CAJ | 학술논문

目的：探讨高龄原发性高血压对良性前列腺增生(BPH)的关系。方法将诊断明确的158例老年BPH分为两组。单纯BPH组70例，BPH合并高血压组88例。 BPH合并高血压组根据病程分为病程<20年组40例和病程≥20年组(48例)2个亚组。分析高血压与前列腺体积、国际前列腺症状评分(IPSS)及与血清前列腺特异性抗原(PSA)之间的关系。长期高血压对BPH的影响。结果与单纯BPH组比较，BPH合并高血压组前列腺体积显著增大、IPSS评分增加、血清PSA显著增高P<0.05。BPH合并组病程≥20年亚组与病程<20年亚组比较，前列腺体积、IPSS及PSA有显著差异<0.05。结论原发性高血压与良性前列腺增生有关，长期高血压对良性前列腺增生的发展有影响，是良性前列腺增生临床进展的危险因素。
목적：탐토고령원발성고혈압대량성전렬선증생(BPH)적관계。방법장진단명학적158례노년BPH분위량조。단순BPH조70례，BPH합병고혈압조88례。 BPH합병고혈압조근거병정분위병정<20년조40례화병정≥20년조(48례)2개아조。분석고혈압여전렬선체적、국제전렬선증상평분(IPSS)급여혈청전렬선특이성항원(PSA)지간적관계。장기고혈압대BPH적영향。결과여단순BPH조비교，BPH합병고혈압조전렬선체적현저증대、IPSS평분증가、혈청PSA현저증고P<0.05。BPH합병조병정≥20년아조여병정<20년아조비교，전렬선체적、IPSS급PSA유현저차이<0.05。결론원발성고혈압여량성전렬선증생유관，장기고혈압대량성전렬선증생적발전유영향，시량성전렬선증생림상진전적위험인소。
Objective To probe the relationship between essential hypertension (EH)and benign prostatic hyperplasia (BPH) in elderly aged patients. Methods The study enrol ed 158 elderly aged patients with confirmed BPH, and divided into two groups.70 cases were pure benigh prostatic hyperplasia (Group 1).88 cases were BPH with essential hypertension (Group 2),in which they were divided into two Subgroups.40 cases (Subgroups1)were less than 20 years,48 cases (Subgroups2) were more than or equal 20 years, in their history of present il ness .The study analysed The relationship between Group 2 and Group 1 in prostate volume(PV),the international packet switched service (IPSS) and serum prostate specific antigen(PSA), of in BHP history present il ness. Results Compared with group1,in the group2,PV,PSA,and IPSS were significantly Increased (p<0.05) In group2,the levels of PV,IPSS,PSA in Subgroups1 were higher Than Subgroups2, <0.05.Couclusion Essential hypertension in elderly aged patients is related to BPH, long-term hypertension influence development of BPH,EH is one of risk factors of BHP in clinica progression.