舰艇深舱作业环境对慢性前列腺炎/慢性盆腔疼痛综合征患者NIH-CPSI评分及各维度的影响  

The influences of lower-level deck equipment-cabin working environment on CP/CPPS patients’NIH-CPSI scores in marine crewmen

作　　者：刘一谦 包业炜 晏睿 傅鑫华 张涛亮 房晓[2] 王林辉[2] 王军凯[2] Liu Yiqian;Bao Yewei;Yan Rui;Fu Xinhua;Zhang Taoliang;Fang Xiao;Wang Linhui;Wang Junkai(Changzheng Hospital,Naval Medical University(Second Military Medical University),Shanghai,200003,China;Department of Urology,Changzheng Hospital,Naval Medical University(Second Military Medical University),Shanghai,200003,China;Department of Urology,Jing'an District Zhabei Central Hospital,Shanghai,200070,China)

机构地区：[1]海军军医大学(第二军医大学)长征医院,上海200003 [2]海军军医大学(第二军医大学)长征医院泌尿外科,上海200003 [3]上海静安区闸北中心医院泌尿外科,上海200070

出　　处：《中国男科学杂志》2021年第1期11-17,共7页Chinese Journal of Andrology

摘　　要：目的观察在舰上长期驻训条件下,船员深舱作业对慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)患者NIH-CPSI总分及各维度评分的影响。方法纳入2019年4月至2020年6月南部战区海军水面舰艇某部罹患CP/CPPS的舰员共计169人,其中深舱作业组84人,非深舱作业组85人,对上述患者进行NIH-CPSI问卷调查,对结果应用SPSS 25.0建立数据库进行统计分析。结果深舱作业组年龄(26.4±4.2)略小于非深舱作业组(28.4±7.2),差异具有显著性(P=0.0295),且以服役年限5至10年间的人员为主(P=0.003);NIH-CPSI量表得分显示,两组的NIH-CPSI总分无显著区别,各年龄段内两组总分相比亦无显著不同,但深舱作业组患者在量表的排尿维度得分(5.06±1.65)和全部下尿路症状总分(5.69±2.01)均高于非深舱作业组(4.24±1.38)和(4.77±1.59),差异具有显著性(P值分别为0.0005和0.0006),且在25岁以下年龄组和25至35岁年龄组均表现出该趋势。结论舰艇深舱作业环境不改变长期驻舰作训的CP/CPPS患者NIH-CPSI量表总分,但可增加排尿维度和下尿路症状评分,并加重相关临床症状。Objective To observe the influences of lower-level deck equipment-cabin working environment beneath the waterline of the vessel on CP/CPPS patients’NIH-CPSI scores and subcategory scores in marine crewmen.Methods 169 marine crewmen with diagnosed CP/CPPS in a troop of PLA Southern Theatre Command Naval Force were included in this study during Apr.2019 to Jun.2020.Of all the patients,84 were working in lower-level deck equipment-cabin environment(lower cabin group,GLC),while the rest 85 were not(non-lower cabin group,non-GLC).The National Institutes of Health chronic prostatitis symptom index(NIH-CPSI)questionnaire was used for questionnaire survey.Statistical analyses were carried out using SPSS 25.0.Results The GLC group has a lower average age than the non-GLC group(26.4±4.2 vs.28.4±7.2,P=0.0295).Most of the GLC group crewmen had on-board experience of between 5 and 10 years.No significant difference in NIH-CPSI total score were detected between the two groups,nor in different age subgroups.In the urinary domain however,the GLC group had a significant higher subcategory score than the non-GLC group(5.06±1.65 vs.4.24±1.38,P=0.0005),while in the total lower urinary tract symptom(LUTS)score likewise(5.62±1.89 vs.4.69±1.55,P=0.0006),with 2 age subgroups(<25 y and 25-35 y subgroup)both showing such difference.Conclusion Working in the lower-level deck equipment-cabin environment didn’t necessarily alter the NIH-CPSI total score of CP/CPPS marine crewmen patients,but may exacerbate their urinary symptoms and elevate both the urinary domain scores and total LUTS scores in NIH-CPSI questionnaire.

关 键 词：深舱作业 慢性前列腺炎 慢性盆腔疼痛综合征 NIH-CPSI评分 军事人员 

分 类 号：R697.33[医药卫生—泌尿科学]