ABSTRACT

Aim: to analyze the prevalence of nocturia and its possible neuro-urological correlations in patients with a history of acquired brain injury (ABI).

Methods: a single-centre population-based prospective study involving outpatients who were previously admitted to our Rehabilitation Hospital for acute ABI ≥ 18 months and ≤2 years prior. Impact of nocturia on QoL was evaluated by the standardized International Consultation on Incotinence Nocturia Quality of Life (ICIQ N-QoL). All participants were given a three-day frequency chart. Probability value <0.05 was statistically significant.

Results: 48/138 subjects (35%) showed nocturia at 2-year follow-up visit. No, significant differences in age, gender, duration of coma, state of consciousness, disability, cognitive impairment and stroke severity were found in patients with or without nocturia. Subarachnoid haemorrhage (ESA) was the main reason for ABI in subjects showing nocturia (p = .037). The overall ICIQ N-QOL score ranged from 12 to 50 (mean 30.12 ± 8.87). Of them, 75% showed a total score >26. Increased diurnal frequency and small bladder capacity was statistically significantly associated with nocturia (p < .05).

Conclusions: the rate of nocturia 2 years following ABI was lower compared to other neurological populations, although it was significantly associated with other storage urinary symptoms.

摘要

目的：分析有获得性脑损伤 (ABI) 病史的患者夜尿症的患病率及其可能的神经泌尿系统相关性。

方法：一项基于人群的单中心前瞻性研究，涉及之前因急性 ABI ≥ 18 个月且≤ 2 年而入住我们康复医院的门诊患者。夜尿症对生活质量的影响通过标准化的国际尿失禁夜尿症生活质量咨询 (ICIQ N-QoL) 进行评估。所有参与者都得到了一个为期三天的频率图。概率值 <0.05 具有统计学意义。

结果： 48/138 名受试者 (35%) 在 2 年随访时出现夜尿症。不，在有或没有夜尿症的患者中发现了年龄、性别、昏迷持续时间、意识状态、残疾、认知障碍和中风严重程度的显着差异。在表现出夜尿症的受试者中，蛛网膜下腔出血 (ESA) 是 ABI 的主要原因 ( p = .037)。ICIQ N-QOL 总分范围为 12 至 50（平均 30.12 ± 8.87）。其中，75% 的人总分 >26。昼夜频率增加和膀胱容量小与夜尿有统计学显着相关性 ( p < .05)。

结论：与其他神经系统人群相比，ABI 后 2 年的夜尿率较低，尽管它与其他储尿症状显着相关。