Resultados de una estrategia terapéutica frente a la enuresis nocturna monosintomática
Results of a therapeutic strategy against monosymptomatic nocturnal enuresis
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"apellidos" => "Ramada Benedito" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Grafiá Juan" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403301786468?idApp=UINPBA00005H" "url" => "/16954033/0000005400000001/v1_201307051535/S1695403301786468/v1_201307051535/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Resultados de una estrategia terapéutica frente a la enuresis nocturna monosintomática" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "38" "paginaFinal" => "43" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Rodríguez do Forno, G. Ariceta Iraola" "autores" => array:2 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Rodríguez do Forno" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "G." "apellidos" => "Ariceta Iraola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidades de Nefrología Pediátrica. Departamentos de Pediatría, Complexo Hospitalario Cristal-Piñor. Orense" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidades de Nefrología Pediátrica. Departamentos de Pediatría, Hospital Clínico Universitario. Santiago de Compostela" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Unidad de Nefrología Pediátrica. Departamento de Pediatría.Complexo Hospitalario Cristal-Piñor. Rua Ramón Puga, 54. 32005 Orense" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Results of a therapeutic strategy against monosymptomatic nocturnal enuresis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-05-31" "fechaAceptado" => "2000-09-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186552" "palabras" => array:4 [ 0 => "nuresis nocturna monosintomática" 1 => "Desmopresina" 2 => "Oxibutinina" 3 => "Alarma" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186551" "palabras" => array:4 [ 0 => "onosymptomatic nocturnal enuresis" 1 => "Desmopressin" 2 => "Oxybutynin" 3 => "Alarm" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las opciones terapéuticas frente a la enuresis son múltiples.</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Evaluar diferentes terapias aplicadas de manera progresiva en la enuresis nocturna monosintomática.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 84 pacientes enuréticos de 6 a 14 años de edad. Los niños de 6 a 7 años recibieron tratamiento con desmopresina, asociando en los no respondedores oxibutinina y posteriormente si continuaban mojando alarma. Los mayores de 7 años recibieron aleatoriamente tratamiento con alarma o con alarma más desmopresina; a los no respondedores se les trató con desmopresina.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En los niños de 6-7 años el porcentaje acumulado de respuesta fue del 72 %. Los menos mojadores fueron los que respondieron a desmopresina. En los niños con edad superior a 7 años, la respuesta con alarma fue del 73,3% y del 58,6% en los tratados con alarma y desmopresina; la respuesta acumulada, tras la aplicación de desmopresina a los no respondedores, pasó a ser del 80 y 62 %, respectivamente.