合并COPD的BPH患者尿流动力学特征研究  

Urodynamic characteristics of benign prostatic hyperplasia patients complicated with chronic obstructive pulmonary disease

作　　者：陈潮江[1] 刘振飞 曾翔宇 郑煜[1] Chen Chaojiang;Liu Zhenfei;Zeng Xiangyu;Zheng Yu(Department of Urology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院泌尿外科,广州510260

出　　处：《新医学》2023年第2期132-135,共4页Journal of New Medicine

基　　金：广东省医学科学技术研究基金项目(A2021414);广州市卫生健康科技项目(20211A011076);广州医科大学附属第二医院博士启动基金项目。

摘　　要：目的探讨BPH合并COPD患者的尿流动力学特点。方法选择78例BPH患者,分为合并COPD的BPH组(43例)和无合并COPD的BPH组(35例),分别检测2组患者的前列腺体积和尿流动力学参数。结果与无合并COPD的BPH组患者相比,合并COPD的BPH组患者的最大尿流率降低、最大尿流率时的逼尿肌压下降、膀胱收缩指数减少(P均<0.05)。2组BPH患者的年龄、前列腺体积、残余尿量、尿道阻力因子、梗阻指数压力和膀胱出口梗阻指数比较差异均无统计学意义(P均>0.05)。结论合并COPD的BPH患者具有膀胱逼尿肌收缩乏力的尿流动力学特征。Objective To study the urodynamic characteristics of benign prostatic hyperplasia(BPH)patients complicated with chronic obstructive pulmonary disease(COPD).Methods Seventy-eight BPH patients were recruited and divided into the BPH complicated with COPD group(n=43)and BPH group(n=35).The prostate volume and urodynamic parameters were measured between two groups.Results Compared with the BPH group,the maximum urinary flow rate was decreased,detrusor pressure at the maximum urinary flow rate was declined and the bladder contraction index(BCI)was decreased in the BPH complicated with COPD group(all P<0.05).There was no significant difference in age,prostate volume,residual urine volume,specific urethral resistance factor(URA),obstruction index(OBI)pressure and bladder outlet obstruction index(BOOI)between two groups(all P>0.05).Conclusion BPH patients complicated with COPD show the urodynamic characteristics of detrusor underactivity of the bladder.

关 键 词：前列腺增生 慢性阻塞性肺疾病 尿流动力学 膀胱逼尿肌收缩乏力 

分 类 号：R697.3[医药卫生—泌尿科学] R563.9[医药卫生—外科学]