EVALUATION AND MANAGEMENT OF NOCTURIA
EVALUATION AND MANAGEMENT OF NOCTURIA
复制标题
夜尿症的评估和治疗
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
R. Rackley
中科院分区：
文献类型：
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作者：
R. Rackley
夜尿症通常被认为是最令人烦恼的下尿路症状，对健康和生活质量有很大的影响。据报道，50岁以上患者中的糖尿病患病率高达90%;糖尿病的患病率和不便随着年龄的增长而增加。排尿困难有几种原因，可能与膀胱储尿问题（如感染或逼尿肌过度活动）、夜间多尿（如肾功能不全或自主神经功能障碍）或多尿（如糖尿病或尿崩症）有关。夜尿症可以模仿其他泌尿和神经系统的医疗条件，必须排除时，评估病人的病情。一般以保守措施（例如，限制液体，腿部抬高或改变药物/药物治疗计划）开始治疗。行为矫正疗法和药物疗法被认为是一线治疗选择;手术是二线治疗选择。本文将回顾的定义，原因，诊断，评估和治疗夜尿使用随机对照试验和非结构化审查的信息。(Adv StudMed.2006;6（1A）：S8-S19）夜尿症通常被认为是一种良性疾病，是衰老的正常部分;然而，它对经历这种症状的患者的一般健康和生活质量有直接和间接的影响。
Nocturia, which is commonly thought to be the most bothersome of lower urinary tract symptoms, has a consistently high impact on well-being and quality of life. The reported prevalence of nocturia in patients older than 50 years has been as high as 90%; the prevalence and inconvenience associated with nocturia increase with age. There are several causes of nocturia, which can be related to bladder storage problems (eg, infection or detrusor overactivity), nocturnal polyuria (eg, renal insufficiency or autonomic dysfunction), or polyuria (eg, diabetes mellitus or diabetes insipidus). Nocturia can be mimicked by other urinary and neurologic medical conditions that must be ruled out when evaluating the patient’s condition. Treatment of nocturia is generally started with conservative measures (eg, restriction of fluids, leg elevation, or changes in medication/medication schedules). Behavior modification therapy and pharmacotherapy are considered first-line treatment options; surgery is a second-line treatment option. This article will review the definition, causes, diagnosis, evaluation, and treatment of noturia using information from randomized controlled trials and unstructured reviews. (Adv Stud Med. 2006;6(1A):S8-S19) N octuria is frequently considered a benign condition that is a normal part of aging; however, it has direct and indirect effects on the general health and quality of life of patients who experience this symptom.
DOI：
10.1016/j.urology.2003.10.032
发表时间：
2004
期刊：
Urology.
影响因子：
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作者：
Goode,PatriciaS
通讯作者：
Goode,PatriciaS