夜间尿路症状作为阻塞性睡眠呼吸暂停的查工具
Eliza F Burr1, Emily N B Myer, Jacqueline Y Kikuchi
1From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD.
Urogynecology (Philadelphia, Pa.)
|April 16, 2024
概括
夜尿 (频繁的夜间排尿) 在泌尿外科诊所显示为查阻塞性睡眠呼吸暂停 (OSA) 的前景. 夜间尿尿 (床上尿) 在OSA查中效果较差.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 睡眠医学 睡眠医学
- 肺部病理学 肺部病理学
背景情况:
- 夜间下泌尿道症状 (LUTS) 与阻塞性睡眠呼吸暂停 (OSA) 有关.
- 泌尿和妇科诊所是OSA查的潜在地点,因为常规的LUTS评估.
研究的目的:
- 评估夜尿症和夜尿 (NE) 的准确性,作为在泌尿外科诊所的新患者中OSA的查工具.
- 为了确定夜和NE的敏感性和特异性,用于识别OSA.
主要方法:
- 追溯性研究设计分析了来自女性的数据在泌尿后科诊所.
- 评估了诊断性OSA测试,CPAP使用和LUTS改进.
- 用于OSA查,使用了经过验证的问卷.
- 多睡眠学作为OSA诊断的黄金标准.
主要成果:
- 夜 (≥2次/晚) 显示OSA查的敏感度为86.4%,特异性为58.5% (整体准确率为78.4%).
- 夜间尿液浸泡 (≥1次/周) 的敏感度为31.8%,特异性为79.3% (整体准确率为56.1%).
结论:
- 夜尿是尿道内科设置中OSA的可行的查工具,每晚≥2次显示可接受的测试特征.
- 夜间尿尿表现出对OSA查不太有利的测试特征.
- 泌尿 gyncology 诊所可以将nocturia 评估整合到临床决策中进行OSA转诊.
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