膀胱内圧脳波終夜同時測定に基づいた条件付け療法による夜尿症治療の治療効果を左右する因子

Abstract

1)年齢が高いほど有効率は高く, 9歳以上が夜尿症治療器の適応年齢として妥当である。2)治療効果と覚醒度は有意に相関し, 覚醒しやすい患者は治りやすい。3)覚醒度変化についても治癒群と不変群の間に有意差があり, 治療により覚醒しやすくなった患者は, 治癒しやすい。4)治療意欲がある患者ほど有意に治癒しやすかった

The conditioning treatment of enuresis with our original therapeutic machine, that is to awake the patient before enuresis may occur, has been performed since 1987. Influential factors on the therapeutic response were investigated. Twenty two patients with enuresis Type I were admitted and were treated for 5 nights with the therapeutic machine. Seven patients were cured (the cured group) and a certain effectiveness (decrease of the frequency of enuresis of more than 50%) was observed in 8 patients (the effective group). No effectiveness was obtained in 7 patients (the no change group). The average age of the cured group was higher than that of the no change group, and the difference was significant. No significant differences were found among the three groups in sex, the frequency of enuresis or the past experience of awakening before enuresis. Significant differences among the three groups were found in the average awakening score (how easily the patient awoke when a nurse called the patient after the machine alarmed) and the change of awakening score during treatment. The average awakening score of the cured group was the highest and that of the no change group was the lowest. The change of awakening score during treatment of the no change group was significantly lower than that of the cured group or that of the effective group. The desire to cure, scored 0-2 points at the time of discharge, was significantly stronger in the cured group than in the no change group. No significant differences were noticed among the three groups in the sleeping condition and the remembrance of awakening at the next morning.