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我们应该如何评估患有人的夜尿症的患者的心血管系统? 在ICI-RS 2023年发布
Irina Verbakel1, Jason Lazar2, Sanjay Sinha3
1Department of Urology, ERN Accredited Center, Ghent University Hospital, Gent, Belgium.
Neurourology and urodynamics
|November 9, 2023
概括
心血管疾病 (CVD) 通过各种机制导致夜尿,包括水分保留和昼夜节律的扰乱. 了解这种联系对于有效管理和对老龄化人口的未来研究至关重要.
科学领域:
- 心脏病学 心脏病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年病的医生 老年病的医生
背景情况:
- 夜尿症和心血管疾病 (CVD) 之间的关系是复杂的,并未完全理解.
- 现有的文献缺乏明确的描述,说明了连接夜和心血管疾病的机制.
研究的目的:
- 审查和综合当前关于心血管疾病和夜同时发生的起源,诊断,管理和影响的文献.
- 解决证据缺口,并为未来的研究提供建议.
主要方法:
- 文献综述和综合了智库会议的建议,这些建议是在2023年关于失禁研究协会的国际协商会议上提出的.
主要成果:
- 心血管疾病是显著的,往往被低估的,通过诸如流体保留,心房 natriuretic和膜过率等机制引起夜尿的原因.
- 夜间多尿症 (NP) 是一个关键因素,其特点是液体再分配和中断的昼夜节律. 可以使用膀日记来诊断NP.
- 夜本身可以通过增加血压,胰岛素抵抗和炎症来加剧心血管疾病. 德斯莫普林可以治疗NP,但由于副作用,需要对心血管疾病患者保持谨慎.
结论:
- 关于夜尿症与心血管疾病的联系,证据库中存在显著的空白.
- 进一步的研究是必不可少的,以阐明潜在的机制,并制定最佳的管理策略,特别是对于老龄化人口.
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Head and Neck
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