Doyle-McClam Megan, Shahid Muhammad H, Sethi Jigme M, Koo Patrick
University of Tennessee College of Medicine Chattanooga, Erlanger Baroness Hospital, Chattanooga, Tennessee.
Am J Lifestyle Med. 2018 Jun 18;15(3):260-268. doi: 10.1177/1559827618782657. eCollection 2021 May-Jun.
Obstructive sleep apnea (OSA) is underdiagnosed in women compared with men. Women have a tendency to underreport or present with atypical symptoms such as behavior changes, insomnia, fatigue, and depression. Nocturia, waking up from sleep 2 times or more to void, has been shown to be associated with OSA, but it is not an included symptom in commonly used screening questionnaires in primary provider offices. About 50% of patients with OSA have nocturia, and treatment of OSA improves it. Recognition of nocturia as a relevant symptom of OSA is important for primary providers to provide timely referral for the diagnosis of OSA.
与男性相比，女性阻塞性睡眠呼吸暂停（OSA）的诊断率较低。女性往往少报症状或表现出非典型症状，如行为改变、失眠、疲劳和抑郁。夜尿症，即夜间从睡眠中醒来排尿2次或更多次，已被证明与OSA有关，但它并非基层医疗服务机构常用筛查问卷中包含的症状。约50%的OSA患者有夜尿症，OSA的治疗可改善这一症状。认识到夜尿症是OSA的相关症状，对于基层医疗服务人员及时转诊患者以诊断OSA很重要。
