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更年期妇女的夜痛:中年两种常见问题之间的联系
Kim Pauwaert1, An-Sofie Goessaert2, Dudley Robinson3
1Department of Urology, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium. kim.pauwaert@ugent.be.
International urogynecology journal
|March 4, 2024
概括
更年期可以引发夜尿症 (频繁的夜间排尿) 由于雌激素耗尽影响膀功能和睡眠. 治疗选择范围从行为疗法到激素替代疗法,改善睡眠质量和减少夜.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 睡眠医学 睡眠医学
背景情况:
- 更年期与显著的生理变化有关,包括雌激素枯竭.
- 夜尿,或频繁的夜间排尿,是影响生活质量的常见和烦人的症状.
- 更年期和夜之间的联系越来越被认可,需要对其贡献因素有全面的了解.
研究的目的:
- 探索更年期和夜尿病的发展之间的关系.
- 审查更年期前妇女的夜尿病的患病率,危险因素和潜在原因.
- 概述当前和潜在的治疗策略,在这个人群中治疗夜.
主要方法:
- 一个叙事审查,综合专家意见和共识.
- 在PubMed和Web of Science数据库中进行了广泛的文献搜索 (2022年11月至12月).
- 关键词包括"夜"",更年期"",失眠"",雌激素治疗"",代谢综合征"和"发热".
主要成果:
- 绝经前期可以引发夜,肥胖和增加的BMI是显著的危险因素.
- 多因素原因包括雌激素耗尽导致泌尿器缩,膀容量减少和膀过活.
- 雌激素缺乏也会扰乱抗利尿激素的昼夜节律,增加盐/水利尿,并与睡眠障碍 (如睡眠呼吸暂停) 和增加液体摄入有关.
结论:
- 绝经前妇女的夜是复杂的,涉及膀,睡眠和荷尔蒙因素.
- 行为疗法是第一线治疗,激素替代疗法显示出希望,可能通过改善睡眠质量.
- 解决夜尿症对于改善更年期妇女的整体健康和生活质量至关重要.
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