Does frequency of nocturnal urination reflect the severity of sleep-disordered breathing?

Does frequency of nocturnal urination reflect the severity of sleep-disordered breathing?
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DOI:
10.1111/j.1365-2869.2004.00400.x
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发表时间:
2004-06-01
影响因子:
4.4
通讯作者:
Oztura, I
Oztura, I
中科院分区:
医学3区
文献类型:
--
作者:
Kaynak, H;Kaynak, D;Oztura, I

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夜尿症是睡眠呼吸障碍(SDB)的常见症状。本研究的目的是确定不同严重程度的SDB患者的夜间排尿频率,并了解夜间排尿频率是否反映了疾病的严重程度。对1075例疑似SDB的受试者进行了回顾性病历审查。夜尿症使用标准问卷评估夜间排尿频率。根据多导睡眠图评估结果将受试者分为四组。在原发性打鼾组中,51%的受试者没有主诉夜间排尿,28%的受试者报告夜间排尿1次,16%的受试者报告夜间排尿2 ~ 3次,5%的受试者报告夜间排尿3次以上。在轻度阻塞性睡眠呼吸暂停综合征(OSAS)患者中,36%的患者未报告夜间排尿,34%的患者报告夜间排尿1次,15%的患者报告夜间排尿2 ~ 3次,15%的患者报告夜间排尿3次以上。在中度OSAS患者中相应的频率分别为40、31、17和12%,在重度OSAS患者中相应的频率分别为23、22、23和32%。重度OSA组夜间排尿次数与其他各组比较差异有显著性(P
Nocturia is an often-described symptom of sleep-disordered breathing (SDB). The aim of our study was to determine the frequency of nocturnal urination among patients with different severity of SDB and to find out whether frequency of nocturnal urination reflects the severity of disease. A retrospective chart review was conducted among 1075 subjects of suspected SDB. Nocturia was assessed using standard questionnaire evaluating a frequency of nocturnal urination. Subjects were divided into four groups of SDB based on the polysomnographic evaluation. In primary snoring group, 51% subjects did not complain nocturia, 28% subjects reported one time, 16% subjects reported two to three times and 5% subjects reported more than three times urination per night. Among patients with mild obstructive sleep apnea syndrome (OSAS), nocturnal urination was not reported by 36% and was reported one time by 34%, two to three times by 15%, more than 3 times by 15%. The corresponding frequencies among patients with moderate OSAS were 40, 31, 17 and 12%, and with severe OSAS were 23, 22, 23 and 32%, respectively. The severe OSA group was significantly different from other groups as regards the frequency of nocturnal urination (P