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如何开发出更具临床实用价值和稳健的诊断和治疗夜尿症的算法?ICI-RS 2017.

How can we develop a more clinically useful and robust algorithm for diagnosing and treating nocturia? ICI-RS 2017.

机构信息

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

Faculty of Medicine, Department of Medicine and Community Care, Melbourne Health, Dentistry and Health Science, University of Melbourne, Melbourne, Australia.

出版信息

Neurourol Urodyn. 2018 Jun;37(S4):S46-S59. doi: 10.1002/nau.23569.

DOI:10.1002/nau.23569
PMID:30133785
Abstract

AIMS

Nocturia, or waking up at night to void, is a highly prevalent and bothersome symptom. Currently, there is a lack of clear and consistent recommendations regarding evaluation and management of nocturia. The aim of this report is to discuss how to fill the gaps in our knowledge in order to develop a practical patient-oriented diagnostic and therapeutic algorithm for nocturia.

METHODS

This paper is a report of the presentations and subsequent discussion of a Think Tank session at the annual International Consultation on Incontinence Research Society (ICI-RS) in June 2017 in Bristol.

RESULTS AND CONCLUSION

Further investigations are needed to better understand the pathophysiology of nocturia, to allow improvement in diagnosis, and to optimize treatment by increasing efficacy and reducing adverse events. Patient-oriented practical guidelines on nocturia are needed to help clinicians from different disciplines diagnose and treat nocturia.

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症状。目前,对于夜尿症的评估和管理尚缺乏明确且一致的建议。本报告旨在探讨如何填补我们知识中的空白,以便为夜尿症制定实用的以患者为导向的诊断和治疗算法。

方法

本文是对 2017 年 6 月在布里斯托尔举行的国际尿失禁研究学会(ICI-RS)年会上一次思维库会议的陈述及随后讨论的报告。

结果与结论

需要进一步研究以更好地理解夜尿症的病理生理学,从而改善诊断,并通过提高疗效和减少不良反应来优化治疗。需要制定以患者为导向的实用夜尿症指南,以帮助不同学科的临床医生诊断和治疗夜尿症。

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