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夜尿症老年男性膀胱对尿液生成速率的适应能力无变化。

Lack of Change in the Adaptation Ability of the Bladder for the Urine Production Rate in Aged Men with Nocturia.

作者信息

Kira Satoru, Mitsui Takahiko, Miyamoto Tatsuya, Ihara Tatsuya, Nakagomi Hiroshi, Sawada Norifumi, Takeda Masayuki

出版信息

Urol Int. 2018;100(4):445-449. doi: 10.1159/000488002. Epub 2018 Apr 26.

Abstract

INTRODUCTION

To investigate the association between bladder capacity and the urine production rate in aged men with or without nocturia using a frequency volume chart (FVC).

MATERIALS AND METHODS

One-hundred and thirty-eight men aged 65-80 years were enrolled. After the International Prostate Symptom Score (IPSS) and 3 consecutive days FVC were evaluated, men were divided into 2 groups: Nocturia group, with any total IPSS, and ≥1.5 micturition on average at night; and Control group, with total IPSS < 8 and < 1.5 micturition on average at night. Each parameter was compared between the 2 groups using unpaired t tests. Linear and multiple regression analyses were performed between the urine production rate and volume/voids.

RESULTS

Men numbering 45 and 21 were assigned to the Nocturia and Control groups respectively. There were no differences in background factors between the 2 groups. Volume/voids positively correlated with the urine production rate in both groups for day and night. A multivariate regression model also showed the same results. In the Control group, the degree of slope at night was higher than that during the day. However, in the Nocturia group, there were no differences in the degree of slope between day and night.

CONCLUSIONS

This novel finding has led to a possibility for resolving nocturia.

摘要

引言

使用频率-尿量图表(FVC)研究有或无夜尿症的老年男性膀胱容量与尿液生成率之间的关联。

材料与方法

招募了138名65 - 80岁的男性。在评估国际前列腺症状评分(IPSS)和连续3天的FVC后,将男性分为2组:夜尿症组,IPSS总分任意,且平均每晚排尿≥1.5次;对照组,IPSS总分<8且平均每晚排尿<1.5次。使用非配对t检验比较两组之间的每个参数。对尿液生成率与尿量/排尿次数进行线性和多元回归分析。

结果

分别有45名和21名男性被分配到夜尿症组和对照组。两组之间的背景因素无差异。两组白天和夜间的尿量/排尿次数均与尿液生成率呈正相关。多元回归模型也显示了相同的结果。在对照组中,夜间斜率程度高于白天。然而,在夜尿症组中,白天和夜间斜率程度无差异。

结论

这一新颖发现为解决夜尿症带来了可能性。

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