健康中青年男性人群夜尿患病率及危险因素调查分析  

Survey analysis of prevalence and risk factors of nocturia in healthy young and middle-aged men

作　　者：王莞尔[1] 洪泉[2] 严景民[2] 高和[1] 薛朝霞[1] 

机构地区：[1]空军总医院临床睡眠医学中心,北京100142 [2]空军总医院泌尿外科,北京100142

出　　处：《吉林大学学报（医学版）》2012年第1期162-166,共5页Journal of Jilin University：Medicine Edition

基　　金：首都医学发展科研基金资助课题(2009-1028)

摘　　要：目的:了解健康中青年男性夜尿患病率,阐明其相关危险因素,为其防治提供科学依据。方法:采取整群随机抽样方法抽取健康男性飞行人员作为研究对象,对其进行问卷调查,对其中1 329份有效问卷进行统计,通过单因素χ2检验和多元Logistic回归方程分析夜尿的相关因素。结果:健康中青年男性夜尿患病率4.1%,其中20～29岁、30～39岁和40～58岁人群中夜尿患病率分别为2.2%、4.1%和6.8%,随着年龄增长,夜尿患病率增加(P<0.05)。相关因素分层分析,各因素与夜尿关系的比值比(OR)和比值比95%可信区间(OR 95%CI)分别为年龄,OR=1.752,95%CI=1.482～2.072;抑郁或焦虑,OR=1.803,95%CI=1.406～2.312;鼾症,OR=1.704,95%CI=1.326～2.191;性功能障碍,OR=3.102,95%CI=1.733～5.554。结论:中青年男性人群中年龄、抑郁或焦虑和鼾症是夜尿的危险因素,性功能障碍与夜尿的关联性较大,提示夜尿防治中应考虑不同因素的影响而采取多种措施。Objective To investigate the prevalence and risk factors of nocturia in healthy young and middle-aged men and provide scientific evidence for prevention and treatment of nocturia.Methods A random cluster sampling survey was performed in healthy aviation personnel aged between 20 and 58 years.1 329 questionnaire were available for evaluation.Univariate and multivariate logistic regression were carried out to analyze the correlation between nocturia and its relavant factors.Results The overall prevalence of nocturia was 4.1% in healthy young and middle-aged men.The prevalences of nocturia in 20-29 years old men,30-29 years old men,and 40-58 years old men were 2.2%,4.1%,and 6.8%,respectively;it increased with the increasing of the age（P0.05）.A multivariate logistic regression analysis showed that the OR and 95% confidence interval（95%CI） were 1.752（1.482-2.072） for age,1.803（1.406-2.312） for depression or anxiety,1.704（1.326-2.191） for snoring and 3.102（1.733-5.554） for sexual dysfunction,respectively.Conclusion Age,depression or anxiety and snoring are shown to be risk factors of nocturia in healthy young and middle-aged men.The association between nocturia and sexual dysfunction is strong in the study.Nocturia is associated with various factors,which suggesting that multiple approaches are needed for prevention and treatment of patients with nocturia.

关 键 词：夜尿 患病率 危险因素 

分 类 号：R181.2[医药卫生—流行病学]