Chinese General Practice ›› 2023, Vol. 26 ›› Issue (02): 134-141.DOI: 10.12114/j.issn.1007-9572.2022.0424
Special Issue: 指南/共识最新文章合集
• Guide·Evidence • Previous Articles Next Articles
Received:
2022-03-09
Revised:
2022-06-30
Published:
2023-01-15
Online:
2022-10-13
Contact:
ZHANG Fenghua
About author:
通讯作者:
张丰华
作者简介:
基金资助:
Add to citation manager EndNote|Ris|BibTeX
URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0424
指南/专家共识 | 时间(年) | 小儿NE类型 | 小儿NE定义 | 基金资助 | 利益冲突 | 更新 |
---|---|---|---|---|---|---|
指南1[ | 2015 | MNE | 无中枢神经系统病变的5岁以上儿童,在睡眠中出现不自主的漏尿现象,至少2次/周并持续≥3个月 | 未报告 | 未报告 | 未报告 |
指南2[ | 2018 | MNE | 3岁以上小儿不能从睡眠中醒来而反复发生无意识排尿行为,每周超过一定次数,持续至少3个月 | 报告 | 报告 | 报告 |
指南3[ | 2017 | MNE | 未指明 | 报告 | 报告 | 未报告 |
指南4[ | 2012 | MNE+NMNE | 5岁以上儿童睡眠时间歇性尿失禁 | 未报告 | 报告 | 未报告 |
指南5[ | 2020 | MNE+NMNE | ≥5岁儿童平均至少2次/周夜间不自主排尿,并持续3个月以上 | 未报告 | 未报告 | 报告 |
指南6[ | 2020 | MNE | 5岁以上儿童在没有先天性或后天性泌尿系统或中枢神经系统缺陷,且无白天排尿症状的情况下,在睡眠期间突然排尿 | 未报告 | 报告 | 报告 |
指南7[ | 2011 | MNE+NMNE | ≥5岁儿童平均至少2次/周夜间不自主排尿,并持续3个月以上 | 未报告 | 未报告 | 未报告 |
指南8[ | 2010 | MNE+NMNE | 5~18岁的儿童和年轻人夜间睡眠时间非自愿尿床,没有固定的频率或病理生理限制 | 未报告 | 未报告 | 报告 |
专家共识1[ | 2014 | MNE | ≥5岁儿童平均至少2次/周夜间不自主排尿,并持续3个月以上 | 未报告 | 未报告 | 未报告 |
专家共识2[ | 2019 | MNE+NMNE | 5~6岁儿童至少发生2次/月夜间睡眠中不自主漏尿症状,7岁及以上儿童至少尿床1次/月,且连续3个月以上,没有明显精神和神经异常 | 报告 | 报告 | 未报告 |
专家共识3[ | 2019 | MNE | 未指明 | 报告 | 报告 | 未报告 |
专家共识4[ | 2019 | MNE+NMNE | 5岁以上儿童睡眠时间歇性尿失禁 | 未报告 | 未报告 | 未报告 |
专家共识5[ | 2011 | MNE+NMNE | 未指明 | 未报告 | 报告 | 未报告 |
Table 1 General characteristics of included guidelines and consensuses on enuresis in children
指南/专家共识 | 时间(年) | 小儿NE类型 | 小儿NE定义 | 基金资助 | 利益冲突 | 更新 |
---|---|---|---|---|---|---|
指南1[ | 2015 | MNE | 无中枢神经系统病变的5岁以上儿童,在睡眠中出现不自主的漏尿现象,至少2次/周并持续≥3个月 | 未报告 | 未报告 | 未报告 |
指南2[ | 2018 | MNE | 3岁以上小儿不能从睡眠中醒来而反复发生无意识排尿行为,每周超过一定次数,持续至少3个月 | 报告 | 报告 | 报告 |
指南3[ | 2017 | MNE | 未指明 | 报告 | 报告 | 未报告 |
指南4[ | 2012 | MNE+NMNE | 5岁以上儿童睡眠时间歇性尿失禁 | 未报告 | 报告 | 未报告 |
指南5[ | 2020 | MNE+NMNE | ≥5岁儿童平均至少2次/周夜间不自主排尿,并持续3个月以上 | 未报告 | 未报告 | 报告 |
