Kramer N R, Bonitati A E, Millman R P
Division of Pulmonary, Sleep, and Critical Care Medicine, Rhode Island Hospital and Brown University School of Medicine, Providence 02903, USA.
Chest. 1998 Aug;114(2):634-7. doi: 10.1378/chest.114.2.634.
Adult enuresis is an unusual symptom of obstructive sleep apnea (OSA). Although it is described as a classic symptom of childhood OSA, enuresis is encountered infrequently in adult sleep medicine. Five adults with enuresis associated with sleep apnea presented to our Sleep Disorders Center. In all five cases, the onset of enuresis was associated with the progression of sleep apnea symptoms. In each case, the enuresis resolved with treatment with nasal continuous positive airway pressure. Current medical literature on the postulated mechanisms of nocturia and enuresis in sleep apnea is reviewed. Based on the experience of the authors and review of the medical literature, one may conclude that severe OSA may lead to new-onset enuresis in adults and that effective treatment of OSA is associated with resolution of enuresis.
成人遗尿症是阻塞性睡眠呼吸暂停（OSA）的一种不常见症状。虽然它被描述为儿童OSA的典型症状，但在成人睡眠医学中遗尿症并不常见。五名患有与睡眠呼吸暂停相关的遗尿症的成年人前来我们的睡眠障碍中心就诊。在所有五例病例中，遗尿症的发作都与睡眠呼吸暂停症状的进展有关。在每一例病例中，遗尿症通过鼻持续气道正压通气治疗而得到缓解。本文对目前关于睡眠呼吸暂停中夜尿症和遗尿症假定机制的医学文献进行了综述。基于作者的经验和对医学文献的回顾，可以得出结论：严重的OSA可能导致成人新发遗尿症，而OSA的有效治疗与遗尿症的缓解有关。
