天津市农村地区良性前列腺增生患病情况及相关因素调查  

Prevalence of benign prostate hyperplasia and its relative factors in rural areas of Tianjin in 2008

作　　者：徐勇[1] 张志宏[1] 程茹[1] 郭晓磊[1] 马宝杰[1] 权昌宜[1] 刘冉录[1] 杨阔[1] 乔宝民[1] 田振涛[1] 张晓光[1] 徐建立[1] 于明杰[1] 张昌文[1] 王伟[1] 

机构地区：[1]天津医科大学第二医院泌尿外科,300211

出　　处：《中华泌尿外科杂志》2009年第11期761-764,共4页Chinese Journal of Urology

基　　金：天津市科技计划项目（07ZCGYSF01000）;天津市卫生局科技攻关项目（2007KG06）;天津市卫生局科技基金项目（06KZ28）

摘　　要：目的了解天津市农村地区BPH的患病情况及相关因素，为BPH防治提供依据。方法采用多级、整群抽样的方法，对天津市9个农村区县居住≥5年、年龄≥50岁的832名男性进行有关BPH的横断面流行病学调查。结果BPH患病率为66．9％（557／832）。随年龄增长，BPH患病率呈上升趋势，年龄组间BPH患病率比较差异有统计学意义（X^2=18．15，P〈0．05）。单因素分析筛选出对BPH患病率有影响的因素包括被调查者受教育程度、身体质量指数（BMI）分级、睾酮水平、饮食规律、近20年饮食变化、年收入、生活质量评分等（P〈0．05）。在多因素相互作用下，BPH患病率与被调查者年龄、睾酮水平和年收入呈正相关（P〈0．05），与BMI分级及饮食规律性呈负相关（P〈0．05）。被凋查者认知程度与教育水平、BPH诊治率及了解途径的正规性均呈正相关性（P〈0．05）。78．8％被调查者对前列腺疾病不甚了解。结论BPH在天津市农村地区患病率较高，与年龄、睾酮水平、BMI分级、饮食规律性、年收入等因素有关。农村初级卫生保健中前列腺专科防治工作应加强和完善。Objective To investigate the prevalence of benign prostate hyperplasia （BPH） and its relative factors in rural areas of Tianjin in 2008. Methods Eight hundred and sixty-four candidates were randomly selected from voluntary male population aged 50 years and above, 832 of those were included in the study, and 32 were rejected because of incomplete data, unwillingness to be subjected to examination and other reasons. Blood samples were taken from all participants, and a questionnaire and medical examination including DRE, transabdominal ultrasonographic examinaition were performed. Results The prevalence of BPH was found to be 66.9% （557/832） with an increase with aging （P〈0.05）. Logistic regression analysis shows obesity and irregular diet were protective factors, and age, high annual income were risk factors for BPH （P〈0.05）. Only 43. 0% village men know a little about BPH, and the awareness level had close correlation with education level, previous BPH treatment experience （P〈0. 05）. Conclusions The prevalence of BPH is rising in the rural areas of Tianjin. BMI, irregulare diet, age, annual income, and testosterone are strongly related to subjects with BPH.

关 键 词：前列腺增生 患病率 因素分析 统计学 农村人口 

分 类 号：R686[医药卫生—骨科学]