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评价阻塞性睡眠呼吸暂停综合征(OSAS)与夜间多尿症状的关系。采用病例-对照研究方法研究61例OSAS与47例对照组、9例OSAS持续气道正压(CPAP)患者治疗前后夜间多尿症状的变化,及部分OSAS和对照者的夜尿量比较。结果:OSAS患者夜尿次数显著增多(χ2=33.62,P<0.01),其发生夜间多尿症状的危险性是对照组的12.9倍(OR=12.9,95%可信区间为5.4~30.6);OSAS患者夜尿量明显增多(t=5.83,P<0.01);CPAP患者治疗后夜间多尿症状明显好转(P=0.001)。结论:夜间多尿症状与OSAS患者的睡眠呼吸暂停有关,CPAP治疗可改善之。
To evaluate the relationship between obstructive sleep apnea syndrome (OSAS) and nocturnal polyuria. A case-control study was conducted to investigate the changes of nocturnal polyuria in 61 patients with OSAS and 47 controls, and 9 patients with OSAS before and after CPAP. Nocturnal excretion of some OSAS and controls were compared. Results: The frequency of nocturnal urination in OSAS patients increased significantly (χ2 = 33.62, P <0.01). The incidence of nocturnal polyuria was 12.9 times more likely in the control group (OR = 12.9, 95% (T = 5.83, P <0.01). The symptoms of nocturnal polyuria in CPAP patients were significantly improved after treatment (P = 0.001) . Conclusions: Nighttime polyuria is associated with sleep apnea in patients with OSAS, and CPAP may improve the symptoms.