CAJ | 학술논문

目的调查影响男性飞行员慢性前列腺炎/慢性盆腔疼痛综合征(chronic prostatitis/chronic pelvic-pain syndrome,CP/CPPS)发病相关因素,探讨有效的预防措施. 方法向384名飞行员发放CP/CPPS流行病学调查问卷,问卷内容包括:年龄、性生活频率、吸烟、饮酒、饮食习惯、憋尿、飞行机种、飞行时间、是否经常夜间飞行等相关信息,以及美国国立卫生研究院慢性前列腺炎症状指数(National Institutes of Health chronic prostatitis symptom index,NIH-CPSI)评分表,根据调查表筛查CP/CPPS患者进行“两杯法”尿常规及前列腺液检查,并进行分型.CP/CPPS飞行员按照飞行时间分为2组:飞行时间＜1 500 h,飞行时间≥1 500 h. 结果 384名飞行员中NIH-CPSI评分＜10分346人,NIH-CPSI≥10分38人(CP/CPPS患者).其中炎症性CP/CPPS(ⅢA型)患者22例(57.0％),非炎症性CP/CPPS(ⅢB型)患者16例(42.1％).问卷中8种可能的危险因素通过逐步筛查,共有3个危险因素有统计学意义,分别为:憋尿、辛辣饮食、过度禁欲(OR＝4.828、3.232、0.495,P＜0.05). 结论辛辣饮食、憋尿习惯、过度禁欲是CP/CPPS的危险因素.CP/CPPS患者中,飞行时间较长者症状更重.飞行员CP/CPPS的治疗需在药物治疗的同时,有针对性地指导其建立正确、健康的生活习惯,有助于康复.
목적 조사영향남성비행원만성전렬선염/만성분강동통종합정(chronic prostatitis/chronic pelvic-pain syndrome,CP/CPPS)발병상관인소,탐토유효적예방조시. 방법 향384명비행원발방CP/CPPS류행병학조사문권,문권내용포괄:년령、성생활빈솔、흡연、음주、음식습관、별뇨、비행궤충、비행시간、시부경상야간비행등상관신식,이급미국국립위생연구원만성전렬선염증상지수(National Institutes of Health chronic prostatitis symptom index,NIH-CPSI)평분표,근거조사표사사CP/CPPS환자진행“량배법”뇨상규급전렬선액검사,병진행분형.CP/CPPS비행원안조비행시간분위2조:비행시간＜1 500 h,비행시간≥1 500 h. 결과 384명비행원중NIH-CPSI평분＜10분346인,NIH-CPSI≥10분38인(CP/CPPS환자).기중염증성CP/CPPS(ⅢA형)환자22례(57.0％),비염증성CP/CPPS(ⅢB형)환자16례(42.1％).문권중8충가능적위험인소통과축보사사,공유3개위험인소유통계학의의,분별위:별뇨、신랄음식、과도금욕(OR＝4.828、3.232、0.495,P＜0.05). 결론 신랄음식、별뇨습관、과도금욕시CP/CPPS적위험인소.CP/CPPS환자중,비행시간교장자증상경중.비행원CP/CPPS적치료수재약물치료적동시,유침대성지지도기건립정학、건강적생활습관,유조우강복.
Objective To understand the chronic prostatitis/chronic pelvic-pain syndrome (CP/CPPS) and related factors that affect the occurrence in pilots and to discuss the effective preventive measures.Methods An epidemiological survey of CP/CPPS was sent to 384 pilots.The questionnaire involved the concerns of age,sexual activity frequency,smoking,drinking,diet,holding back,and aircraft type,flying hours,the frequency of night flight and other related information,as well as the symptoms that referred to National Institutes of Health Chronic Prostatitis Symptom Index (NIH CPSI) score sheet.The CP/CPPS was diagnosed upon the reading of the questionnaire and the patients were classified depending on the examination of prostate fluid and "twocup" urinalysis.The pilots with CP/CPPS were divided into 2 groups by flying hours:＜ 1 500 h and ≥1 500 h.Results Thirty eight out of 384 pilots were diagnosed as CP/CPPS (NIH-CPSI≥ 10).The cases of inflammatory (type Ⅲ] A) and noninflammatory (type Ⅲ] B) were 22 (57.9%) and 16 (42.1％) respectively.Three out of 8 possible risk factors were screened out with significance:urine holding back,spicy diet and excessive abstinence (OR＝ 4.828,3.232,0.495,P＜0.05).Conclusions Spicy diet,having a full bladder habit and excessive abstinence are the risk factors contributed to CP/CPPS.Longer flying time makes the symptoms worse.In addition to drug therapy,directing to healthy habits can help pilots' recovery.