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首页> 外文期刊>Pediatric nephrology: journal of the International Pediatric Nephrology Association >Incontinence and psychological problems in children: a common central nervous pathway?
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Incontinence and psychological problems in children: a common central nervous pathway?

机译：儿童尿失禁和心理问题：常见的中枢神经通路？

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Nocturnal enuresis is caused by a mismatch between the nocturnal bladder capacity and the nocturnal diuresis rate, in the presence of a deficient arousability in the majority of patients, according to the pediatric and urologic literature. Psychiatric and psychologic literature are still concentrating on the potential role of psychological factors and central nervous mechanisms in the pathogenesis, as is reflected in the DMS-5 criteria. However, research has clearly shown several important comorbidities between neuropsychological dysfunctions and nocturnal enuresis. Due to the increased comorbidity of (neuro)psychological problems, sleep problems, circadian rhythms, and enuresis, the question arises as to whether there is a possible common central pathway in the pathogenesis. It is likely that the coexistence of these problems can be attributed to a common central nervous system involvement. The specific role of the central nervous system remains unclear, but several pathways are possible. The high comorbidity between enuresis, sleep, and (neuro)psychological functioning is probably attributable to a common pathogenetic pathway, emphasizing the importance of a multidisciplinary focus in screening and treatment in children with nocturnal enuresis.
机译：根据儿科和泌尿科文献，在大多数患者存在觉醒不足的情况下，夜间遗尿是由夜间膀胱容量和夜间利尿率之间的不匹配引起的。精神病学和心理学文献仍集中在心理因素和中枢神经机制在发病机理中的潜在作用，这在DMS-5标准中得到了反映。但是，研究清楚地表明了神经心理功能障碍和夜间遗尿之间的几种重要合并症。由于（神经）心理问题，睡眠问题，昼夜节律和遗尿症的合并症增加，因此在发病机理中是否存在可能的共同中枢途径成为问题。这些问题的共存可能归因于共同的中枢神经系统受累。中枢神经系统的具体作用尚不清楚，但可能有几种途径。遗尿症，睡眠和（神经）心理功能之间的高合并症可能归因于一条常见的致病途径，从而强调了在夜间遗尿症的筛查和治疗中多学科重点的重要性。

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