CAJ | 학술논문

目的了解广州地区老年科门诊伴有下尿路症状的良性前列腺增生(LUTS/BPH)患者的基本情况及诊治状况. 方法对广州地区三家三级甲等医院的老年科门诊进行调查,对诊断为LUTS/BPH的患者进行生活的基本状况的问卷调查,同时对门诊医师开具的检查和治疗药物进行分析统计. 结果 6140例男性门诊患者中1824例拟诊LUTS/BPH,占29.7%.在有效回收的调查问卷的134例患者中,国际前列腺症状评分(IPSS)轻、中及重度者分别占24.5%、72.5%及3.0%.血清前列腺特异性抗原(PSA)异常率为37.3%.患者最常接受的检查是直肠指检(96.8%)、PSA(88.7%)和经腹B超(84.8%).医师开具的药物最常见为单独使用5-α还原酶抑制剂(44.7%);其次为α-受体拮抗剂及5-α还原酶抑制剂联合使用(24.7%)及其他(植物用药)(16.7%).单独使用α-受体拮抗剂和单独使用植物制剂的比例相近(分别为6.8%和7.1%). 结论 LUTS/BPH是老年科男性患者最常见的疾病之一.医师开具的检查不尽合理,对常规的病史询问、IPSS评分等重视不够,医师开具的治疗药物基本合理.
목적 료해엄주지구노년과문진반유하뇨로증상적량성전렬선증생(LUTS/BPH)환자적기본정황급진치상황. 방법 대엄주지구삼가삼급갑등의원적노년과문진진행조사,대진단위LUTS/BPH적환자진행생활적기본상황적문권조사,동시대문진의사개구적검사화치료약물진행분석통계. 결과 6140례남성문진환자중1824례의진LUTS/BPH,점29.7%.재유효회수적조사문권적134례환자중,국제전렬선증상평분(IPSS)경、중급중도자분별점24.5%、72.5%급3.0%.혈청전렬선특이성항원(PSA)이상솔위37.3%.환자최상접수적검사시직장지검(96.8%)、PSA(88.7%)화경복B초(84.8%).의사개구적약물최상견위단독사용5-α환원매억제제(44.7%);기차위α-수체길항제급5-α환원매억제제연합사용(24.7%)급기타(식물용약)(16.7%).단독사용α-수체길항제화단독사용식물제제적비례상근(분별위6.8%화7.1%). 결론 LUTS/BPH시노년과남성환자최상견적질병지일.의사개구적검사불진합리,대상규적병사순문、IPSS평분등중시불구,의사개구적치료약물기본합리.
Objective To evaluate the diagnostic and therapeutic status of lower urinary tract symptoms (LUTS) in the elderly outpatients with benign prostatic hyperplasia (BPH) in Guangzhou.Methods The investigation was conducted in outpatient departments for elderly patients in 3 hospitals of Guangzhou. The eligible male patients with LUTS/BPH were chosen from patients who came to the clinic in the process of investigation. Results The 29.7% (1824/6140) of them had history of LUTS/BPH previously or presently. In 134 patients received medical questionnaire, the proportion of LUTS/BPH patients with mild, middle and severe degree based on international prostate symptom score (IPSS) was 24.5%, 72.5% and 3.0% respectively. The abnormal percentage of PSA was 37. 3 %. The most common examinations that patients received were directeral rectun examination (96.8%), PSA (88. 7%) and transabdominal ultrasonography (84.8%). The 44.7% of cases were given the treatment of 5α-reductase inhibitor, and 24.7% of cases received a combination therapy of 5α-reductase inhibitor plus α receptor blocker. The 16.7% of cases were given a combination treatment of 5α-reductase inhibitor plus herbs. The proportion of therapy with α receptor blocker and herbs was similar (6.8% and 7.1% respectively). Conclusions LUTS/BPH is one of the most common diseases in elderly male patients. The examinations conducted by doctors are unreasonable.The doctors are easy to ignore inquirement of patient's history and IPSS. The drugs conducted by doctors are reasonable basically.