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夜尿症:后果、分类及管理

Nocturia: consequences, classification, and management.

作者信息

Fine Noam D, Weiss Jeffrey P, Wein Alan J

机构信息

Department of Urology, SUNY Downstate Medical Center, Brooklyn, New York, USA.

Division of Urology, University of Pennsylvania, Philadelphia, Pennsylvania , USA.

出版信息

F1000Res. 2017 Sep 1;6:1627. doi: 10.12688/f1000research.11979.1. eCollection 2017.

DOI:10.12688/f1000research.11979.1
PMID:29026531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5583737/
Abstract

Nocturia is a widespread condition that can negatively impact quality of sleep and overall health. This condition is multifactorial in nature and is best approached through the analysis of frequency volume charts. Through these charts, clinicians may classify each individual case of nocturia into one of four distinct categories: global polyuria, nocturnal polyuria, reduced bladder capacity, and mixed. Treatments should then be tailored to each individual based upon the category of their nocturia. In some cases, appropriate therapy will consist of behavioral modification techniques or addressing underlying systemic diseases. In other cases, medical therapy may be necessary, but, to date, medications have shown limited efficacy at treating nocturia.

摘要

夜尿症是一种普遍存在的病症,会对睡眠质量和整体健康产生负面影响。这种病症本质上是多因素的,通过分析频率-尿量图表来处理最为合适。通过这些图表,临床医生可将每个夜尿症病例归类为四个不同类别之一:全身性多尿、夜间多尿、膀胱容量减少和混合型。然后应根据个体夜尿症的类别为其量身定制治疗方案。在某些情况下,适当的治疗将包括行为矫正技术或治疗潜在的全身性疾病。在其他情况下,可能需要药物治疗,但迄今为止,药物在治疗夜尿症方面的疗效有限。

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本文引用的文献

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International Continence Society (ICS) report on the terminology for nocturia and nocturnal lower urinary tract function.国际尿控协会(ICS)关于夜尿和夜间下尿路功能术语的报告。
Neurourol Urodyn. 2019 Feb;38(2):499-508. doi: 10.1002/nau.23917. Epub 2019 Jan 15.
2
ICI-RS 2015-Is a better understanding of sleep the key in managing nocturia?ICI-RS 2015—更好地理解睡眠是否是管理夜间多尿症的关键?
Neurourol Urodyn. 2018 Sep;37(7):2048-2052. doi: 10.1002/nau.23032. Epub 2016 Sep 21.
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Nocturia: aetiology and treatment in adults.夜尿症:成人病因与治疗。
Nat Rev Urol. 2016 Oct;13(10):573-83. doi: 10.1038/nrurol.2016.134. Epub 2016 Jul 26.
4
The Efficacy of Continuous Positive Airway Pressure Therapy on Nocturia in Patients With Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis.持续气道正压通气治疗对阻塞性睡眠呼吸暂停患者夜尿症的疗效:一项系统评价和荟萃分析
Int Neurourol J. 2015 Sep;19(3):178-84. doi: 10.5213/inj.2015.19.3.178. Epub 2015 Sep 22.
5
Nocturia: Current Levels of Evidence and Recommendations From the International Consultation on Male Lower Urinary Tract Symptoms.夜尿症:国际男性下尿路症状咨询会议的当前证据水平与建议
Urology. 2015 Jun;85(6):1291-9. doi: 10.1016/j.urology.2015.02.043. Epub 2015 Apr 14.
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Impact of dutasteride on nocturia in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH): a pooled analysis of three phase III studies.度他雄胺对提示良性前列腺增生的下尿路症状男性(LUTS/BPH)夜尿症的影响:三项III期研究的汇总分析
World J Urol. 2014 Oct;32(5):1141-7. doi: 10.1007/s00345-014-1316-3. Epub 2014 Jun 6.
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A systematic review of the efficacy and safety of desmopressin for nocturia in adults.一项关于去氨加压素治疗成年人夜间遗尿症的疗效和安全性的系统评价。
J Urol. 2014 Sep;192(3):829-35. doi: 10.1016/j.juro.2014.03.095. Epub 2014 Apr 1.
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Impact of the International Continence Society (ICS) report on the standardisation of terminology in nocturia on the quality of reports on nocturia and nocturnal polyuria: a systematic review.国际尿控协会(ICS)关于夜尿症术语标准化的报告对夜尿症和夜间多尿症报告质量的影响:一项系统评价
BJU Int. 2015 Apr;115(4):520-36. doi: 10.1111/bju.12753. Epub 2015 Jan 26.
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Desmopressin in the treatment of nocturia: clinical evidence and experience.去氨加压素治疗夜间多尿:临床证据和经验。
Ther Adv Urol. 2013 Dec;5(6):310-7. doi: 10.1177/1756287213502116.
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The association between nocturia and nocturnal polyuria in clinical and epidemiological studies: a systematic review and meta-analyses.临床和流行病学研究中夜尿和夜间多尿之间的关联:系统评价和荟萃分析。
J Urol. 2014 Apr;191(4):1028-33. doi: 10.1016/j.juro.2013.10.100. Epub 2013 Oct 29.