Consultant Urogynaecologist, Kings College Hospital, London, UK.
Consultant Geriatrician, Medway NHS Foundation Trust, Kent, UK.
Maturitas. 2018 Oct;116:123-129. doi: 10.1016/j.maturitas.2018.08.007. Epub 2018 Aug 8.
Nocturia, defined as waking at night to pass urine, is a common condition which increases with age. Whilst nocturia is known to have an important effect on quality of life, more recent evidence has linked the symptom with significant morbidity and mortality due to the effects of sleep deprivation on glucose metabolism and the immune system. The causes of nocturia are multifactorial and may be related to urine overproduction, storage disorders and primary sleep disorders. The commonest underlying pathology, however, is nocturnal polyuria, which may be associated with a number of medical conditions. This review explores the underlying causes of nocturia and nocturnal polyuria and, by doing so, describes a multidisciplinary approach to managing patients effectively.
夜尿症，定义为夜间醒来排尿，是一种随着年龄增长而常见的病症。虽然夜尿症对生活质量有重要影响，但最近的证据表明，由于睡眠剥夺对葡萄糖代谢和免疫系统的影响，该症状与显著的发病率和死亡率有关。夜尿症的原因是多因素的，可能与尿液过度产生、储存障碍和原发性睡眠障碍有关。然而，最常见的潜在病理是夜间多尿症，它可能与许多医疗条件有关。本综述探讨了夜尿症和夜间多尿症的潜在原因，并通过这种方式描述了一种多学科方法来有效地管理患者。