指南6[ | 2020 | MNE | 5岁以上儿童在没有先天性或后天性泌尿系统或中枢神经系统缺陷,且无白天排尿症状的情况下,在睡眠期间突然排尿 | 未报告 | 报告 | 报告 |
指南7[ | 2011 | MNE+NMNE | ≥5岁儿童平均至少2次/周夜间不自主排尿,并持续3个月以上 | 未报告 | 未报告 | 未报告 |
指南8[ | 2010 | MNE+NMNE | 5~18岁的儿童和年轻人夜间睡眠时间非自愿尿床,没有固定的频率或病理生理限制 | 未报告 | 未报告 | 报告 |
专家共识1[ | 2014 | MNE | ≥5岁儿童平均至少2次/周夜间不自主排尿,并持续3个月以上 | 未报告 | 未报告 | 未报告 |
专家共识2[ | 2019 | MNE+NMNE | 5~6岁儿童至少发生2次/月夜间睡眠中不自主漏尿症状,7岁及以上儿童至少尿床1次/月,且连续3个月以上,没有明显精神和神经异常 | 报告 | 报告 | 未报告 |
专家共识3[ | 2019 | MNE | 未指明 | 报告 | 报告 | 未报告 |
专家共识4[ | 2019 | MNE+NMNE | 5岁以上儿童睡眠时间歇性尿失禁 | 未报告 | 未报告 | 未报告 |
专家共识5[ | 2011 | MNE+NMNE | 未指明 | 未报告 | 报告 | 未报告 |
评价工具 | 领域 | 总得分(报告率)a | 指南得分(报告率)a | 指南1[ | 指南2[ | 指南3[ | 指南4[ | 指南5[ | 指南6[ | 指南7[ | 指南8[ | 专家共识得分(报告率)a | 专家共识1[ | 专家共识2[ | 专家共识3[ | 专家共识4[ | 专家共识5[ |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AGREEⅡ | 范围和目的 | 66.99±16.73 | 74.83±14.41 | 86.11 | 84.72 | 44.44 | 79.17 | 70.83 | 73.61 | 65.28 | 94.44 | 54.44±11.83 | 77.78 | 51.39 | 45.83 | 47.22 | 50.00 |
参与人员 | 46.26±21.56 | 48.61±25.38 | 48.61 | 94.44 | 27.78 | 54.17 | 59.72 | 45.83 | 0 | 58.33 | 42.50±12.44 | 44.44 | 27.78 | 59.72 | 51.39 | 29.17 | |
严谨性 | 34.42±26.73 | 35.61±29.58 | 38.02 | 67.71 | 12.5 | 33.85 | 32.81 | 6.77 | 0 | 93.23 | 32.50±21.25 | 0 | 23.96 | 61.46 | 48.96 | 28.13 | |
清晰性 | 60.36±32.13 | 56.77±35.11 | 68.06 | 87.50 | 22.22 | 80.56 | 77.78 | 0 | 18.06 | 100 | 66.11±25.66 | 23.61 | 81.94 | 98.61 | 72.22 | 54.17 | |
应用性 | 39.82±20.14 | 35.81±22.25 | 55.21 | 0 | 27.08 | 65.63 | 52.08 | 4.17 | 43.75 | 38.54 | 46.25±13.97 | 37.5 | 45.83 | 70.83 | 47.92 | 29.17 | |
独立性 | 45.35±37.93 | 48.70±39.81 | 0 | 100.00 | 77.08 | 79.17 | 0 | 50.00 | 0 | 83.33 | 40.00±34.01 | 0 | 70.83 | 79.17 | 0 | 50.00 | |
推荐等级 | — | — | B | B | C | B | B | C | C | B | — | C | B | B | B | C | |
RIGHT | 基本信息 | 60.58±12.19 | 63.54±11.92 | 66.67 | 66.67 | 50 | 66.67 | 70.83 | 62.5 | 41.67 | 83.33 | 55.83±11.06 | 50.00 | 70.00 | 58.33 | 54.17 | 41.67 |
