中老年男性下尿路症状调查及危险因素分析  

Investigation and analysis on the risk factors of lower urinary tract symptoms among 1019 middle and old aged men

作　　者：胡龙芳 王薇[1] 任奇 

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310003

出　　处：《护理学杂志》2018年第4期27-30,共4页Journal of Nursing Science

基　　金：2018年浙江省医药卫生科技计划项目(2018ZD006)

摘　　要：目的探讨中老年男性下尿路症状(LUTS)的特征及危险因素。方法采用便利抽样方法抽取1 019例50岁以上男性,使用国际前列腺症状评分表进行问卷调查,并提取其部分体检数据。结果中老年男性下尿路症状(IPSS≥8分)患病率为48.0%。回归分析显示:年龄>65岁、空腹血糖>6.16 mmol/L、低密度脂蛋白>3.36 mmol/L、体质量指数>24为下尿路症状的独立危险因素(均P<0.01)。结论中老年男性年龄越大,下尿路症状越严重,生活质量越差。需加强中老年男性下尿路症状的筛查及宣教工作,指导其减少高脂肪高糖食物的摄入,适当锻炼,保持合适体质量,以延缓下尿路症状的发生及进展,提高其生活质量。Objective To investigate the characteristics and risk factors of lower urinary tract symptoms（LUTS） in the middle and old aged men. Methods by convenient sampling,1019 citizens who were over 50 years old,were selected to fill out the International Prostate Symptom Score（IPSS）. The participants＇ health checkup data were also extracted. Results The incidence rate of LUTS（ IPSS≥8） in middle and old aged men was 48. 0%. Regression analysis showed that,age over 65 years old,fasting blood glucose 〉6. 16 mmol/L,low density lipoprotein 〉3. 36 mmol/L and BMI 〉24 were risk factors of LUTS（P〈0. 01 for all）. Conclusion Old aged men tend to have more severe LUTS,which contributed to low quality of life. Screening of LUTS in and health education to middle and old aged men should be strengthened,and guidance including minimizing high fat and high sugar foods,taking regular exercises can delay the progress of LUTS and improve quality of life in this population.

关 键 词：中年人 老年人 男性 下尿路症状 危险因素 国际前列腺症状评分表 储尿期症状 排尿期症状 

分 类 号：R473.6[医药卫生—护理学]