北京郊区前列腺增生发病现状的调查:BPC-BPH研究结果  

Investigation of current situation of the benign prostatic hyperplasia in the suburb area of Beijing:a multicenter community-based cross-sectional survey(BPC-BPH)

作　　者：刁英智[1] 任向宏[1] 谷亚明[1] 蒙学兵[1] 张明华[1] 丁红[1] 王增武[2] BPC-BPH研究小组 

机构地区：[1]首都医科大学燕京医学院附属密云医院泌尿外科,北京密云101500 [2]北京阜外医院,北京100037 [3]首都医科大学附属北京友谊医院 [4]首都医科大学附属北京同仁医院 [5]北京大学首钢医院 [6]北京大学第一医院 [7]中国人民解放军总医院 [8]北京昌平医院 [9]北京密云医院

出　　处：《现代泌尿外科杂志》2010年第3期199-201,共3页Journal of Modern Urology

基　　金：首都医学发展科研基金(No.2005-1027)

摘　　要：目的调查北京郊区50岁以上居民良性前列腺增生(BPH)的发病情况及危险因素。方法通过多阶段、随机整群抽样方法在北京郊区人群中抽取50岁以上男性居民394人,进行国际前列腺症状(IPSS)评分、前列腺B超检查、最大尿流率测定、PSA测定。结果 394名被调查人群中,总患病率为14.0%,其中50～59岁者患病率占该年龄组总人数的4.3%,60～69岁者为20.0%,70～79岁者为22.6%,80岁以上者为37.5%。可见BPH患病率随年龄增长而逐渐升高。最大尿流率<15 mL/s人数随年龄增长而逐渐增多;IPSS评分中重度人数随年龄增长而逐渐增多;血清PSA≥1.6 ng/mL者前列腺体积增大的风险随着年龄增加呈增高趋势。结论北京郊区50岁以上男性BPH患病率随年龄增长而逐渐升高,且随年代变化呈上升趋势。Objective To investigate of the incidence and risk factors of men aged 50 and older with benign prostatic hyperplasia （BPH） in the suburb area of Beijing. Methods 394 men aged 50 and older from the suburb area of Beijing were investigated with multistage stratified random cluster sampling. International prostate symptoms score （IPSS）, ultrasound of the prostate,maximum flow rate （Qmax） and PSA were detected. Results Of the 394 men, the incidence of BPH was 14. 0%, By age, the incidence among men of 50-59, 60-69, 70-79, and〉80 years old were 4.3% ,20.0% ,22. 6% and 37. 5% respectively. The incidence of BPH increased with age. The number of men with Qmax lower than 15mL/s and the moderate and severe IPSS score were increased with age, but the number of serum PSA at 1.6 ng/ml and higher had no relation with age. Conclusion the BPH incidence in the suburb area of Beijing showed an increasing tendency with the increase of age.

关 键 词：前列腺增生 北京郊区 流行病学调查 

分 类 号：R697[医药卫生—泌尿科学]