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夜尿症对下尿路症状患者睡眠质量的强烈影响。

Strong impact of nocturia on sleep quality in patients with lower urinary tract symptoms.

机构信息

Department of Urology, Soon Chun Hyang University College of Medicine, Seoul, Korea.

出版信息

World J Mens Health. 2012 Aug;30(2):123-30. doi: 10.5534/wjmh.2012.30.2.123. Epub 2012 Aug 31.

DOI:10.5534/wjmh.2012.30.2.123
PMID:23596599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3623520/
Abstract

PURPOSE

Nocturia is a bothersome symptom that impacts sleep quality in patients with lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH). This study was performed to evaluate the impact of nocturia on sleep quality.

MATERIALS AND METHODS

A total of 58 male patients with LUTS/BPH were enrolled. LUTS/BPH patients without nocturia were included in the control group. The inclusion criteria were eight or more points on the International Prostate System Score (IPSS) including more than one episode of nocturia and a prostate volume larger than 20 ml. IPSS, prostate volume, uroflowmetry, and the Pittsburgh Sleep Quality Index (PSQI) from each patient were recorded.

RESULTS

Patients with nocturia showed a higher mean global PSQI (8.5±0.4) than patients without nocturia (4.82±0.4) (p<0.01). Patients with nocturia showed a higher percentage of severe sleep disorders (74.1%) than patients without nocturia (35.3%) (p<0.01). The regression coefficient between the number of episodes of nocturia and mean global PSQI was 0.42 (p<0.01).

CONCLUSIONS

Patients with nocturia showed poor sleep quality, and this was related to the number of episodes of nocturia. This suggests that nocturia has a strong impact on sleep quality in patients with LUTS/BPH.

摘要

目的

夜尿症是一种令人困扰的症状，会影响下尿路症状（LUTS）/良性前列腺增生（BPH）患者的睡眠质量。本研究旨在评估夜尿症对睡眠质量的影响。

材料和方法

共纳入 58 例 LUTS/BPH 男性患者。无夜尿症的 LUTS/BPH 患者被纳入对照组。纳入标准为国际前列腺症状评分（IPSS）中 8 分以上，包括一次以上夜尿和前列腺体积大于 20ml。记录每位患者的 IPSS、前列腺体积、尿流率和匹兹堡睡眠质量指数（PSQI）。

结果

夜尿症患者的平均 PSQI 总分（8.5±0.4）高于无夜尿症患者（4.82±0.4）（p<0.01）。夜尿症患者中严重睡眠障碍的比例（74.1%）高于无夜尿症患者（35.3%）（p<0.01）。夜尿次数与 PSQI 总分之间的回归系数为 0.42（p<0.01）。

结论

夜尿症患者的睡眠质量较差，且与夜尿次数有关。这表明夜尿症对 LUTS/BPH 患者的睡眠质量有很大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6636/3623520/1f0da9c30cca/wjmh-30-123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6636/3623520/29242bd01e28/wjmh-30-123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6636/3623520/3ec94f1d0666/wjmh-30-123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6636/3623520/1f0da9c30cca/wjmh-30-123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6636/3623520/29242bd01e28/wjmh-30-123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6636/3623520/3ec94f1d0666/wjmh-30-123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6636/3623520/1f0da9c30cca/wjmh-30-123-g003.jpg

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