Department of Urology, State University of New York Downstate Medical Center, Brooklyn, New York.
Int J Clin Pract. 2019 Aug;73(8):e13337. doi: 10.1111/ijcp.13337. Epub 2019 Apr 22.
Nocturia is one of the most bothersome symptoms encountered in urology, and its prevalence rises with age. Causes include both urological and non-urological aetiologies, often in combination. The effects of nocturia on a patient's quality of life can be detrimental. The initial approach to managing this condition includes appropriately classifying nocturia based on the results of a 24-hour bladder diary. Broadly, the categories under which nocturia can be classified include: low nocturnal or global bladder capacity, nocturnal polyuria, global polyuria and mixed.Based on the type of nocturia and possible underlying causes, clinicians can appropriately discuss with patients the treatment plans that may include a combination of behavioural, pharmacologic, and invasive therapy. The available literature on the management of nocturia was reviewed. Findings were incorporated into a practice-based approach for its workup and treatment.
夜尿症是泌尿科最常见的困扰症状之一，其患病率随年龄增长而上升。病因包括泌尿系统和非泌尿系统病因，通常两者合并存在。夜尿症对患者生活质量的影响可能是有害的。这种病症的初始治疗方法包括根据 24 小时膀胱日记的结果对夜尿症进行适当分类。广义上，夜尿症可以分为以下几类：夜间或整体膀胱容量低、夜间多尿、整体多尿和混合性。根据夜尿症的类型和可能的潜在原因，临床医生可以与患者讨论可能包括行为、药物和侵入性治疗相结合的治疗方案。对有关夜尿症管理的可用文献进行了综述。研究结果被纳入一种基于实践的方法，用于其检查和治疗。
