Emory University School of Medicine, Atlanta, Georgia.
Neurourol Urodyn. 2014 Apr;33 Suppl 1:S15-8. doi: 10.1002/nau.22585.
Nocturia, the need to awaken at night to void, is a highly prevalent disorder that negatively affects nocturnal sleep, increases daytime tiredness, and adversely impacts quality of life. In this selective review, we provide the reader an overview of current work in this area. From the perspective of disturbed sleep, two divergent perspectives have emerged from the literature when discussing nocturia. The first is that a patient awakens because of an urge to urinate. The second is that a patient awakens during the night for some reason unrelated to urinary urge (e.g., an awakening from an environmental source or from intrinsic lightening of sleep) and then decides to void while awake. In the few studies that have inquired about nocturia as a cause of awakenings, nocturia often ranks above the traditional psychological or physical factors. Not only is nocturia likely to disrupt sleep, but it may impact waking quality of life as well. A number of generic and nocturia-related questionnaires have been used to quantify the effect of nocturia on quality of life. In this short paper, we introduce the reader to several key studies in these important areas.
夜尿症，即夜间需要醒来排尿的病症，是一种普遍存在的疾病，它会对夜间睡眠产生负面影响，增加白天的疲劳感，并对生活质量造成不利影响。在本次选择性综述中，我们为读者提供了该领域当前工作的概述。从睡眠障碍的角度来看，当讨论夜尿症时，文献中出现了两种截然不同的观点。第一种观点认为，患者醒来是因为有排尿的冲动。第二种观点认为，患者在夜间醒来是因为某些与尿意无关的原因（例如，来自环境的觉醒或睡眠内在的变浅），然后在醒来时决定排尿。在为数不多的研究中，夜尿症被认为是导致觉醒的原因之一，它通常排在传统的心理或生理因素之上。夜尿症不仅可能扰乱睡眠，还可能影响夜间的生活质量。许多通用和与夜尿症相关的问卷被用于量化夜尿症对生活质量的影响。在这篇简短的论文中，我们向读者介绍了这些重要领域的几项关键研究。
