上海、浙江两地男性良性前列腺增生患病率调查  

Prevalence of benign prostatic hyperplasia among old and middle-aged males in community inhabitants

作　　者：于晓华[1] 梁国庆[2] 吴旻[3] 郑俊彪 李建辉[1] 王峻[1] 李余敏[1] 俞金峰 李冬[1] 沈育忠 李铮[3] 

机构地区：[1]浙江省嘉善县第一人民医院泌尿外科,嘉善314100 [2]上海市中医医院泌尿外科 [3]上海交通大学医学院附属仁济医院泌尿外科

出　　处：《中国男科学杂志》2015年第1期35-38,共4页Chinese Journal of Andrology

基　　金：上海市卫生局课题(20134392);上海市科委重大科研基金(09DJ1400400)

摘　　要：目的：调查上海、浙江两地社区中老年男性良性前列腺增生症（BPH）的患病情况。方法按照整群及年龄分层、随机不等比例的抽样方法，对上海城市社区及浙江省农村地区共2000例40-70岁的常住中老年人群作为调查对象，分别自行记录国际前列腺症状评分（IPSS）评估下尿路症状（LUTS），经直肠超声检测前列腺各径线的大小并计算其体积（PV），将其结果进行方差分析。结果符合标准的研究对象1982例，平均年龄（57.85±8.33）岁，IPSS（5.43±3.21）分，PV（29.86±20.32）mL，中、重度LUTS为50.61%（1003/1982）、PV＞20mL者占68.92%（1366/1982），前列腺增生总患病率为29.97%，按年龄分组，40岁-、50岁-和60-70岁者的BPH患病率分别为2.03%、24.89%和54.18%，随年龄的增长BPH的患病率增加，差异具统计学意义（P＜0.01）。上海城市社区的BPH患病率为36.58%，而农村地区为23.42%。结论我国社区中老年男性BPH患病率较高，城市社区患病率高于农村地区，应予以高度关注。Objective To investigate the prevalence of benign prostatic hyperplasia （BPH） among old and middle-aged males in community inhabitants. Methods A cross-sectional randomized study of 2 000 men aged between 40 to 70 years was performed in Shanghai and Zhejiang community. The lower urinary tract symptoms （LUTS） was investigated by International Prostate Symptom Score （IPSS）. The length, width, height of prostate zone were measured by transrectal ultrasonography （TRUS） in each volunteer for calculating the prostate volume （PV）. The data were processed by one-way analysis of variance. Results Totally 1,982 cases meeting the study criteria were included in the investigation. The mean age was （57.85±8.33） years old. The mean IPSS and PV were （5.43±3.21） and （29.86±20.32）mL respectively. The prevalence of moderate and severe LUTS was 50.61%（1 003/1 982）. The PV was over 20mL in 68.92%（1 366/1 982）. The incidence rate of BPH was 29.97%. Of three groups with different ages, the BPH prevalence was 2.03%, 24.89% and 54.18% respectively. It showed a trend of increase with age （P〈0.01）. The prevalence of BPH was 36.58% in Shanghai community, while 23.42% in Zhejiang area. Conclusion The BPH prevalence was serious among old and middle-aged males in community inhabitants, especially in urban and should be given much more attention.

关 键 词：前列腺增生 患病率 城市 农村 

分 类 号：R697.32[医药卫生—泌尿科学]