中国男科学杂志
中國男科學雜誌
중국남과학잡지
CHINESE JOURNAL OF ANDROLOGY
2010年
3期
21-24
,共4页
何乐业%张一川%谌安君%龙智%刘志忠%汤育新%蒋先镇
何樂業%張一川%諶安君%龍智%劉誌忠%湯育新%蔣先鎮
하악업%장일천%심안군%룡지%류지충%탕육신%장선진
下尿路症状%IPSS评分%问卷调查%流行病学
下尿路癥狀%IPSS評分%問捲調查%流行病學
하뇨로증상%IPSS평분%문권조사%류행병학
Low urinary tract symptoms%IPSS score%questionnaire survey%epidemiology
目的 了解成年男性下尿路症状(LUTS)的发生情况、年龄分布与变化规律.方法 采用国际前列腺症状评分问卷表(IPSS)调查2008年参加健康体检的成年男性1 048人,年龄30～80岁,以10岁为一年龄段,分为5个年龄段,评估被调查者的LUTS发生情况.结果 各组LUTS发生的情况为:30岁～为347人,平均IPSS评分(2.48±0.38);40岁～为31 1人,平均IPSS评分(3.80±0.53);50岁～为114人,平均IPSS评分(4.78±1.07):60岁～为207人,平均IPSS评分(5.33±0.68);70～79岁为69人,平均IPSS评分(6.80±1.66).其中各年龄组储尿期症状平均评分分别为:1.20,1.66,2.24,2.57,3.20;排尿期症状平均评分分别为:1.28,2.14,2.54,2.76,3.59;生活质量平均评分为:(1.78±1.42),(1.84±0.30),(1.89±1.04),(2.03±1.08),(2.07±1.92).不同年龄组男性LUTS发生率及症状严重程度与年龄相关(J-T统计量为239743.50,P＜0.001),IPSS总评分、排尿期症状评分及储尿期症状评分与生活质量评分呈正相关,其中储尿期症状比排尿期症状对生活质量影响更大.结论 LUTS症状在成年健康男性中较普遍存在,发病率随年龄增大而增加.LUTS症状越重,对生活质量影响越大,其中储尿期症状较排尿期症状对生活质鼍影响更大.
目的 瞭解成年男性下尿路癥狀(LUTS)的髮生情況、年齡分佈與變化規律.方法 採用國際前列腺癥狀評分問捲錶(IPSS)調查2008年參加健康體檢的成年男性1 048人,年齡30～80歲,以10歲為一年齡段,分為5箇年齡段,評估被調查者的LUTS髮生情況.結果 各組LUTS髮生的情況為:30歲～為347人,平均IPSS評分(2.48±0.38);40歲～為31 1人,平均IPSS評分(3.80±0.53);50歲～為114人,平均IPSS評分(4.78±1.07):60歲～為207人,平均IPSS評分(5.33±0.68);70～79歲為69人,平均IPSS評分(6.80±1.66).其中各年齡組儲尿期癥狀平均評分分彆為:1.20,1.66,2.24,2.57,3.20;排尿期癥狀平均評分分彆為:1.28,2.14,2.54,2.76,3.59;生活質量平均評分為:(1.78±1.42),(1.84±0.30),(1.89±1.04),(2.03±1.08),(2.07±1.92).不同年齡組男性LUTS髮生率及癥狀嚴重程度與年齡相關(J-T統計量為239743.50,P＜0.001),IPSS總評分、排尿期癥狀評分及儲尿期癥狀評分與生活質量評分呈正相關,其中儲尿期癥狀比排尿期癥狀對生活質量影響更大.結論 LUTS癥狀在成年健康男性中較普遍存在,髮病率隨年齡增大而增加.LUTS癥狀越重,對生活質量影響越大,其中儲尿期癥狀較排尿期癥狀對生活質鼉影響更大.
목적 료해성년남성하뇨로증상(LUTS)적발생정황、년령분포여변화규률.방법 채용국제전렬선증상평분문권표(IPSS)조사2008년삼가건강체검적성년남성1 048인,년령30～80세,이10세위일년령단,분위5개년령단,평고피조사자적LUTS발생정황.결과 각조LUTS발생적정황위:30세～위347인,평균IPSS평분(2.48±0.38);40세～위31 1인,평균IPSS평분(3.80±0.53);50세～위114인,평균IPSS평분(4.78±1.07):60세～위207인,평균IPSS평분(5.33±0.68);70～79세위69인,평균IPSS평분(6.80±1.66).기중각년령조저뇨기증상평균평분분별위:1.20,1.66,2.24,2.57,3.20;배뇨기증상평균평분분별위:1.28,2.14,2.54,2.76,3.59;생활질량평균평분위:(1.78±1.42),(1.84±0.30),(1.89±1.04),(2.03±1.08),(2.07±1.92).불동년령조남성LUTS발생솔급증상엄중정도여년령상관(J-T통계량위239743.50,P＜0.001),IPSS총평분、배뇨기증상평분급저뇨기증상평분여생활질량평분정정상관,기중저뇨기증상비배뇨기증상대생활질량영향경대.결론 LUTS증상재성년건강남성중교보편존재,발병솔수년령증대이증가.LUTS증상월중,대생활질량영향월대,기중저뇨기증상교배뇨기증상대생활질타영향경대.
Objective To analyze the prevalence,age distribution and characteristics of low urinary tract symptoms(LUTS)in adult men.Methods Sample was obtained randomly from men coming for healthy physical examination during the year of 2008.By completion of the IPSS questionnaire and general health information,1 048 men aged 30～80 years old were assigned into five groups according to 10-year age stratum.The occurrence of symptoms and severity of discomfort from the respondents were assessed.Results The occurrence of LUTS for each group was as follows.The average IPSS score was(2.48±0.38)in 347 men with 30～39 years old,(3.80±0.53)in 311 men with 40～49 years old,(4.78±1.07)in 114 men with 50～59 years old,(5.33±0.68)in 207 men with 60～69 years old,(6.80±1.66)in 69 men with 70～79 years old respectively.And the average score of storage urinary symptoms in eachg roup was 1.20,1.66,2.24,2.57 and 3.20 respectively;Average score of voiding symptoms was 1.28,2.14,2.54,2.76 and 3.59 respectively;Average score ofthe quality oflife was(1.78±1.42),(1.84±0.30),(1.89±1.04),(2.03±1.08)and (2.07±1.92)respectively.The incidence and severity of LUTS in different age groups was correlated with age(J-T statistic is 239 743.50,P＜0.005).IPSS total score,voiding symptom score and storage symptoms score were positively correlated with quality of life score,in which storage symptoms had a more effect on the quality of life than voiding symptoms.Conclusion LUTS were relatively widespread in adult healthy male with above 30 years old.With the increase of age,the incidence of LUTS and symptom scores were also increased.The severe symptoms of LUTS,especially storage symptoms,affected the quality of life.