背景 | 50.72±20.18 | 52.34±24.99 | 56.25 | 50.00 | 21.88 | 71.88 | 46.88 | 56.25 | 15.63 | 100.00 | 48.13±7.02 | 50.00 | 50.00 | 59.38 | 40.63 | 40.63 | |
证据 | 30.77±26.88 | 36.88±31.12 | 65.00 | 45.00 | 5.00 | 0 | 35.00 | 30.00 | 15.00 | 100.00 | 21.00±13.19 | 0 | 20.00 | 15.00 | 35.00 | 35.00 | |
推荐意见 | 32.97±27.53 | 37.50±31.44 | 21.43 | 75.00 | 7.14 | 50.00 | 50.00 | 7.14 | 0 | 89.29 | 25.71±17.41 | 0 | 21.43 | 50.00 | 39.29 | 17.86 | |
评审和质量保证 | 25.00(40.63) | 34.38±30.46 | 0 | 50.00 | 25.00 | 25.00 | 50.00 | 25.00 | 0 | 100.00 | 0(0) | 0 | 0 | 37.5 | 0 | 0 | |
资助与利益冲突声明和管理 | 25.96±24.00 | 28.13±25.39 | 0 | 62.5 | 37.5 | 43.75 | 0 | 18.75 | 0 | 62.5 | 22.50±21.14 | 0 | 50 | 43.75 | 0 | 18.75 | |
其他方面 | 16.67(33.33) | 16.67(33.33) | 0 | 0 | 33.33 | 16.67 | 33.33 | 0 | 16.67 | 66.67 | 0(33.33) | 0 | 0 | 58.33 | 0 | 33.33 |
Table 2 Quality of included guidelines and consensuses on enuresis in children evaluated using the AGREE Ⅱ and RIGHT checklists
评价工具 | 领域 | 总得分(报告率)a | 指南得分(报告率)a | 指南1[ | 指南2[ | 指南3[ | 指南4[ | 指南5[ | 指南6[ | 指南7[ | 指南8[ | 专家共识得分(报告率)a | 专家共识1[ | 专家共识2[ | 专家共识3[ | 专家共识4[ | 专家共识5[ |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AGREEⅡ | 范围和目的 | 66.99±16.73 | 74.83±14.41 | 86.11 | 84.72 | 44.44 | 79.17 | 70.83 | 73.61 | 65.28 | 94.44 | 54.44±11.83 | 77.78 | 51.39 | 45.83 | 47.22 | 50.00 |
参与人员 | 46.26±21.56 | 48.61±25.38 | 48.61 | 94.44 | 27.78 | 54.17 | 59.72 | 45.83 | 0 | 58.33 | 42.50±12.44 | 44.44 | 27.78 | 59.72 | 51.39 | 29.17 | |
严谨性 | 34.42±26.73 | 35.61±29.58 | 38.02 | 67.71 | 12.5 | 33.85 | 32.81 | 6.77 | 0 | 93.23 | 32.50±21.25 | 0 | 23.96 | 61.46 | 48.96 | 28.13 | |
清晰性 | 60.36±32.13 | 56.77±35.11 | 68.06 | 87.50 | 22.22 | 80.56 | 77.78 | 0 | 18.06 | 100 | 66.11±25.66 | 23.61 | 81.94 | 98.61 | 72.22 | 54.17 | |
应用性 | 39.82±20.14 | 35.81±22.25 | 55.21 | 0 | 27.08 | 65.63 | 52.08 | 4.17 | 43.75 | 38.54 | 46.25±13.97 | 37.5 | 45.83 | 70.83 | 47.92 | 29.17 | |