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En el grupo de 6-7 años la desmopresina está indicada como terapia inicial. La asociación con oxibutinina aumentó la eficacia del tratamiento, sobre todo en los niños más mojadores. En los mayores de 7 años es la alarma la terapia más efectiva y con menor número de recaídas, sin observarse una mejor respuesta al asociar desmopresina y alarma según nuestro protocolo.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">There are many therapeutic options against enuresis.</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To evaluate several therapies introduced progressively to treat monosymptomatic nocturnal enuresis.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Eighty-four patients, aged 6 to 14 years old, were studied. The 6-7 year olds were treated with desmopressin and oxybutynin was added in non-responders. If enuresis persisted, Alarm was given. Children over 7 years of age were randomly divided and treated with Alarm or Alarm plus desmopressin. Non-responders were treated with desmopressin alone.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">In children aged 6-7 years the cumulative response was 72 %. Those who wetted themselves less responded to desmopressin. In children over 7 years of age, response to Alarm was 73.3% and response to Alarm plus desmopressin was 58.6 %. In non-responders the cumulative response after desmopressin treatment increased to 80 % and 62 % respectively.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliogrífia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 11 | 17 |
| 2024 Octubre | 40 | 45 | 85 |
| 2024 Septiembre | 51 | 45 | 96 |
| 2024 Agosto | 61 | 95 | 156 |
| 2024 Julio | 36 | 36 | 72 |
| 2024 Junio | 44 | 31 | 75 |
| 2024 Mayo | 34 | 37 | 71 |
| 2024 Abril | 39 | 31 | 70 |
| 2024 Marzo | 30 | 36 | 66 |
| 2024 Febrero | 40 | 41 | 81 |
| 2024 Enero | 41 | 36 | 77 |
| 2023 Diciembre | 32 | 24 | 56 |
| 2023 Noviembre | 32 | 46 | 78 |
| 2023 Octubre | 36 | 27 | 63 |
| 2023 Septiembre | 22 | 25 | 47 |
| 2023 Agosto | 22 | 16 | 38 |
| 2023 Julio | 36 | 27 | 63 |
| 2023 Junio | 25 | 24 | 49 |
| 2023 Mayo | 47 | 21 | 68 |
| 2023 Abril | 29 | 12 | 41 |
| 2023 Marzo | 27 | 28 | 55 |
| 2023 Febrero | 26 | 21 | 47 |
| 2023 Enero | 21 | 17 | 38 |
| 2022 Diciembre | 27 | 19 | 46 |
| 2022 Noviembre | 32 | 40 | 72 |
| 2022 Octubre | 25 | 52 | 77 |
| 2022 Septiembre | 23 | 37 | 60 |
| 2022 Agosto | 37 | 44 | 81 |
| 2022 Julio | 27 | 33 | 60 |
| 2022 Junio | 18 | 37 | 55 |
| 2022 Mayo | 28 | 46 | 74 |
| 2022 Abril | 24 | 49 | 73 |
| 2022 Marzo | 28 | 55 | 83 |
| 2022 Febrero | 21 | 31 | 52 |
| 2022 Enero | 22 | 45 | 67 |
| 2021 Diciembre | 24 | 59 | 83 |
| 2021 Noviembre | 33 | 45 | 78 |
| 2021 Octubre | 39 | 51 | 90 |
| 2021 Septiembre | 28 | 49 | 77 |
| 2021 Agosto | 21 | 31 | 52 |
| 2021 Julio | 19 | 40 | 59 |
| 2021 Junio | 22 | 46 | 68 |
| 2021 Mayo | 22 | 37 | 59 |
| 2021 Abril | 40 | 94 | 134 |
| 2021 Marzo | 55 | 33 | 88 |
