膀胱控制自我评价问卷评估良性前列腺增生患者下尿路症状的效果  

The effectiveness of Bladder Control Self Evaluation Questionnaire in evaluating lower urinary tract sympotoms in patients with BPH

作　　者：高燕 夏静[2] 王露 顾彦 陈斐 宋鑫 陈慧瑛 GAO Yan;XIA Jing;WANG Lu;GU Yan;CHEN Fei;SONG Xin;CHEN Huiying(Department of Urology,Shanghai Pudong New Area Gongli Hospital,Shanghai 200135,China;Department of Urology,Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海市浦东新区公利医院泌尿外科,上海200135 [2]上海交通大学医学院附属第九人民医院泌尿外科,上海200011

出　　处：《医药前沿》2024年第24期13-16,共4页Journal of Frontiers of Medicine

基　　金：上海市浦东新区卫生系统医学学科建设项目(PYWgf2021-06)。

摘　　要：目的:评价膀胱控制自我评价问卷(B-SAQ)评估良性前列腺增生(BPH)患者下尿路症状(LUTS)的效果。方法:采用方便抽样法,选取2021年10月—2022年11月在上海市浦东新区公利医院和上海交通大学医学院附属第九人民医院就诊的300例BPH患者进行调查,以10岁为1个年龄段,分为5个年龄段,应用B-SAQ和国际前列腺症状评分(IPSS)评估患者LUTS发生情况。采用生活质量指数评分(QoL)评价患者的自我生活质量感觉。应用受试者工作特征(ROC)曲线评价B-SAQ在评估BPH患者LUTS中的敏感度、特异度。应用Pearson相关分析验证B-SAQ和IPSS评估BPH患者LUTS的相关性。结果:300例BPH患者均在5 min内完成了2项问卷调查。随着年龄的增加,BPH患者LUTS发生率随之升高,但66~75岁发生率稍高于76~85岁;IPSS、QoL及B-SAQ评分分别相应增加(P<0.05)。IPSS与B-SAQ症状和困扰程度评分存在相关性(r=0.947、0.934,P<0.05)。B-SAQ各症状评分与IPSS各条目评分之间存在相关性(P<0.001);在评估BPH患者LUTS严重程度方面,IPSS和B-SAQ存在相关性(r=0.976,P<0.05)。B-SAQ筛选LUTS的敏感度为94.01%,特异度为87.88%,ROC曲线下面积为0.949。结论:与IPSS相比,B-SAQ同样是一种简单、快捷、有效地评估BPH患者LUTS的工具,并且适用于筛选人群LUTS。Objective To evaluate the effectiveness of the Bladder Control Self Evaluation Questionnaire(B-SAQ)in assessing lower urinary tract symptoms(LUTS)in patients with benign prostatic hyperplasia(BPH).Methods A total of 300 BPH patients who were admitted to the Department of Urology in Shanghai Pudong New Area Gongli Hospital and Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from October 2021 to November 2022 were investigated by convenient sampling method.The patients were divided into 5 age groups,with 10 years old as one age group.B-SAQ and IPSS were used to evaluate the incidence of LUTS in patients with BPH.The Quality of Life(QoL)score was used to evaluate patients'self perceived quality of life.Receiver operating characteristic(ROC)curves were used to evaluate the sensitivity and specificity of B-SAQ in evaluating LUTS in patients with BPH.Application of Pearson correlation analysis to validate the correlation between B-SAQ and IPSS in evaluating LUTS in patients with BPH.Results All 300 BPH patients completed 2 questionnaires within 5 minutes.Overall,the incidence of LUTS symptoms in BPH increases with age,but the incidence is slightly higher in individuals aged 66-75 compared to those aged 76-85;IPSS,QoL and B-SAQ scores increased correspondingly(P<0.05).IPSS and QoL scores were correlated with B-SAQ symptoms and distress degress scores,respectively(r=0.947,0.934;P<0.05).There was correlation between B-SAQ symptom score and IPSS item score(P<0.001).IPSS was correlated with B-SAQ in evaluating the severity of LUTS in BPH patients(r=0.976,P<0.05).The sensitivity,specificity,and area under ROC curve of B-SAQ screening for LUTS were 94.01%,87.88%,and 0.949,respectively.Conclusions Compared with IPSS,B-SAQ is also a simple,fast and effective tool for evaluating LUTS in BPH patients,and is suitable for screening population LUTS.

关 键 词：良性前列腺增生 下尿路症状 国际前列腺症状评分 膀胱控制自我评价问卷 

分 类 号：R697[医药卫生—泌尿科学]