中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
2期
165-167
,共3页
高血压%前列腺增生
高血壓%前列腺增生
고혈압%전렬선증생
Hypertension%Prostatic hyperplasia
目的 探讨老年原发性高血压与良性前列腺增生的关系. 方法 选取我院2010年8月至2012年6月就诊的老年男性良性BPH患者135例,其中高血压组70例,非高血压组65例,详细患者询问病史,测量身高、体质量,计算体质指数,并进行血脂、血糖、血清前列腺特异性抗原测定,采用国际前列腺症状评分表(IPSS)对其进行评价,通过腹部超声测量前列腺体积. 结果 高血压组IPSS评分较非高血压组升高,分别为(18.9±7.5)分与(13.2±7.8)分(P＜0.05)；前列腺体积大于非高血压组,分别为(43.0±15.4)ml与(39.2±13.9)ml(P＜0.05).单变量分析结果显示,年龄、高血压病程与前列腺体积呈正相关(r=0.34,0.29,P＜0.05).校正年龄后,高血压组中高血压病史≥15年组的患者其前列腺体积较高血压病史＜15年组增大(P＜0.05). 结论 老年高血压与良性前列腺增生的发生有关,高血压对良性前列腺增生的影响与其病程长短有关,长期高血压促进了良性前列腺增生的发生和临床进展.
目的 探討老年原髮性高血壓與良性前列腺增生的關繫. 方法 選取我院2010年8月至2012年6月就診的老年男性良性BPH患者135例,其中高血壓組70例,非高血壓組65例,詳細患者詢問病史,測量身高、體質量,計算體質指數,併進行血脂、血糖、血清前列腺特異性抗原測定,採用國際前列腺癥狀評分錶(IPSS)對其進行評價,通過腹部超聲測量前列腺體積. 結果 高血壓組IPSS評分較非高血壓組升高,分彆為(18.9±7.5)分與(13.2±7.8)分(P＜0.05)；前列腺體積大于非高血壓組,分彆為(43.0±15.4)ml與(39.2±13.9)ml(P＜0.05).單變量分析結果顯示,年齡、高血壓病程與前列腺體積呈正相關(r=0.34,0.29,P＜0.05).校正年齡後,高血壓組中高血壓病史≥15年組的患者其前列腺體積較高血壓病史＜15年組增大(P＜0.05). 結論 老年高血壓與良性前列腺增生的髮生有關,高血壓對良性前列腺增生的影響與其病程長短有關,長期高血壓促進瞭良性前列腺增生的髮生和臨床進展.
목적 탐토노년원발성고혈압여량성전렬선증생적관계. 방법 선취아원2010년8월지2012년6월취진적노년남성량성BPH환자135례,기중고혈압조70례,비고혈압조65례,상세환자순문병사,측량신고、체질량,계산체질지수,병진행혈지、혈당、혈청전렬선특이성항원측정,채용국제전렬선증상평분표(IPSS)대기진행평개,통과복부초성측량전렬선체적. 결과 고혈압조IPSS평분교비고혈압조승고,분별위(18.9±7.5)분여(13.2±7.8)분(P＜0.05)；전렬선체적대우비고혈압조,분별위(43.0±15.4)ml여(39.2±13.9)ml(P＜0.05).단변량분석결과현시,년령、고혈압병정여전렬선체적정정상관(r=0.34,0.29,P＜0.05).교정년령후,고혈압조중고혈압병사≥15년조적환자기전렬선체적교고혈압병사＜15년조증대(P＜0.05). 결론 노년고혈압여량성전렬선증생적발생유관,고혈압대량성전렬선증생적영향여기병정장단유관,장기고혈압촉진료량성전렬선증생적발생화림상진전.
Objective To explore the relationship between primary hypertension and benign prostatic hyperplasia (BPH) in the elderly.Methods From August 2010 to June 2012,135 consecutively referred patients with BPH were enrolled in this study,in which 70 cases were BPH with hypertension,65 cases were isolated benign prostatic hyperplasia.All patients were questioned in detail about history,body weight and height were measured to calculate the body mass index (BMI).Prostate specific antigen (PSA) and fasting plasma glucose (FPG) and lipids were assayed in the study.The international prostate symptom score (IPSS) were recorded.Prostate volume (PV) was detected by abdominal ultrasound.Results The levels of IPSS and PV were higher in BPH with hypertension than simple BPH group [(18.9±7.5)scores vs.(13.2±7.8) scores,P＜0.05 ;(43.0±15.4) ml vs.(39.2 ± 13.9) ml,P＜ 0.05].Pearson analysis showed that PV was positively correlated with age and the years of hypertension (r=0.34,0.29,P＜0.05).After adjustment for age,PV was significantly greater in hypertension group with more than 15 years compared to less than 15 years of hypertension group.Conclusions Hypertension,particularly long-term hypertension is related to BPH in the elderly.The long term of hypertension may accelerate the occurrence and clinical progression of BPH.