独立性 | 45.35±37.93 | 48.70±39.81 | 0 | 100.00 | 77.08 | 79.17 | 0 | 50.00 | 0 | 83.33 | 40.00±34.01 | 0 | 70.83 | 79.17 | 0 | 50.00 | |
推荐等级 | — | — | B | B | C | B | B | C | C | B | — | C | B | B | B | C | |
RIGHT | 基本信息 | 60.58±12.19 | 63.54±11.92 | 66.67 | 66.67 | 50 | 66.67 | 70.83 | 62.5 | 41.67 | 83.33 | 55.83±11.06 | 50.00 | 70.00 | 58.33 | 54.17 | 41.67 |
背景 | 50.72±20.18 | 52.34±24.99 | 56.25 | 50.00 | 21.88 | 71.88 | 46.88 | 56.25 | 15.63 | 100.00 | 48.13±7.02 | 50.00 | 50.00 | 59.38 | 40.63 | 40.63 | |
证据 | 30.77±26.88 | 36.88±31.12 | 65.00 | 45.00 | 5.00 | 0 | 35.00 | 30.00 | 15.00 | 100.00 | 21.00±13.19 | 0 | 20.00 | 15.00 | 35.00 | 35.00 | |
推荐意见 | 32.97±27.53 | 37.50±31.44 | 21.43 | 75.00 | 7.14 | 50.00 | 50.00 | 7.14 | 0 | 89.29 | 25.71±17.41 | 0 | 21.43 | 50.00 | 39.29 | 17.86 | |
评审和质量保证 | 25.00(40.63) | 34.38±30.46 | 0 | 50.00 | 25.00 | 25.00 | 50.00 | 25.00 | 0 | 100.00 | 0(0) | 0 | 0 | 37.5 | 0 | 0 | |
资助与利益冲突声明和管理 | 25.96±24.00 | 28.13±25.39 | 0 | 62.5 | 37.5 | 43.75 | 0 | 18.75 | 0 | 62.5 | 22.50±21.14 | 0 | 50 | 43.75 | 0 | 18.75 | |
其他方面 | 16.67(33.33) | 16.67(33.33) | 0 | 0 | 33.33 | 16.67 | 33.33 | 0 | 16.67 | 66.67 | 0(33.33) | 0 | 0 | 58.33 | 0 | 33.33 |
[1] | |
[2] |
|
[3] |
|
[4] |
|
[5] | |
[6] |
张海娜,李婧,杜娟. 基于临床指南研究与评估工具Ⅱ的痴呆社区管理指南评价[J]. 中国全科医学,2021,24(31):3914-3922. DOI:10.12114/j.issn.1007-9572.2021.00.300.
|
[7] |
许传亮,宋奇翔,方祖军,等. 儿童夜间遗尿症诊治指南[J]. 中华泌尿外科杂志,2015,36(11):801-805. DOI:10.3760/cma.j.issn.1000-6702.2015.11.001.
|
[8] |
王仲易,杜可,李晨,等. 中医儿科临床诊疗指南·小儿遗尿症(修订)[J]. 中医儿科杂志,2018,14(1):4-8. DOI:10.16840/j.issn1673-4297.2018.01.02.
|
[9] |
|
[10] |
|
[11] |
|
[12] |
|
[13] |
|
[14] |
National Institute for Health and Care Excellence. Nocturnal enuresis:the management of bedwetting in children and young people[EB/OL]. (2010-10-27) [2022-02-16].
|
[15] |
沈茜,刘小梅,姚勇,等. 中国儿童单症状性夜遗尿疾病管理专家共识[J]. 临床儿科杂志,2014,32(10):970-975. DOI:10.3969/j.issn.1000-3606.2014.10.019.
