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        "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las opciones terap&#233;uticas frente a la enuresis son m&#250;ltiples&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Evaluar diferentes terapias aplicadas de manera progresiva en la enuresis nocturna monosintom&#225;tica&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 84 pacientes enur&#233;ticos de 6 a 14 a&#241;os de edad&#46; Los ni&#241;os de 6 a 7 a&#241;os recibieron tratamiento con desmopresina&#44; asociando en los no respondedores oxibutinina y posteriormente si continuaban mojando alarma&#46; Los mayores de 7 a&#241;os recibieron aleatoriamente tratamiento con alarma o con alarma m&#225;s desmopresina&#59; a los no respondedores se les trat&#243; con desmopresina&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En los ni&#241;os de 6-7 a&#241;os el porcentaje acumulado de respuesta fue del 72 &#37;&#46; Los menos mojadores fueron los que respondieron a desmopresina&#46; En los ni&#241;os con edad superior a 7 a&#241;os&#44; la respuesta con alarma fue del 73&#44;3&#37; y del 58&#44;6&#37; en los tratados con alarma y desmopresina&#59; la respuesta acumulada&#44; tras la aplicaci&#243;n de desmopresina a los no respondedores&#44; pas&#243; a ser del 80 y 62 &#37;&#44; respectivamente&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En el grupo de 6-7 a&#241;os la desmopresina est&#225; indicada como terapia inicial&#46; La asociaci&#243;n con oxibutinina aument&#243; la eficacia del tratamiento&#44; sobre todo en los ni&#241;os m&#225;s mojadores&#46; En los mayores de 7 a&#241;os es la alarma la terapia m&#225;s efectiva y con menor n&#250;mero de reca&#237;das&#44; sin observarse una mejor respuesta al asociar desmopresina y alarma seg&#250;n nuestro protocolo&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">There are many therapeutic options against enuresis&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To evaluate several therapies introduced progressively to treat monosymptomatic nocturnal enuresis&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Eighty-four patients&#44; aged 6 to 14 years old&#44; were studied&#46; The 6-7 year olds were treated with desmopressin and oxybutynin was added in non-responders&#46; If enuresis persisted&#44; Alarm was given&#46; Children over 7 years of age were randomly divided and treated with Alarm or Alarm plus desmopressin&#46; Non-responders were treated with desmopressin alone&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">In children aged 6-7 years the cumulative response was 72 &#37;&#46; Those who wetted themselves less responded to desmopressin&#46; In children over 7 years of age&#44; response to Alarm was 73&#46;3&#37; and response to Alarm plus desmopressin was 58&#46;6 &#37;&#46; In non-responders the cumulative response after desmopressin treatment increased to 80 &#37; and 62 &#37; respectively&#46;</p>"
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Vol. 54. Núm. 1.
Páginas 38-43 (enero 2001)
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Vol. 54. Núm. 1.
Páginas 38-43 (enero 2001)
Acceso a texto completo
Resultados de una estrategia terapéutica frente a la enuresis nocturna monosintomática
Results of a therapeutic strategy against monosymptomatic nocturnal enuresis
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7924
A. Rodríguez do Fornoa,*, G. Ariceta Iraolab
a Unidades de Nefrología Pediátrica. Departamentos de Pediatría, Complexo Hospitalario Cristal-Piñor. Orense
b Unidades de Nefrología Pediátrica. Departamentos de Pediatría, Hospital Clínico Universitario. Santiago de Compostela
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Antecedentes

Las opciones terapéuticas frente a la enuresis son múltiples.

Objetivo

Evaluar diferentes terapias aplicadas de manera progresiva en la enuresis nocturna monosintomática.

Pacientes y métodos

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.

Resultados

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.

Conclusión

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.

Palabras clave:
nuresis nocturna monosintomática
Desmopresina
Oxibutinina
Alarma
Background

There are many therapeutic options against enuresis.

Objective

To evaluate several therapies introduced progressively to treat monosymptomatic nocturnal enuresis.

Methods

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.

Results

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.

Key words:
onosymptomatic nocturnal enuresis
Desmopressin
Oxybutynin
Alarm
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Copyright © 2001. Asociación Española de Pediatría
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