门诊良性前列腺增生患者下尿路症状调查及特点分析  

Survey and analyze of lower urinary tract symptoms of outpatients with benign prostatic hyperplasia

作　　者：刘泽民[1] 刘百成[2] 王旺龙[2] 刘荣耀[2] 郭建忠[2] LIU Zemin;LIU Baicheng;WANG Wanglong;LIU Rongyao;GUO Jianzhong(Shanxi Medical University,Taiyuan 030001,China;Lvliang People′s Hospital,Lvliang 033000,China)

机构地区：[1]山西医科大学,山西太原030001 [2]吕梁市人民医院,山西吕梁033000

出　　处：《临床医药实践》2018年第2期85-87,共3页Proceeding of Clinical Medicine

摘　　要：目的:了解吕梁市人民医院泌尿外科门诊良性前列腺增生(BPH)患者下尿路症状(LUTS)的特征、分布及严重程度。方法:对2016年4月—2016年10月泌尿外科门诊就诊的50岁以上确诊为BPH且愿意接受调查的患者进行下尿路症状问卷调查。问卷调查包括国际前列腺症状评分(IPSS评分)和生命质量评分(QOL评分)。结果:478例BPH患者中,IPSS评分中、重度LUTS症状患者432例,占90.38%。51~60岁、61~70岁、71~80岁、>80岁年龄组患者中,中、重度LUTS症状分别为63例(82.82%)、113例(87.60%)、145例(94.16%)、111例(94.07%),年龄越大,中、重度LUTS症状比例越大。QOL评分平均4.2分,其中4~6分的患者共352例,占73.64%。急性尿潴留患者76例,其中城镇户口患者20例(12.82%),农村户口患者56例(17.39%)。城镇户口和农村户口患者之间急性尿潴留发生率比较,差异无统计学意义(P>0.05)。结论:478例BPH患者中,中、重度LUTS症状患者所占比例很高,反映出当地BPH患者就诊意识差、就诊时间晚,需要对中老年BPH有LUTS患者进行健康普查和宣教,提高患者就诊意识,早做临床干预,提高患者生活质量。Objective:To investigate the characteristics and distribution and symptom severity of lower urinary tract symp-toms(LUTS)of outpatients with benign prostatic hyperplasia(BPH).Methods:A structured interviewer administered question-naire surveys were completed by outpatients with BPH after clinical diagnosis who accept the questionnaire during the April to July in2016.International prostate symptom score(IPSS)and uality of life score(QOL)used in the evaluation of LUTS.Re-sults:In total478outpatients with BPH,432(91.38%)of men reported having moderate to severe LUTS.In the51~60,61~70,71~80and>80years old groups,the prevalences of moderate and severe LUTS were62(82.82%),113(87.60%),145(94.16%),111(94.07%),respectively,which increased with age.The mean of the scores of quality of life was4.2,352pa-tients(73.64%)with4~6pionts.there were76patients with acute urinary retention,including20cases(12.82%)patients with urban hukou and56cases(17.39%)patients with rural hukou.There was no statistically significant difference between the rate of patients with urban hukou and rural hukou.Conclusion:Patients with moderate and severe LUTS were in a large pro-portion of total outpatients with BPH.It reflected that patiens with BPH have a poor consciousness and to see a doctor later.More attention should be paid to men with BPH.They need to raise their awareness on see a doctor and get treatment early and can live a better quality of life.

关 键 词：良性前列腺增生 下尿路症状 IPSS评分 QOL评分 

分 类 号：R697.3[医药卫生—泌尿科学]