夜间多尿症在帕金森病中很常见,并与正静性低血压有关
Matthew D Smith1,2, Anisha Cullen1, Gabriella E Portlock1
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
夜间多尿症 (NP),夜间尿液的过度产生,在帕金森病 (PD) 患者中常见,这些患者有下尿路症状 (LUTS). NP与增加的夜尿和自主功能障碍有关,包括静止性低血压.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 心脏病学 心脏病学
背景情况:
- 夜尿是帕金森病 (PD) 中普遍存在的下泌尿道症状 (LUTS).
- 虽然经常归因于膀过度活跃,但夜间多尿症 (NP) 被探索为一个显著的贡献因素.
研究的目的:
- 确定患有LUTS的PD患者中NP的患病率和严重程度.
- 调查NP与自主功能障碍,心血管症状和其他患者特征之间的关联.
主要方法:
- 在帕金森病 LUTS 试验中进行的一项子研究.
- 参与者完成了72小时的膀日记,以计算夜间多尿症指数 (NPi).
- 统计分析探讨了NPI和临床特征之间的关联.
主要成果:
- 根据NPi33值,在62.6%的参与者中发现了夜间多尿症 (NP).
- 增加NPi与更严重的夜严重程度有很强的相关性 (OR 1.7).
- NP与正静性低血压 (OR 1.2) 和心血管症状 (系数0.07) 有显著的关联.
结论:
- 夜间多尿症 (NP) 在患有LUTS的帕金森病 (PD) 患者中非常普遍.
- NP与夜尿症增加密切相关,并与心血管症状和自主功能障碍有关.
- 血压不稳定,特别是静止性低血压,明显与严重的NP有关,可能表明疾病已晚.
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