中国男性运动员人群中慢性前列腺炎的现况调查  

Preliminary analysis of the current situation of chronic prostatitis in male athletes

作　　者：柳滟波 刘龙[2] 丁岗 赵彦豪 沈逸凡 方祖军 丁强 熊祖泉 LIU Yan-bo;LIU Long;DING Gang;ZHAO Yan-hao;SHEN Yi-fan;FANG Zu-jun;DING Qiang;XIONG Zu-quan(Department of Urology,Huashan Hospital,Fudan University,Shanghai 200040,China;Department of Police Sports,Zhejiang Police College,Hangzhou 310053,Zhejiang,China;Shanghai Cycling Team,Shanghai 200003,China;Shanghai Rowing Team,Shanghai 200003,China)

机构地区：[1]复旦大学附属华山医院泌尿外科,上海200040 [2]浙江警察学院警察体育部,杭州310053 [3]上海市自行车队,上海200003 [4]上海市赛艇队,上海200003

出　　处：《中国临床医学》2019年第4期619-623,共5页Chinese Journal of Clinical Medicine

基　　金：2015年度上海市体育局腾飞计划项目(2015T001)~~

摘　　要：目的:了解当前运动员人群罹患慢性前列腺炎情况,初步分析与之相关的影响因素,为进一步探讨其发病机制与针对性治疗提供依据。方法:对上海市自行车队以及上海市赛艇队现役运动员进行问卷调查,通过对相关数据的多因素分析,探寻与慢性前列腺炎发病率及症状程度相关的影响因素。结果:慢性前列腺炎NIH-CPSI症状评分总和与年龄正相关:控制BMI分组时,评分A每增加1分,年龄增加0.278岁(P=0.041);以20岁作为年龄分层,年龄>20岁组疼痛或不适程度高于≤20岁组人群(P=0.030);以22岁为划分,相较≤22岁组,年龄>22岁组不同部位的疼痛症状更加明显(P=0.039)。结论:运动员特别是从事某些特定项目的运动员慢性前列腺炎发病率高于正常人群;年龄的增加或常年训练活动会增加运动员人群的慢性前列腺炎发病率;临床治疗中应当对年龄较大的运动员,予以更多的治疗关注和心理关怀。Objective:To understand the current situation of chronic prostatitis in the athlete population,and to analyze the related influencing factors,to provide a theoretical basis for further exploration of relevant pathogenesis and targeted treatment.Methods:Questionnaire survey was conducted on the active athletes of the Shanghai Cycling Team and the Shanghai Rowing Team.Through the multi-factor analysis of relevant data,the influencing factors related to the incidence and symptom degree of chronic prostatitis were explored.Results:The total score of National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI)symptom scores in chronic prostatitis patients was positively correlated with age:when the score A increased by 1 point,the age increased by 0.278 years(P=0.041)with body mass index(BMI)group controlled;taking 20 years old as the age stratification,the>20 years old group suffered greater pain or degree of discomfort than the≤20 years old group(P=0.030).Classification by age 22,the pain symptoms of the age>22 years old were more severe than those in the≤22 years old group in different body parts(P=0.039).Conclusions:The incidence of chronic prostatitis among athletes,especially those engaged in certain specific projects,is higher than that of normal people.The increase in age may be a factor in increasing the incidence of chronic prostatitis in athletes in perennial training activities.In clinical treatment,older athletes should be given more attention and psychological care.

关 键 词：慢性前列腺炎 NIH-CPSI症状评分 运动员 

分 类 号：R737.25[医药卫生—肿瘤]