前列腺炎样症状对患者生活质量的影响  

Impact of chronic prostatitis-like symptoms on quality of life of patients

作　　者：张桃福[1] 梁朝朝[1] 葛魏巍[1] 郝宗耀[1] 张贤生[1] 张翼飞[1] 樊松[1] 周骏[1] 江长琴[1] 李玉[1] 王克孝[1] 

机构地区：[1]安徽医科大学第一附属医院泌尿外科,合肥230022

出　　处：《安徽医学》2009年第1期2-5,共4页Anhui Medical Journal

基　　金：国家自然科学资金资助(No.30471724)

摘　　要：目的分析前列腺炎样症状对患者生活质量的影响。方法随机选择安徽省的泾县、合肥市、枞阳县、蒙城县不同社区15～60岁男性人群4500人进行问卷调查，内容包括年龄、身高、体重、学历、性格、职业、病程、国际前列腺炎症状评分指数表（NIH-CPSI）、性功能情况、勃起功能国际指数问卷（IIEF-5）等共29项。结果回收有效调查表4285份，占95．2％。6．4％的患者有前列腺炎样症状；在慢性前列腺炎样症状患者中，有75．1％患者认为带着症状影响工作和生活；有63．4％对带着症状继续生活感到不满意、不高兴甚至很可怕，其中20～39岁组占47．2％；QOL评分9～12分者占29．3％，其中小于40岁有62人（22．7％）；QOL评分与NIH-CPSI评分、病程呈正相关，与年龄呈负相关，而与身高、体重、学历、职业、有无伴发疾病等无明显相关性（P〉0．05）。结论前列腺炎样症状对患者生活质量的影响明显。对年轻患者的生活质量影响最大，生活质量影响程度与NIH-CPSI评分、性格、生活压力、病程等有关，而与身高、体重、学历、职业、性功能情况等无明显相关性。Objective To analyze impact of chronie-prostatitis-like symptoms on quality of life. Method A population-based cross-sectional survey was conducted in which a total of 4 500 men aged from 15 to 60 were selected, randomly, to administer a questionnaire consisting of the age, height, weight, literacy, character, occupation, course, National Institutes of Health Chronic Prostatitis Index （NIH-CPSI）, sexual function, five-question version of the International Index of Erectile Function （IIEF-5） and other 19 items in Anhui province. Results A total of 4 285 men （95.2%） completed the questionnaire. Of whom, 6.4% were identified as having prostatic-like symptoms. Among the chronic prostatitis, there were 75.1% patients perceiving influence on both work and living, 63.4% subjects witnessing dissatisfaction, awfulness even severe fearfulness. The rate of aged from 20-39 accounted for 47.2%; meanwhile total of 29.3% men scored 9-12 according to the QOL of whom aged from 15 to 39 have 62（22.7%）; QOL was positive correlative to NIH-CPSI and course was negative correlative to age, unfortunately, was unobvious correlative to height, weight, literacy, occupation and other disease （P〉0.05）. Conclusion Chronic prostatitis-like symptoms exerted a significant impact on the quality of life, especially among the young. The degree of impairn＇lent of the quality of life was correlative to the NIH-CPSI, character, life pressure and course etc, wasn＇t , nonetheless, correlative to height, weight, literacy, occupation and sexual function.

关 键 词：前列腺炎 生活质量 年龄 流行病学 

分 类 号：R697.3[医药卫生—泌尿科学]