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ICI-RS 2015—更好地理解睡眠是否是管理夜间多尿症的关键?

ICI-RS 2015-Is a better understanding of sleep the key in managing nocturia?

机构信息

Department of Urology, Ghent University Hospital, Ghent, Belgium.

Department of Urology, SUNY Downstate College of Medicine, New York.

出版信息

Neurourol Urodyn. 2018 Sep;37(7):2048-2052. doi: 10.1002/nau.23032. Epub 2016 Sep 21.

Abstract

AIMS

Nocturia, or waking up at night to void, is a highly prevalent and bothersome lower urinary tract symptom. However, the applied treatment modalities do not improve symptoms in about half of the patients. The aim of this report is to generate new ideas for future nocturia research, with special emphasis on the role of sleep physiology and sleep disorders.

METHODS

The following is a report of the presentations and subsequent discussion of the Nocturia Think Tank session at the annual meeting of the International Consultation on Incontinence Research Society (ICI-RS), which took place in September 2015 in Bristol. General information about the organization of the ICI-RS meeting can be found on the website "www.ici-rs.org." An overview of challenges within the existing evidence, future research ideas, and results of research with regard to nocturia and sleep were presented.

RESULTS AND CONCLUSION

In order to optimize the management of nocturia and nocturnal polyuria (NP), future research has to focus on the development of unambiguous terminology regarding nocturia and NP, the role of renal function profiles and simplified frequency volume charts as guidance of individualized therapy and the role of sleep disorders such as periodic limb movements during sleep and habitual voiding as a response to awakening. Neurourol. Urodynam. 37:2048-2052, 2018. © 2016 Wiley Periodicals, Inc.

摘要

目的

夜尿症,即夜间醒来排尿,是一种高发且令人困扰的下尿路症状。然而,现有的治疗方法并不能改善大约一半患者的症状。本报告的目的是为未来的夜尿症研究提供新的思路,特别强调睡眠生理学和睡眠障碍的作用。

方法

本文是对 2015 年 9 月在布里斯托尔举行的国际尿失禁研究学会(ICI-RS)年会上的夜尿症智囊小组会议的报告和随后的讨论。有关 ICI-RS 会议组织的一般信息可在网站“www.ici-rs.org”上找到。本文介绍了夜尿症和睡眠领域内现有证据所面临的挑战、未来研究思路以及研究结果。

结果和结论

为了优化夜尿症和夜间多尿(NP)的管理,未来的研究必须集中于明确夜尿症和 NP 的术语、肾功能谱和简化的频率-体积图表作为个体化治疗指导的作用,以及睡眠障碍(如睡眠周期性肢体运动和习惯性排尿)作为觉醒反应的作用。神经泌尿外科学和尿动力学 37:2048-2052,2018。©2016 年 Wiley 期刊出版公司

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