| 2021 Febrero | 61 | 26 | 87 |
| 2021 Enero | 20 | 28 | 48 |
| 2020 Diciembre | 29 | 13 | 42 |
| 2020 Noviembre | 35 | 13 | 48 |
| 2020 Octubre | 22 | 23 | 45 |
| 2020 Septiembre | 22 | 6 | 28 |
| 2020 Agosto | 18 | 16 | 34 |
| 2020 Julio | 26 | 15 | 41 |
| 2020 Junio | 26 | 9 | 35 |
| 2020 Mayo | 29 | 16 | 45 |
| 2020 Abril | 40 | 17 | 57 |
| 2020 Marzo | 21 | 10 | 31 |
| 2020 Febrero | 31 | 14 | 45 |
| 2020 Enero | 37 | 27 | 64 |
| 2019 Diciembre | 43 | 25 | 68 |
| 2019 Noviembre | 21 | 10 | 31 |
| 2019 Octubre | 14 | 13 | 27 |
| 2019 Septiembre | 20 | 24 | 44 |
| 2019 Agosto | 24 | 20 | 44 |
| 2019 Julio | 30 | 37 | 67 |
| 2019 Junio | 26 | 41 | 67 |
| 2019 Mayo | 33 | 28 | 61 |
| 2019 Abril | 27 | 22 | 49 |
| 2019 Marzo | 21 | 14 | 35 |
| 2019 Febrero | 18 | 8 | 26 |
| 2019 Enero | 15 | 15 | 30 |
| 2018 Diciembre | 18 | 17 | 35 |
| 2018 Noviembre | 24 | 17 | 41 |
| 2018 Octubre | 43 | 18 | 61 |
| 2018 Septiembre | 21 | 5 | 26 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 4 | 0 | 4 |
| 2018 Abril | 9 | 0 | 9 |
| 2018 Marzo | 8 | 0 | 8 |
| 2018 Febrero | 6 | 0 | 6 |
| 2018 Enero | 6 | 0 | 6 |
| 2017 Diciembre | 5 | 0 | 5 |
| 2017 Noviembre | 15 | 1 | 16 |
| 2017 Octubre | 16 | 0 | 16 |
| 2017 Septiembre | 10 | 0 | 10 |
| 2017 Agosto | 12 | 0 | 12 |
| 2017 Julio | 17 | 0 | 17 |
| 2017 Junio | 15 | 20 | 35 |
| 2017 Mayo | 18 | 18 | 36 |
| 2017 Abril | 17 | 10 | 27 |
| 2017 Marzo | 18 | 20 | 38 |
| 2017 Febrero | 13 | 3 | 16 |
| 2017 Enero | 6 | 3 | 9 |
| 2016 Diciembre | 24 | 5 | 29 |
| 2016 Noviembre | 29 | 8 | 37 |
| 2016 Octubre | 32 | 14 | 46 |
| 2016 Septiembre | 21 | 6 | 27 |
| 2016 Agosto | 28 | 16 | 44 |
| 2016 Julio | 22 | 16 | 38 |
| 2016 Junio | 4 | 0 | 4 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 11 | 15 | 26 |
| 2016 Febrero | 4 | 0 | 4 |
| 2016 Enero | 1 | 0 | 1 |
| 2015 Diciembre | 5 | 0 | 5 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Octubre | 3 | 0 | 3 |
| 2015 Agosto | 4 | 0 | 4 |
| 2015 Julio | 13 | 0 | 13 |
| 2015 Junio | 10 | 0 | 10 |
| 2015 Mayo | 18 | 0 | 18 |
| 2015 Abril | 22 | 0 | 22 |
| 2015 Marzo | 15 | 0 | 15 |
| 2015 Febrero | 21 | 0 | 21 |
| 2015 Enero | 11 | 0 | 11 |
| 2014 Diciembre | 10 | 2 | 12 |
| 2014 Noviembre | 9 | 0 | 9 |
| 2014 Octubre | 10 | 0 | 10 |
| 2014 Septiembre | 8 | 4 | 12 |
| 2014 Agosto | 10 | 1 | 11 |
| 2014 Julio | 15 | 1 | 16 |
| 2014 Junio | 20 | 1 | 21 |
| 2014 Mayo | 18 | 2 | 20 |
| 2014 Abril | 14 | 3 | 17 |
| 2014 Marzo | 17 | 10 | 27 |
| 2014 Febrero | 7 | 9 | 16 |
| 2014 Enero | 10 | 8 | 18 |
| 2013 Diciembre | 25 | 16 | 41 |
| 2013 Noviembre | 13 | 5 | 18 |
| 2013 Octubre | 20 | 9 | 29 |
| 2013 Septiembre | 19 | 9 | 28 |
| 2013 Agosto | 14 | 5 | 19 |
| 2013 Julio | 7 | 5 | 12 |
| 2013 Junio | 4 | 3 | 7 |
| 2013 Mayo | 6 | 4 | 10 |
| 2013 Abril | 3 | 1 | 4 |
| 2013 Marzo | 5 | 3 | 8 |
| 2013 Febrero | 20 | 1 | 21 |
| 2013 Enero | 13 | 2 | 15 |
| 2012 Diciembre | 8 | 1 | 9 |
| 2012 Noviembre | 11 | 1 | 12 |
| 2012 Octubre | 8 | 2 | 10 |
| 2012 Septiembre | 5 | 0 | 5 |
| 2001 Enero | 2376 | 0 | 2376 |
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