|
[16] |
中华医学会小儿外科学分会小儿尿动力和盆底学组和泌尿外科学组.儿童遗尿症诊断和治疗中国专家共识[J].中华医学杂志,2019,99(21):1615-1620.DOI:10.3760/cma.j.issn.0376-2491.2019.21.005.
|
[17] |
|
[18] |
|
[19] |
|
[20] |
|
[21] |
|
[22] | |
[23] |
范芹,刘艳,田兴德. 1例慢性化脓性中耳乳突炎术后使用去氨加压素致水中毒的护理[J]. 长江大学学报:自然版,2011,8(8):190,192. DOI:10.3969/j.issn.1673-1409.2011.08.083.
|
[24] |
牛雪阳,张建江,曾慧勤,等. 醒脾养儿颗粒联合去氨加压素治疗单症状性遗尿症的临床研究[J]. 中国实用医刊,2019,46(15):87-91. DOI:10.3760/cma.j.issn.1674-4756.2019.15.029.
|
[25] | |
[26] |
阎小妍,姚晨. 基于统计检验P值的临床试验结果分析[J]. 中国新药杂志,2018,27(6):672-677.
|
[27] |
Clinical Practice Guidelines We Can Trust[M]. Washington,D.C.:National Academies Press,2011. DOI:10.17226/13058.
|
[28] |
International Organization for Standardization. Glossary of terms[EB/OL].[2022-02-16].
|
[29] |
陈耀龙,罗旭飞,王吉耀,等. 如何区分临床实践指南与专家共识[J]. 协和医学杂志,2019,10(4):403-408. DOI:10.3969/j.issn.1674-9081.2019.04.018.
|
[30] |
文建国,王庆伟,文建军,等. 儿童和青少年原发性夜遗尿症患病率现状和回顾性调查[J]. 中华小儿外科杂志,2007,28(11):583-586. DOI:10.3760/cma.j.issn.0253-3006.2007.11.007.
|
[31] |
韩春蕾,崔倩倩,何然,等. 医学生儿科就业意愿的影响因素分析[J]. 中华医学教育杂志,2018,38(1):28-31,49. DOI:10.3760/cma.j.issn.1673-677X.2018.01.006.
|
[32] | |
[33] | |
[34] | |
[35] |
[1] | Expert Consensus Writing Group of Integrated Traditional Chinese and Western Medicine Management for Chronic Obstructive Pulmonary Disease. Expert Consensus on Integrated Traditional Chinese and Western Medicine Management for Chronic Obstructive Pulmonary Disease (2023 Edition) [J]. Chinese General Practice, 2023, 26(35): 4359-4371. |
[2] | LIANG Xuan, NA Feiyang, QIN Mengyao, YANG Hui, GUO Li, GUO Qi, REN Lei, CHEN De, LIU Donghai, ZHANG Rongfang. Clinical Characteristics and Influencing Factors of Bronchial Asthma Combined with Obstructive Sleep Apnea-hypopnea Syndrome in Children [J]. Chinese General Practice, 2023, 26(33): 4225-4230. |
[3] | YIN Zhaoxia, MAO Lidong, ZHANG Baoshuang, HUANG Yin, FENG Yang, WANG Yunfei. Spectrum of Outpatient Illnesses in Children Contracting Family Doctor Services in Shenzhen's Community Settings and Related Implications for Standardized Residency Training of General Practitioners [J]. Chinese General Practice, 2023, 26(33): 4218-4224. |
[4] | SHI Xiaoqi, LUO Nandu, HUANG Jiaojiao, DU Zuochen, HUANG Pei, CAO Xiuli, CHEN Yan, HE Zhixu. Correlation between Aspartate Aminotransferase/Alanine Aminotransferase and Prognosis of Hemophagocytic Lymphohistiocytosis in Children [J]. Chinese General Practice, 2023, 26(30): 3801-3808. |
[5] | CHENG Jingwei, QIAO Junjun, YIN Zhen, HU Junpeng, WANG Qinghe, LIU Yangqing, WANG Yanfang. Interpretation of ISPAD Clinical Practice Consensus Guidelines 2022: Exercise in Children and Adolescents with Diabetes [J]. Chinese General Practice, 2023, 26(30): 3719-3724. |
[6] | CHEN Jing, ZOU Tao, ZHAO Danqing, XIAO Ziwen, WU Xianqing, Chinese Medical Association Psychosomatic Medicine Branch Perinatal Mental Disorders Collaborative Group. Expert Consensus on Screening, Diagnosis and Treatment of Perinatal Mental Disorders [J]. Chinese General Practice, 2023, 26(28): 3463-3470. |
