of therapeutic effects in severe nocturia: gradual versus immediate drug withdrawal

TANG Fang-Zheng, LIU Ya-Lan, WEN Fei-Qiu, ZHANG Zhao-Xia

Chinese Journal of Contemporary Pediatrics ›› 2010, Vol. 12 ›› Issue (3) : 198-200.

PDF(946 KB)
PDF(946 KB)
Chinese Journal of Contemporary Pediatrics ›› 2010, Vol. 12 ›› Issue (3) : 198-200.
CLINICAL RESEARCH

Comparison of therapeutic effects in severe nocturia: gradual versus immediate drug withdrawal

  • TANG Fang-Zheng, LIU Ya-Lan, WEN Fei-Qiu, ZHANG Zhao-Xia
Author information +
History +

Abstract

OBJECTIVE: To investigate possible differences in the prognosis in children with severe nocturia who received different drug withdrawal schedules. METHODS: Ninety-seven children with severe nocturia were randomly assigned to two groups: control (n=47) and observed (n=50). The control group accepted drug withdrawal immediately, while the observed group accepted dose tapering gradually after a 12-week treatment course. The frequency of enuresis was observed three months after complete drug withdrawal. RESULTS: During the treatment, the frequency of enuresis in all of children from both the control and the observed groups was reduced by over 90%. Forty-six children (92%) from the observed group showed the frequency of enuresis was reduced by over 90%, but 28 children (60%) from the control group (P<0.01) three months after the complete drug withdrawal. There were no significant differences in the adverse effect and the medication compliance between the two groups. CONCLUSIONS: The different schedules of drug withdrawal may lead to different prognosis, and the schedule of gradual drug withdrawal may be superior to the immediate one in children with nocturnal enuresis.[Chin J Contemp Pediatr, 2010, 12 (3):198-200]

Key words

Nocturnal enuresis / Treatment / Child

Cite this article

Download Citations
TANG Fang-Zheng, LIU Ya-Lan, WEN Fei-Qiu, ZHANG Zhao-Xia. Comparison of therapeutic effects in severe nocturia: gradual versus immediate drug withdrawal[J]. Chinese Journal of Contemporary Pediatrics. 2010, 12(3): 198-200

References

[1]刘亚兰,文飞球,周克英.重型遗尿症977例药物治疗分析[J].中国实用儿科杂志,2008,23(7):531-533.
[2]杨霁云. 小儿遗尿症临床诊治及研究的现状[J].中华儿科杂志, 2000, 38(5):335-336.
[3]马骏,金星明. 原发性遗尿症的病因学进展[J]. 中国儿童保健杂志, 2007, 15(2):173-174.
[4]Neveus T. Oxybutynin, desmopressin and enuresis[J]. J Urol, 2001, 166(6):2459-2462.
[5]Ozden C, Ozdal OL, Aktas BK, Ozelci A, Altinova S, Memis A. The efficacy of the addition of short-term desmopressin to alarm therapy in the treatment of primary nocturnal enuresis[J]. Int Urol Nephrol, 2008, 40(3):583-586.
[6]黄凯风,刘斌清,熊嗣玉. 药物与行为干预相结合治疗原发性遗尿症[J].中国当代儿科杂志,2003,5(6):563-564.
[7]Miyazato M, Sugaya K, Nishijima S, Owan T, Ogawa Y. Location of spina bifida occulta and ultrasonographic bladder abnormalities predict the outcome of treatment for primary nocturnal enuresis in children[J]. Int J Urol, 2007, 14(1):33-38.
[8]刘亚兰,文飞球,周克英,孙枫.儿童遗尿症1500例问卷及检查分析[J].中国实用儿科杂志,2008,23(6):419-421.
[9]Lottmann H,  Baydala L, Eggert P, Klein BM, Evans J, Norgaard JP. Long-term desmopressin response in primary nocturnal enuresis: open-label, multinational study[J]. Int J Clin Pract, 2009, 63(1):35-45.
[10]Kanaheswari Y.The treatment of primary nocturnal enuresis in Malaysia[J]. Med J Malaysia, 2006, 61(5):608-615.
[11]吕麟亚,李旭良,何大维,魏光辉,林涛,陈致远.小儿原发性遗尿症治疗方法选择及疗效评价[J]. 中华小儿外科杂志, 2003, 24(4):326-328.
[12]Lee T, Suh HJ, Lee HJ, Lee JE. Comparison of effects of treatment of primary nocturnal enuresis with oxybutynin plus desmopressin, desmopressin alone or imipramine alone: a randomized controlled clinical trial[J]. J Urol, 2005, 174(3):1084-1087.

PDF(946 KB)

Accesses

Citation

Detail

Sections
Recommended

/