Vaughan Camille P, Bliwise Donald L
Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Atlanta VA Medical Center, Decatur, GA, USA; Division of General Medicine and Geriatrics, Department of Medicine, Emory University, Atlanta, GA, USA.
Program in Sleep, Aging and Chronobiology, Department of Neurology, Emory University, 12 Executive Park Drive, Atlanta, GA 30329, USA.
Sleep Med Clin. 2018 Mar;13(1):107-116. doi: 10.1016/j.jsmc.2017.09.010. Epub 2017 Dec 8.
Older adults frequently experience nocturia and sleep disturbance concurrently, and problems with sleep resulting from nocturia are a major factor accompanying the bother associated with nocturia. A multicomponent treatment strategy is usually warranted. Initial treatment includes lifestyle modification and behavioral treatment with consideration of pelvic floor muscle exercise-based therapy. Early evidence suggests that behavioral treatment results in similar nocturia reductions compared with the most frequently used drug therapies. Providers should consider formal sleep evaluation if initial treatment strategies for nocturia do not result in significant improvement, because specific sleep disorders may predispose to nocturia.
老年人经常同时经历夜尿症和睡眠障碍，夜尿症导致的睡眠问题是伴随夜尿症困扰的一个主要因素。通常需要采用多组分治疗策略。初始治疗包括生活方式调整和行为治疗，可考虑基于盆底肌肉锻炼的疗法。早期证据表明，与最常用的药物疗法相比，行为治疗在减少夜尿症方面效果相似。如果夜尿症的初始治疗策略没有带来显著改善，医疗服务提供者应考虑进行正式的睡眠评估，因为特定的睡眠障碍可能易引发夜尿症。