[7] | NIU Guohui, LI Tingting, ZHU Dengna, WANG Jun, LIU Hongxing, WANG Xin, ZHANG Mengmeng, XIE Jiayang. Clinical Characteristics of Global Developmental Delay in Children of Different Genders [J]. Chinese General Practice, 2023, 26(26): 3276-3281. |
[8] | SHEN Yu, CHEN Jian, SHOU Tiejun, YU Beirong. Characteristics of Unintentional Injuries in 15 773 Children [J]. Chinese General Practice, 2023, 26(26): 3282-3289. |
[9] | ZHANG Lifeng, ZHANG Ningning, QIN Xiuqun, YANG Yi, ZHONG Dongmei, LIU Shaofei, DAI Yushen, WANG Xiaodan, WANG Mingfei. Healthcare-seeking Behavior and Influencing Factors of Children with Upper Respiratory Tract Infection in the Context of Hierarchical Medical System [J]. Chinese General Practice, 2023, 26(26): 3269-3275. |
[10] | Expert group of expert consensus on the application of ulinastatin in common clinical critical illness. Expert Consensus on the Application of Ulinastatin in Common Clinical Critical Illness [J]. Chinese General Practice, 2023, 26(26): 3207-3219. |
[11] | Chinese Medical Association Clinical Pharmacy Branch, Shanghai Medical Association Clinical Pharmacy Branch, Shanghai Pharmacy Association Hospital Pharmacy Professional Committee. Expert Consensus on Construction and Application of the Internet Medical Intelligent Auxiliary Prescription Review System [J]. Chinese General Practice, 2023, 26(25): 3079-3090. |
[12] | Climacteric Health Care Branch of Chinese Preventive Medicine Association, Gynecologic Endocrinology and Fertility Professional Committees of China Association for Promotion of Health Science and Technology, Professional Committees of Beijing Association of the Integrating of Traditional and Western Medicine. Chinese Expert Consensus on Clinical Management of Menopause-related Insomnia [J]. Chinese General Practice, 2023, 26(24): 2951-2958. |
[13] | SUN Yujing, ZHANG Jing, YU Hong, ZHOU Yuqiu, JIANG Wenlong, JIA Yannan. Effect of Childhood Trauma on Aggressive Behavior in Stable Schizophrenia Patients: the Chain Mediating Effect of Self-esteem and Resilience [J]. Chinese General Practice, 2023, 26(23): 2899-2906. |
[14] | WANG Rui, WANG Xiaomei, PENG Guoqing, YU Huan, WANG Sihan, XIA Jin. Screening Assessment and Therapy Intervention of Cancer Cachexia in Adult Patients——Based on the Interpretation of Cancer Cachexia in Adult Patients: ESMO Clinical Practice Guidelines [J]. Chinese General Practice, 2023, 26(23): 2823-2829. |
[15] | LIANG Shuqin, LI Jing. Effects of Interactive Reading Interventions on Oral Communication in Preschool Children with Autism Spectrum Disorders: a Research Progress [J]. Chinese General Practice, 2023, 26(23): 2943-2950. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||