中国老年学杂志
中國老年學雜誌
중국노년학잡지
CHINESE JOURNAL OF GERONTOLOGY
2010年
4期
522-525
,共4页
刘颖%屈晓冰%董莉妮%胡志高
劉穎%屈曉冰%董莉妮%鬍誌高
류영%굴효빙%동리니%호지고
良性前列腺增生症%诊疗指南%老年病科门诊%诊疗情况
良性前列腺增生癥%診療指南%老年病科門診%診療情況
량성전렬선증생증%진료지남%노년병과문진%진료정황
Benign prostatic hyperplasia%Guideline for the management%Geriatrics outpatients%Diagnosis and treatment
目的 了解<中国良性前列腺增生症诊断治疗指南>公布以来老年病科门诊BPH诊断与治疗的基本情况.方法 采用BPH诊断情况日报表(A表)、BPH良患者就医需求问卷(B表)、国际前列腺症状评分表(International Prostate Symptom Score,IPSS)、(C表)、BPH患者生活质量量表(QOL)(D表),对单月在湘雅二医院老年病科门诊就诊的BPH患者进行调查.结果 2008年2月湘雅二医院老年病科门诊患者总计263人(女106人,男157人),其中诊断为BPH患者111人.医生开具的检查项目中病史询问、IPSS评分、生活质量评分(Quality Of Life,QOL)、腹部超声、PSA测定等均达到了100%.初诊患者与复诊组比较,确诊时间、IPSS评分、QOL评分、前列腺体积以及最大尿流率均有统计学差异.前列腺体积与PSA值在所有患者以及70岁、80岁人群组具正相关性,同时80岁组中前列腺体积与最大尿流率也具正相关.采用药物治疗者占58%.结论 湘雅二医院老年病科门诊BPH患者的主要构成人群特征均与全国的情况基本接近,门诊医生能较好地遵从BPH诊疗指南来诊断与评估患者病情,但尚需要提高对于直肠指诊重要性的认识,在药物治疗选择上,以α受体阻滞剂使用率最高,其次为中药和植物制剂,5α还原酶抑制剂最低,α受体阻滞剂与5α还原酶抑制剂合用率也低于服用中药植物制剂率.
目的 瞭解<中國良性前列腺增生癥診斷治療指南>公佈以來老年病科門診BPH診斷與治療的基本情況.方法 採用BPH診斷情況日報錶(A錶)、BPH良患者就醫需求問捲(B錶)、國際前列腺癥狀評分錶(International Prostate Symptom Score,IPSS)、(C錶)、BPH患者生活質量量錶(QOL)(D錶),對單月在湘雅二醫院老年病科門診就診的BPH患者進行調查.結果 2008年2月湘雅二醫院老年病科門診患者總計263人(女106人,男157人),其中診斷為BPH患者111人.醫生開具的檢查項目中病史詢問、IPSS評分、生活質量評分(Quality Of Life,QOL)、腹部超聲、PSA測定等均達到瞭100%.初診患者與複診組比較,確診時間、IPSS評分、QOL評分、前列腺體積以及最大尿流率均有統計學差異.前列腺體積與PSA值在所有患者以及70歲、80歲人群組具正相關性,同時80歲組中前列腺體積與最大尿流率也具正相關.採用藥物治療者佔58%.結論 湘雅二醫院老年病科門診BPH患者的主要構成人群特徵均與全國的情況基本接近,門診醫生能較好地遵從BPH診療指南來診斷與評估患者病情,但尚需要提高對于直腸指診重要性的認識,在藥物治療選擇上,以α受體阻滯劑使用率最高,其次為中藥和植物製劑,5α還原酶抑製劑最低,α受體阻滯劑與5α還原酶抑製劑閤用率也低于服用中藥植物製劑率.
목적 료해<중국량성전렬선증생증진단치료지남>공포이래노년병과문진BPH진단여치료적기본정황.방법 채용BPH진단정황일보표(A표)、BPH량환자취의수구문권(B표)、국제전렬선증상평분표(International Prostate Symptom Score,IPSS)、(C표)、BPH환자생활질량량표(QOL)(D표),대단월재상아이의원노년병과문진취진적BPH환자진행조사.결과 2008년2월상아이의원노년병과문진환자총계263인(녀106인,남157인),기중진단위BPH환자111인.의생개구적검사항목중병사순문、IPSS평분、생활질량평분(Quality Of Life,QOL)、복부초성、PSA측정등균체도료100%.초진환자여복진조비교,학진시간、IPSS평분、QOL평분、전렬선체적이급최대뇨류솔균유통계학차이.전렬선체적여PSA치재소유환자이급70세、80세인군조구정상관성,동시80세조중전렬선체적여최대뇨류솔야구정상관.채용약물치료자점58%.결론 상아이의원노년병과문진BPH환자적주요구성인군특정균여전국적정황기본접근,문진의생능교호지준종BPH진료지남래진단여평고환자병정,단상수요제고대우직장지진중요성적인식,재약물치료선택상,이α수체조체제사용솔최고,기차위중약화식물제제,5α환원매억제제최저,α수체조체제여5α환원매억제제합용솔야저우복용중약식물제제솔.
Objective To determine the information of diagnosis and treatment of benign prostatic hyperplasia (BPH) in geriatrics outpatients after publishment of the Chinese guideline for the manegement of benign prostatic hyperplasia in 2006.Methods Each outpatient identified with a BPH diagnosis in daily BPH diagnosis report form(A) of the Geriatrics outpatients was asked to complete BPH hospitalize requirement questionnaire(B), IPSS questionnaire(C), BPH QLS(D) in odd month 2008. Results Of 271 outpatients in Geriatrics department, 106 female, 157 male, 111 patients were diagnosised as BPH. History inquisition, IPSS,QOL, abdominal ultrasonic examination, PSA test were all taken, there were statistically significant differences in diagnosis time, IPSS, QOL,prostate volume, Qmax between the initial visit group and return visit group. A positive association was found between prostate volume and PSA in whole patients and 70 years old group,80 years old group, there was a positive association between prostate volume and Qmax in 80 years old group. Medical treatment percentage was 58%.Conclusions Consultation rate,major characters of composition population of Geriatrics BPH outpatients are similar with nationwide situation. Geriatrics doctors can follow Chinese BPH guideline well, but their understanding of digital rectal examination need to be improved. The most common medical treatment is α-blockers, followed is phytotherapy, 5α reductase inhibitiors, combination therapy percentage are also lower than phytotherapy's.
