泌尿外科门诊老年男性患者下尿路症状调查及其影响因素研究  

Survey of lower urinary tract symptoms in elderly male urology outpatients and its influencing factors

作　　者：王佳文 王新昊 孟令峰[2] 张威[2] 刘晓东 马天明 张耀光[1,2] Wang Jiawen;Wang Xinhao;Meng Lingfeng;Zhang Wei;Liu Xiaodong;Ma Tianming;Zhang Yaoguang(Graduate School of Peking Union Medical College,Bejing 100730,China;Department of Urology,Beijing Hospital,National Center of Gerontology,Bejing 100730,China)

机构地区：[1]北京协和医学院研究生院,北京100730 [2]北京医院泌尿外科,国家老年医学中心,北京100730

出　　处：《国际泌尿系统杂志》2022年第6期1061-1064,共4页International Journal of Urology and Nephrology

基　　金：国家重点研发计划(2018YFC2002202)。

摘　　要：目的调查我国泌尿外科门诊老年男性患者下尿路症状(LUTS)的现况,探讨LUTS症状严重程度的影响因素。方法选取2013年我国22个城市115家医院的3217例60岁以上男性泌尿外科门诊患者的临床资料并进行问卷分析。调查问卷包括一般情况问卷表和国际前列腺症状评分(IPSS)问卷表。通过IPSS评分评估LUTS症状的严重程度。结果共有2860例(89%)患者存在中重度LUTS症状。logistic回归分析显示,年龄(P<0.001)、吸烟(P=0.033)、支付方式(P=0.013)为老年男性重度LUTS的独立相关因素。结论LUTS症状的严重程度与年龄、吸烟和支付方式独立相关。我国老年男性LUTS患者就诊意识低、就诊时间晚,需加强国内LUTS的宣教工作。Objective To investigate the current status of lower urinary tract symptoms(LUTS)in elderly male outpatients in Chinese urology clinics,and to explore the factors affecting the severity of LUTS symptoms.MethodsThis study was conducted analyzing the clinical data and questionnaire surveys of 3217 male urology outpatients aged≥60 years from 115 hospitals in 22 cities across China in 2013.The questionnaire survey contained questions relating to the international prostate symptom score(IPSS)and general information.The severity of LUTS symptoms was assessed with an IPSS score.ResultsA total of 2860 patients(89%)had moderate to severe LUTS symptoms.Regression analysis showed that age(P<0.001),smoking(P=0.013)and payment method(P=0.013)were independent factors associated with severe LUTS in elderly men.ConclusionssTheseverity of LUTS symptoms is independently associated with age,smoking,and payment methods.The elderly male patients with LUTS in China have poor consciousness of seeking treatment,and it is necessary to strengthen the propaganda work of LUTS in China.

关 键 词：下尿路症状 老年人 男(雄)性 

分 类 号：R699[医药卫生—泌尿科学]