Biofeedback Contrast Research Forthetreatment Of Primary Enuresis In Children

Objective：explore pathogenesis of the patients with primary nocturnalenuresis(PNE) and randomized controlled study to assess the efficacy ofbiofeedback treatment of PNE.Methods：120cases of children with PNE were randomly divided intobiological feedback therapy and behavior therapy group. Both groups weretreated for3months and follow-up after treatment for3times.respectively,to judge the urine flow dynamic change and recent and forward curativeeffect.Results：①Behavioral therapy group before treatment increasedresidual urine volume of children constitute ratio of21.7%,3follow-upcomponent ratio was11.7%,16.4%,18.9%, did not change significantlycompared with before treatment (P=0.14, P=0.47,P=0.64); the biofeedbackgroup before treatment residual urine volume increase in the proportion ofchildren constitute28.3%, three times a follow-up when the proportion was3.3%,1.7%,1.7%, and the number of residual urine volume increasedcompared with before treatment were significantly reduced(P＜0.01);②Behavioral therapy group before treatment, abnormal urine flow curve in children constitute45.0%, three times a follow-up were16.7%,21.8%,20.0%, and the number of abnormal urinary flow curve than before treatmentwere significantly reduced (P＜0.01); of biofeedback treatment beforeabnormal urinary flow curve in children constitute58.3%,3follow-up,respectively,8.3%,8.6%,10.3%, the number of abnormal urinary flow curvethan before treatment were significantly reduced (P＜0.01);③Behavioraltherapy group before treatment detrusor instability shrink the proportion ofchildren constitute51.7%, three times a follow-up were43.3%,45.5%,43.6%, the, detrusor instability contraction changes in the number comparedwith pre-treatment had no statisticssignificance (P=0.50,P=0.42,P=0.49);unstable detrusor contraction biofeedback treatment in children constitute46.7%, three times a follow-up were38.3%,36.2%,34.5%, detrusorinstability contraction changes in the number than before treatment were notstatistically significant (P=0.28,P=0.26,P=0.20);④Behavioral therapygroup treatment before functional bladder capacity to reduce the proportionof children constitute60%, three times constitutes a follow-up rates were25.0%,34.5%,36.3%, and the number of functional bladder capacity isreduced compared with before treatment decreased significantly (P<0.05);the biofeedback treatment before functional bladder capacity to reduce theproportion of children constitute45.0%, three times a follow-up rates were10.3%,19.0%,13.8%, functional bladder capacity, reducing the number oftreatmentwere significantly reduced (P＜0.01);⑤The end of the treatment efficacy of behavior therapy group, the cure rate and efficiency (includingcured and improved) were36.7%and51.7%, respectively; biofeedbackgroup cure rate and total effective rate was63%and91.6%. The cure rate ofthe two groups statistically significant difference (P＜0.05), biofeedbacktreatment group was significantly higher than the efficiency of behaviortherapy group (p＜0.01). Comparison of efficacy of3months of treatmenttechniques, behavior therapy group, the cure rate the efficiency andrecurrence rates were32.7%,50.9%,10.9%; biofeedback group, the curerate, efficient and recurrence rates were62.1%,88%,5.2%. Biofeedbackgroup, the cure rate was significantly higher than behavioral therapy group(P＜0.05, P＜0.01) differences in recurrence rate of the two groups was notstatistically significant (P=0.26).The end of treatment at6monthsComparison of efficacy, behavior therapy group, the cure rate, efficiency andrecurrence rates were28.3%,43.4%,28.3%; biofeedback group, the curerate, efficiency and recurrence rates were60.3%,82.7%,8.3%. Biofeedbackgroup, the cure rate was significantly higher than behavioral therapy group(P＜0.01, P＜0.01), behavior therapy group, the recurrence rate wassignificantly higher than the biofeedback group (P＜0.01).Conclusions：Children’s PNE is a multi-diseases caused by pathogenicfactors, functional bladder capacity reduction is one of the mainpathogenesis. Biofeedback training is an effective method of treatment of children with PNE, particularly in children with combined functionalbladder capacity decreases. Therefore, biofeedback training clinic.