中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2011年
38期
2706-2709
,共4页
宋健%邵强%田野%那彦群%陈山%王义%张祥华%洪宝发%孙文学%刁英智
宋健%邵彊%田野%那彥群%陳山%王義%張祥華%洪寶髮%孫文學%刁英智
송건%소강%전야%나언군%진산%왕의%장상화%홍보발%손문학%조영지
尿道疾病%阳萎%老年人%男性
尿道疾病%暘萎%老年人%男性
뇨도질병%양위%노년인%남성
Urethral diseases%Impotence%Aged%Males
目的 调查社区年龄≥50岁男性人群中下尿路症状(LUTS)和勃起功能障碍(ED)的患病情况,研究LUTS和ED之间的相关性.方法 采用分层多阶段整群不等比例随机抽样方法选择北京社区1644名≥50岁男性作为调查对象.记录国际前列腺症状评分(IPSS),国际勃起功能问卷( IIEF-5)评分.应用x2检验和Spearman相关分析对IPSS评分、梗阻症状评分以及刺激症状评分与勃起功能之间的相关性进行分析.结果 所有被调查者平均年龄64.5岁(50～ 93岁),IPSS评分为(9.9±8.2)分,轻度、中度和重度比例分别为49.2％ (809/1644)、36.4％ (599/1644)和14.4％( 236/1644).IIEF评分为(9.4±8.6)分,以IIEF-5评分0～21诊断为ED,ED总患病率为占90.5％( 1487/1644),轻度、中度和重度LUTS组的ED患病率分别为85.7％ (694/809)、93.7％ (561/599)和97.9％( 231/236).IIEF总分与IPSS总分(r=-0.335,P＜0.01)、尿路梗阻症状(r=-0.276,P＜0.01)和膀胱刺激症状(r=-0.326,P＜0.01)均有相关性,LUTS患病程度与ED患病程度具有相关性(r=0.304,P＜0.01).IPSS总分(r=0.388,P＜0.01)、LUTS患病程度(r=0.457,P＜0.01)、IIEF总分(r=-0.533,P＜0.01)、ED患病程度(r=0.529,P＜0.01)均与年龄有相关性.结论 中老年男性LUTS和ED患病率随年龄增加而增加,ED患病率和LUTS程度显著性正相关,梗阻症状相与刺激症状均对ED产生影响.
目的 調查社區年齡≥50歲男性人群中下尿路癥狀(LUTS)和勃起功能障礙(ED)的患病情況,研究LUTS和ED之間的相關性.方法 採用分層多階段整群不等比例隨機抽樣方法選擇北京社區1644名≥50歲男性作為調查對象.記錄國際前列腺癥狀評分(IPSS),國際勃起功能問捲( IIEF-5)評分.應用x2檢驗和Spearman相關分析對IPSS評分、梗阻癥狀評分以及刺激癥狀評分與勃起功能之間的相關性進行分析.結果 所有被調查者平均年齡64.5歲(50～ 93歲),IPSS評分為(9.9±8.2)分,輕度、中度和重度比例分彆為49.2％ (809/1644)、36.4％ (599/1644)和14.4％( 236/1644).IIEF評分為(9.4±8.6)分,以IIEF-5評分0～21診斷為ED,ED總患病率為佔90.5％( 1487/1644),輕度、中度和重度LUTS組的ED患病率分彆為85.7％ (694/809)、93.7％ (561/599)和97.9％( 231/236).IIEF總分與IPSS總分(r=-0.335,P＜0.01)、尿路梗阻癥狀(r=-0.276,P＜0.01)和膀胱刺激癥狀(r=-0.326,P＜0.01)均有相關性,LUTS患病程度與ED患病程度具有相關性(r=0.304,P＜0.01).IPSS總分(r=0.388,P＜0.01)、LUTS患病程度(r=0.457,P＜0.01)、IIEF總分(r=-0.533,P＜0.01)、ED患病程度(r=0.529,P＜0.01)均與年齡有相關性.結論 中老年男性LUTS和ED患病率隨年齡增加而增加,ED患病率和LUTS程度顯著性正相關,梗阻癥狀相與刺激癥狀均對ED產生影響.
목적 조사사구년령≥50세남성인군중하뇨로증상(LUTS)화발기공능장애(ED)적환병정황,연구LUTS화ED지간적상관성.방법 채용분층다계단정군불등비례수궤추양방법선택북경사구1644명≥50세남성작위조사대상.기록국제전렬선증상평분(IPSS),국제발기공능문권( IIEF-5)평분.응용x2검험화Spearman상관분석대IPSS평분、경조증상평분이급자격증상평분여발기공능지간적상관성진행분석.결과 소유피조사자평균년령64.5세(50～ 93세),IPSS평분위(9.9±8.2)분,경도、중도화중도비례분별위49.2％ (809/1644)、36.4％ (599/1644)화14.4％( 236/1644).IIEF평분위(9.4±8.6)분,이IIEF-5평분0～21진단위ED,ED총환병솔위점90.5％( 1487/1644),경도、중도화중도LUTS조적ED환병솔분별위85.7％ (694/809)、93.7％ (561/599)화97.9％( 231/236).IIEF총분여IPSS총분(r=-0.335,P＜0.01)、뇨로경조증상(r=-0.276,P＜0.01)화방광자격증상(r=-0.326,P＜0.01)균유상관성,LUTS환병정도여ED환병정도구유상관성(r=0.304,P＜0.01).IPSS총분(r=0.388,P＜0.01)、LUTS환병정도(r=0.457,P＜0.01)、IIEF총분(r=-0.533,P＜0.01)、ED환병정도(r=0.529,P＜0.01)균여년령유상관성.결론 중노년남성LUTS화ED환병솔수년령증가이증가,ED환병솔화LUTS정도현저성정상관,경조증상상여자격증상균대ED산생영향.
Objective To survey the incidence of lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) in males aged ≥ 50 years and explore the correlation between LUTS and ED.Methods A cross-sectional study was performed at Beijing communities in 1644 males aged over 50 years.The International Index of Erectile Function-5 (IIEF-5) and International Prostate Symptom Score (IPSS) were recorded.Pearson's x2 test and Spearman correlation coefficients were used to analyze the results of IPSS,LUTS and their correlations with ED.Results The mean age was 64.5 years old (range:50 -93),the mean value of IPSS(9.9 ±8.2),the prevalence of mild,moderate and severe LUTS 49.2％(809/1644),36.4％ (599/1644) and 14.4％ (236/1644) respectively.The mean value of IIEF was (9.4 ±8.6),the total incidence of ED 90.5％ (1487/1644) and the incidence of ED of mild,moderate and severe LUTS 85.7％ (694/809),93.7％ (561/599) and 97.9％ (231/236) respectively.The total IIEF-5 score was found significantly correlated with the total IPSS score ( r =- 0.335,P ＜ 0.01 ),the obstructive symptoms( r =- 0.276,P ＜ 0.01 ) and irritative symptoms ( r =- 0.326,P ＜ 0.01 ).The severity of LUTS was correlated with the severity of ED ( r =0.304,P ＜ 0.01 ).Correlations also existed between age and total IPSS score(r =0.388,P ＜ 0.01 ),LUTS severity ( r =0.457,P ＜ 0.01 ),total IIEF score( r =-0.533,P ＜ 0.01 ) or ED severity( r =0.529,P ＜ 0.01 ).Conclusion The incidence of LUTS or ED in aging males increases with age.The severity of ED is positively correlated with the severity of LUTS.Irritative and obstructive symptoms influence the occurrence of ED in aging males.
