生活质量评价在良性前列腺增生症手术治疗后果评价中的应用  

Application of quality of life in evaluation of operation outcome of patients with benign prostatic hyperplasia

作　　者：傅建国[1] 史静琤[1] 孙振球[1] 

机构地区：[1]中南大学湘雅公共卫生学院,湖南长沙410078

出　　处：《中国老年学杂志》2007年第24期2398-2400,共3页Chinese Journal of Gerontology

基　　金：国家"十五"科技攻关项目资助(2001BA702B04)

摘　　要：目的评价生活质量指标在两种经典前列腺摘除术即开放手术（OP）和经尿道电切术（TuRP）的医疗后果评价中的应用。方法采取病例对照研究方法，按照年龄及术前症状评分作为匹配因素选取80例（40组）病例，测量术前、术后3个月、术后9个月患者的生活质量得分及相关指标，比较各时间点两组手术方案对患者生活质量的影响。结果术后两组患者生活质量得分均有不同程度提高，其中以疾病维度和满意度维度最为明显，OP生活质量提高优于TURP组。生活质量得分的变化与临床指标的变化具有相关性，相关系数为0．436～0．909。结论手术治疗可提高患者生活质量，生活质量指标可作为医疗后果评价指标之一。Objective To evaluate the application of quality of life （QOL） index in the treatment assessment of benign prostatic hyperplasia （BPH） by comparing the QOL of open prostatectomy （OP） and transurethral resection of prostate （TURP）. Methods 40 pairs of cases were selected according to age and preoperational symptoms scale using case control study to determine QOL and the related indexes before operation, 3 and 9 months after operation. The effect of two operation schemes at different time on QOL of the patients was compared. Results The score of QOL in two groups raised after surgery, especially score of disease and satisfaction dimensions. The score of OP group were higher than that of TURP group. The changes of QOL score had the linear correlation with the changes of IPSS, IPQoL, Qmax, and the correlation coefficient was from 0.436 to 0. 909. Conclusions The QOL score could be increased after surgery, which could be used as one of the indexes of medical treatment outcome assessment system for BPH.

关 键 词：良性前列腺增生症 生活质量 开放手术 

分 类 号：R697.32[医药卫生—泌尿科学]