慢性前列腺炎症状严重程度影响因素分析  

ANALYSIS OF THE INFLUENCING FACTORS FOR THE SYMPTOM SEVERITY OF PATIENTS WITH CHRONIC PROSTATITIS

作　　者：张国毅[1] 刘玉芳[2] 史玉婷[1] 文娟[1] 张黎月[1] 齐建军[1] 贺振权[3] 卢智泉[1] 

机构地区：[1]辽宁医学院预防医学教研室,锦州121001 [2]浙江杭州市拱墅区疾病预防控制中心 [3]辽宁医学院附属第一医院泌尿外科

出　　处：《现代预防医学》2009年第22期4204-4206,共3页Modern Preventive Medicine

基　　金：辽宁省教育厅基金项目(001721591);辽宁医学院奥鸿大学生科技活动基金项目(2008D13)

摘　　要：[目的]调查并分析慢性前列腺炎患者临床症状的严重程度和与其相关的因素。[方法]对诊断为慢性前列腺炎的612例患者进行了问卷调查,调查内容包括:①年龄、身高、体重、民族、职业、经济状况、文化程度等;②就诊次数、病程、前列腺液检查、性生活史以及治疗情况;③国际前列腺炎症状指数评分量表(NIH-CPSI)。患者临床症状的严重程度根据NIH-CPSI中疼痛不适与排尿症状两项的评分情况进行评定。[结果]①40岁以下的患者占70.4%,并且老年组患者的数目相对较少;②41.76%的患者病程在2年以上,并且随着病程的延长,慢性前列腺炎症状的严重程度逐渐增加,各病程间比较差异无统计学意义(χ2=3.18,P﹥0.05);③患者就诊次数越多,慢性前列腺炎的症状越重(χ2=35.51,P﹤0.01);④慢性前列腺炎临床症状的严重程度与QOL评分、就诊次数呈正相关(r=0.223,P﹤0.05;r=0.374,P﹤0.01);已婚者症状的严重程度与手淫情况无关(r=0.179,P﹥0.05),未婚者其症状的严重程度与手淫情况有关(r=0.552,P﹤0.01);与目前家庭的人均收入呈负相关(r=-0.202,P﹤0.05);而与年龄、病程、文化程度无明显相关性。[结论]慢性前列腺炎患者临床症状的严重程度与患者的经济状况直接相关,疾病久治不愈以及未婚患者的频繁手淫都可以使患者的临床症状加重。[Objective] To investigate and analyze related factors of symptom severity in patients with chronic prostatitis.[Methods] Questionnaire surveys were completed by 612 subjects who met the criteria of chronic prostatitis after clinical examination.All patients were selected from three urological clinics of Jinzhou city.Information investigated in the anonymous questionnaire included：① Age,height,weight,nation,occupation,economic status,and educational background;② times of clinic visiting,course of disease disease expresed prostatic secretions （EPS）, sexual activity, and treatment Status; （3） score of the National Institute of Health- Chronic Prostatitis Symptom Index （ NIH-CPSI ） ; Symptom severity was assessed with the NIH-CPSI. [Results] （1） Among the 612 subjects selected, 70.4% of the patients were aged 〈 40 years and there weie fewer the old patients with increasing age. （2） 41.76% of the patients＇ course of disease were more than 2 years, and there are more severity symptom in patients with chronic prostatitis as disease course extend, no significant difference was found in patients with different course of disease （χ2= 3.18, P〉 0.05）. （3） There were more severity symptoms with chronic prostatitis with the increase of clinic visiting time （χ2 = 35.51, P 〈 0.01 ）. （4） The QOL score had a positive correlation with symptom severity and times of clinic visiting （r = 0.223, P 〈 0.05 ; r = 0.374, P 〈 0.01. P 〈 0.01 respectively） ; The symptom severity of single subjects had a positive correlation with masturbation status （r = 0.552. P 〈 0.01）, on the contrary married subjects had no correlation with masturbation status （r = 0.179, P 〉 0.05）; nevertheless, it had no significant correlation with age, disease course and. education background （P 〉 0.05）. [ Conclusion] Symptom severity in patients with chronic prostatitis had positive relationship with economic status, and prolonged therapeutic process and frequent masturbation coukt aggra

关 键 词：慢性前列腺炎 流行病学 症状严重程度 症状评分表 

分 类 号：R697.3[医药卫生—泌尿科学]