中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2010年
23期
1778-1780
,共3页
周理林%黎辉欣%王斌%游猛%伍穗珊%汤平%姜少军%欧汝彪%邓向荣%谢克基
週理林%黎輝訢%王斌%遊猛%伍穗珊%湯平%薑少軍%歐汝彪%鄧嚮榮%謝剋基
주리림%려휘흔%왕빈%유맹%오수산%탕평%강소군%구여표%산향영%사극기
前列腺增生%夜尿%生活质量评分
前列腺增生%夜尿%生活質量評分
전렬선증생%야뇨%생활질량평분
Prostatic hyperplasia%Nocturia%Nocturia quality-of-life
目的 探讨前列腺切除术对良性前列腺增生(BPH)患者膀胱过度活动症(OAB)症状的夜尿症疗效.方法 收集2006年6月至2007年12月因BPH行前列腺切除术患者的临床资料,比较术前和术后3～6个月的夜尿次数、夜间开始入睡到第1次醒来排尿的时间(HUS)、夜尿症生活质量(N-QOL)评分、国际前列腺症状评分(IPSS)和生活质量(QOL)评分等指标的变化.结果 入选125例,术后完成随访73例,其中术前夜尿次数≥2次者有67例,对其疗效指标进行统计学分析:接受经尿道前列腺电切术56例,耻骨上前列腺切除术11例;夜尿次数由(4.2±2.4)次减少至(2.2±1.0)次(P＜0.01);HUS由(1.8±0.7)h延长至(3.0±1.4)h(P＜0.01);N-QOL评分由30±10增加至40±7(P＜0.01);IPSS评分由23±5下降至8±5(P＜0.01);QOL评分由4.4±0.7下降至1.5±1.0(P＜0.01).结论 前列腺切除术能有效地改善BPH患者OAB症状的夜尿症,提高他们的睡眠质量和生活质量.
目的 探討前列腺切除術對良性前列腺增生(BPH)患者膀胱過度活動癥(OAB)癥狀的夜尿癥療效.方法 收集2006年6月至2007年12月因BPH行前列腺切除術患者的臨床資料,比較術前和術後3～6箇月的夜尿次數、夜間開始入睡到第1次醒來排尿的時間(HUS)、夜尿癥生活質量(N-QOL)評分、國際前列腺癥狀評分(IPSS)和生活質量(QOL)評分等指標的變化.結果 入選125例,術後完成隨訪73例,其中術前夜尿次數≥2次者有67例,對其療效指標進行統計學分析:接受經尿道前列腺電切術56例,恥骨上前列腺切除術11例;夜尿次數由(4.2±2.4)次減少至(2.2±1.0)次(P＜0.01);HUS由(1.8±0.7)h延長至(3.0±1.4)h(P＜0.01);N-QOL評分由30±10增加至40±7(P＜0.01);IPSS評分由23±5下降至8±5(P＜0.01);QOL評分由4.4±0.7下降至1.5±1.0(P＜0.01).結論 前列腺切除術能有效地改善BPH患者OAB癥狀的夜尿癥,提高他們的睡眠質量和生活質量.
목적 탐토전렬선절제술대량성전렬선증생(BPH)환자방광과도활동증(OAB)증상적야뇨증료효.방법 수집2006년6월지2007년12월인BPH행전렬선절제술환자적림상자료,비교술전화술후3～6개월적야뇨차수、야간개시입수도제1차성래배뇨적시간(HUS)、야뇨증생활질량(N-QOL)평분、국제전렬선증상평분(IPSS)화생활질량(QOL)평분등지표적변화.결과 입선125례,술후완성수방73례,기중술전야뇨차수≥2차자유67례,대기료효지표진행통계학분석:접수경뇨도전렬선전절술56례,치골상전렬선절제술11례;야뇨차수유(4.2±2.4)차감소지(2.2±1.0)차(P＜0.01);HUS유(1.8±0.7)h연장지(3.0±1.4)h(P＜0.01);N-QOL평분유30±10증가지40±7(P＜0.01);IPSS평분유23±5하강지8±5(P＜0.01);QOL평분유4.4±0.7하강지1.5±1.0(P＜0.01).결론 전렬선절제술능유효지개선BPH환자OAB증상적야뇨증,제고타문적수면질량화생활질량.
Objective To explore the effect of prostatectomy on nocturia in patients with benign prostatic hyperplasia ( BPH ). Methods The data of patients who had received prostatectomy for BPH between June 2006 and December 2007 were collected. Nocturia severity was assessed preoperatively and 3 to 6 months after prostatectomy by the number of nocturia events, the time from falling sleep to the first awakening to void (hours of undisturbed sleep,HUS), the score of the nocturia quality of life (N-QOL)questionnaire,the International Prostatic Symptom Score(IPSS) and the quality of life(QOL) score. Results One hundred and twenty five cases were included. Of them, 73 patients finished the follow-up completely. There were 62 patients whose number of nocturia events before the operation was equal or more than 2. The data from these 62 patients were analyzed. Of them, 56 patients underwent transurethral resection of prostate, the remaining 11 patients suprapubic prostatectomy. Significant improvement (P ＜0. 01 ) was noted in all the following parameters after treatment: the number of nocturia events decreased from4.2 ±2.4 to 2.2± 1.0,HUS increased from (1.8 ±0.7) h to (3.0 ±1.4) h,N-QOL score raised from 30 ± 10 to 40 ± 7, IPSS decreased from 23 ± 5 to 8 ± 5, and QOL score fell down from 4. 4 ± 0. 7 to 1.5 ± 1. 0. Conclusion The prostatectomy can markedly improve the symptoms of nocturia, sleep and life quality in the BPH patients who accompanied with nocturia.
