Alcántara Montero A, Medina Polo J, Matsuki Martín de Prado M T, Julián García B
Centro de Salud Manuel Encinas. Consultorio de Malpartida de Cáceres, Cáceres, España; Miembro del Grupo de Trabajo de Urología (Nefrología y Vías Urinarias) de SEMERGEN, España.
Servicio de Urología, Hospital Universitario 12 de Octubre, Madrid, España.
Semergen. 2020 Oct;46(7):487-496. doi: 10.1016/j.semerg.2020.03.002. Epub 2020 May 25.
Nocturia is the interruption of the main sleep, one or more times, due to the need for urination. It is associated with a decrease in the quality of life and an increase in mortality. It is a complex and multifactorial symptom in which two pathophysiological mechanisms are mainly involved. These occur alone or in combination as nocturnal polyuria or decreased bladder capacity. Nocturnal polyuria is the most frequent. The preparation of a bladder diary is the key to diagnosis. Treatment usually combines lifestyle changes and drug therapy. Desmopressin has proven to be an effective and well-tolerated treatment in patients with nocturnal polyuria. The risk of hyponatraemia should be controlled in patients treated with desmopressin.
夜尿症是指由于需要排尿而导致主要睡眠被中断一次或多次。它与生活质量下降和死亡率增加有关。它是一种复杂的多因素症状，主要涉及两种病理生理机制。这些机制单独或联合出现，表现为夜间多尿或膀胱容量减少。夜间多尿最为常见。记录膀胱日记是诊断的关键。治疗通常结合生活方式改变和药物治疗。去氨加压素已被证明是治疗夜间多尿患者的一种有效且耐受性良好的治疗方法。接受去氨加压素治疗的患者应控制低钠血症的风险。
