夜尿警報器による夜尿症の条件づけ治療に関する検討

Abstract

夜尿警報機を用いた夜尿症の条件づけ治療を, 三環系抗うつ剤などの薬物治療に反応しなかった症例を中心として, 治療効果を検討した.50例中完治28例, 略治12例, 改善9例, 効果なし1例で, 略治以上が80%にも及ぶ良い臨床効果が得られた.さらに3ヵ月以内に28%, 6ヵ月以内に60%が略治以上という即効的な臨床効果を得た.これは我々の薬物治療のみの成績に比し, 有意に良好な治療成績であった.薬物療法は簡便で, 改善は容易にするものの完全治癒率は低い.条件づけ治療法は, 手間がかかるが, 完治率の高い優れた治療法であると思われた

A study of conditioning treatment with a buzzer alarm was made on 50 children with functional enuresis. The treatment was completely effective in 28 patients (56%), satisfactorily effective in 12 patients (24%), fairly effective in 9 patients (18%) and ineffective in 1 patient (2%). COmbining the numbers of the completely effective and satisfactorily effective groups, the cured rate was 80%. Within 3 months, 26% of the subjects were completely cured and 2% satisfactorily cured, and within 6 months, 44% were completely cured and 16% satisfactorily cured. This means that 60% were satisfactorily cured or better within 6 months. Though symptom of enuresis relapsed in 5 patients, all of them were finally cured. The treatment of enuresis with the alarm system was significantly more effective than medical treatment using tricyclic antidepressants and so on, and was assessed as the most successful treatment available at the present time.