Treatment nocturnal enuretic children: an overwive of meta-analysi

Document Type: original article

Authors

1 General Physician, Mashhad University of Medical Sciences Mashhad, Iran.

2 Urologist, Department of urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Pharmacist, Schol of Pharmacy,Mashhad University of Medical Sciences Mashhad, Iran.

4 Medical Student, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Science, Sari, Iran.

5 Medical Student, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

6 Orthopedic Resident, Department of Orthopedic, Kerman University of Medical Sciences, Kerman, Iran.

7 Department of Pediatric, Faculity of Medicine, Mashhad University of Medical Siences, Mashhad, Iran.

10.22038/ijp.2020.50369.4009

Abstract

ABSTRACT
Objective: Unfortunately, there is little published overwive to warrant Treatment nocturnal enuretic children. The aim of this review is to evaluate the efficacy of acupuncture therapy in the treatment of nocturnal enuresis when compared with placebo acupuncture or oral pharmacological treatment based on randomized controlled trials
Material and methods: Two independent researchers screened the articles studying the effect of Treatment nocturnal enuretic children on the related databases, including Scopus, EMBASE, Cochrane, Web of Science and Medline, without time and language restrictions from inception up to March 10, 2020
Results: In the first meta-analysis, desmopressin and anticholinergic combination therapy (combination therapy) was associated with a significantly better than desmopressin monotherapy. In the second meta-analysis compared with the abrupt withdrawal of desmopressin treatment, structured withdrawal results to a significantly better relapse-free rate (pooled RR: 1.38; 95% CI, 1.17–1.63; P = .0001). In the third meta-analysis The 31% rate of cure for Rapid palatal expansion is promising when compared to the spontaneous cure rate. In the fourth meta-analysis The pooled data showed significant difference between acupuncture therapy and Meclofenoxate (OR = 2.81(.Nsignificant difference between acupuncture and desmopressin (OR = 1.57;), imipramine hydrochloride (OR = 1.71(and oxybutynin, (OR = 3.57). in fifth meta-analysis, a statistically significant difference in the wet nights per week (P 

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