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为何老年人频繁起夜竟是因为得了这种病......

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As the saying goes, "There are many children, and the elderly have more urine." When people get older, the symptoms of frequent nights are really just normal phenomena of natural aging?

This is not the case. The increase in nocturia is actually a manifestation of a physical illness.

In view of the fact that normal adults do not urinate or only have one discharge at night, the World Health Organization (WHO) has more than two or more urinations at night as a reference standard for nocturia. The International Society for Urinary Control (ICS) defines it as a patient who wants to get up and urinate for one or more times at night, and interrupts sleep each time. However, neither of them considered specific indicators such as urine volume.

At present, most of the urinary urination times ≥ 2 times, and the urine volume > 750 ml or greater than the daytime urine volume (normal day and night urine volume ratio of 20 x 1778 1) is the criterion for nocturia.

For the elderly, with the increase of age, the secretion of vasopressin (ADH) is less, the renal concentrating function is reduced, the contractile force of the bladder detrusor atrophy is reduced, the residual urine is present, the actual capacity of the bladder is reduced, and the number of urination at night is Increased, it is reported that the elderly who are over 80 years old have an increase in nocturia up to 80%.

In addition, physical and mental factors such as drinking plenty of water, mental stress, and insomnia before going to sleep may also be the cause of the increase in nocturia in the elderly.

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Nocturia is not a minor problem. First, it affects the patient's sleep, leading to poor mental health during the day and reducing their quality of life. Secondly, many elderly people with nocturia are older, and urinating at night increases the risk of falls and fractures.

A cohort study of the association between nocturia and fall in the elderly in the community showed a 28% increase in the risk of falls when the number of nocturias exceeded three. Nocturnal urinary still is an independent risk factor for falls after factors such as age, gender, ethnicity, and follow-up time are assessed in assessing risk factors associated with falls.

xx在另一项关于夜尿症的研究中,美国麻省新英格兰研究所的研究人员发现,根据1.6万名年龄在20岁以上成年人的医疗数据显示,男性和女性夜尿症患者的死亡率分别要比正常人高15.5%和21%。

年轻患者的死亡率要比没有夜尿症的同龄人高一倍,年老患者的死亡率要比没有夜尿症的同龄人高20%至30%。

因此,当老年人出现夜尿增多现象时,应予以重视,及时就医。

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事实上,老年夜尿症的患病率远远高于糖尿病,但却经常被大众误认为是衰老的自然现象而导致病情延误。

由于夜尿症的病因较为复杂,在经过准确的临床诊断之后,方可以制定科学的生活方案以及治疗措施,患者在积极有效的配合之后方可有效的改善夜尿症的症状。

在药物治疗上,去氨加压素是目前临床主要用于治疗夜尿增多的药物。

此外,调整饮食和生活习惯。睡前适度饮水,不饮浓茶和咖啡,尽量在临睡前排空膀胱,从而减少夜间尿量。失眠的病人也可使用安眠药帮助睡眠减少起夜次数。

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