CAJ | 학술논문

目的分析机关事业单位男性职工群体中良性前列腺增生(BPH)的患病情况,探讨其发病的相关因素.方法对参加健康体检的40岁-60岁847名机关事业单位职工,进行血压、血糖、总胆固醇、甘油三酯、转氨酶、转肽酶、总蛋白、球蛋白、血尿酸、肌酐值、血常规的各项指标检查,同时做腹部B超检查前列腺和肝脏.结果 BPH的患病率为28.8%,其中轻度BPH为7.1%,中度BPH为21.7%,本次体检未发现重度BPH.BPH患病率随年龄组的递增而升高(χ2=22.4,P <0.05).良性前列腺增生组(BPH组)并发高血压的发生率和并发超重或肥胖的发生率明显高于非良性前列腺增生组(NBPH组)(P<0.05).BPH组并发脂肪肝的发生率与NBPH组相比较,无统计学差异(χ2=0.26,P>0.05),但中度BPH组中并发脂肪肝的比例明显高于轻度BPH组(χ2=4.01,P<0.05).结论该人群BPH的患病率较高,高血压、超重或肥胖是其主要影响因素,脂肪肝的并存可能加快BPH病情的发展.
목적분석궤관사업단위남성직공군체중량성전렬선증생(BPH)적환병정황,탐토기발병적상관인소.방법대삼가건강체검적40세-60세847명궤관사업단위직공,진행혈압、혈당、총담고순、감유삼지、전안매、전태매、총단백、구단백、혈뇨산、기항치、혈상규적각항지표검사,동시주복부B초검사전렬선화간장.결과 BPH적환병솔위28.8%,기중경도BPH위7.1%,중도BPH위21.7%,본차체검미발현중도BPH.BPH환병솔수년령조적체증이승고(χ2=22.4,P <0.05).량성전렬선증생조(BPH조)병발고혈압적발생솔화병발초중혹비반적발생솔명현고우비량성전렬선증생조(NBPH조)(P<0.05).BPH조병발지방간적발생솔여NBPH조상비교,무통계학차이(χ2=0.26,P>0.05),단중도BPH조중병발지방간적비례명현고우경도BPH조(χ2=4.01,P<0.05).결론해인군BPH적환병솔교고,고혈압、초중혹비반시기주요영향인소,지방간적병존가능가쾌BPH병정적발전.
Objective To investigate the status of benign prostatic hyperplasia(BPH) and to explore the related factors of benign prostatic hyperplasia in cadres. Methods: 847 cases of male officials between 40 and 60 years old, who came to take part in the healthy examination, received the measurement of the level of blood pressure, blood lipids, glucose, uric acid , creatinine and routine blood count, and the examination of prostate and liver with type B ultrasonic diagnostic apparatus. Results: The ratio of BPH among the officials is about 28.8%, in which the low-grade BPH is 7.1%, the middle-grade BPH is 21.7%, and high-grade BPH case has not been found in this investigation. While the age groups were getting older, the prevalence of BPH became higher (χ2 =22.4, P<0.05); at the same time, the prevalence of hypertension and overweight or obesity in the BPH group was higher than it in the non-BPH group (P<0.05). Although there was no significant difference in prevalence of hepatic steatosis between the BPH and non-BPH groups (χ2=0.26, P>0.05), the prevalence of hepatic steatosis in the middle-grade group was higher than it in the low-grade BPH group (χ2 =4.01, P<0.05). No significant relation was found between the BPH and other measured results (P>0.05). Conclusions: BPH is associated with age and hypertension, and NBPH group in along with hepatic steatosis may accelerate the development of BPH.