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Nocturia: aetiology and treatment in adults

机译:夜尿症:成人的病因和治疗

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Nocturia is an extremely common condition that has major sequelae for affected patients. Through disruption of sleep, nocturia impairs quality of life and worsens health outcomes, and is associated with a variety of morbidities including diabetes, coronary artery disease, obstructive sleep apnoea, obesity, metabolic syndrome, and depression. Unsurprisingly, several studies have also linked nocturia with reduced survival. Nocturia is not simply a consequence of lower urinary tract disease; rather, it is a multifactorial disorder that is often a manifestation of an underlying renal or systemic disease. Through the use of the frequency volume chart, clinicians can accurately quantify nocturia and determine its aetiology. Evaluation of quality of life and sleep using simple measures is essential in order to assess the impact of nocturia on a patient. Numerous treatment options for nocturia exist, but most are associated with minor benefit or lack sufficient evidence supporting their use. By systematically analysing an individual's causes of nocturia, clinicians can design appropriate treatment strategies to most effectively treat this condition.
机译:夜尿症是一种极为常见的疾病,对患病患者具有严重的后遗症。夜尿症会通过睡眠中断而损害生活质量并恶化健康状况,并与多种疾病(包括糖尿病,冠状动脉疾病,阻塞性睡眠呼吸暂停,肥胖症,代谢综合征和抑郁症)相关。毫不奇怪,一些研究还将夜尿症与存活率降低联系起来。夜尿症不仅仅是下尿路疾病的结果;相反,它是一种多因素疾病,通常是潜在的肾脏或全身性疾病的表现。通过使用频率体积图,临床医生可以准确地量化夜尿症并确定其病因。为了评估夜尿症对患者的影响,使用简单的措施评估生活质量和睡眠至关重要。存在夜尿症的多种治疗选择,但大多数与次要益处相关或缺乏支持其使用的充分证据。通过系统地分析个体的夜尿病因,临床医生可以设计适当的治疗策略,以最有效地治疗这种情况。

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