中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2012年
11期
831-835
,共5页
文建国%李金升%王志敏%黄晨旭%尚小平%苏志强%易强%吕宇涛%王焱%秦贵军%张卫星%魏金星
文建國%李金升%王誌敏%黃晨旭%尚小平%囌誌彊%易彊%呂宇濤%王焱%秦貴軍%張衛星%魏金星
문건국%리금승%왕지민%황신욱%상소평%소지강%역강%려우도%왕염%진귀군%장위성%위금성
膀胱过度活动症%膀胱过度活动症症状评分%糖尿病%流行病学%中年人
膀胱過度活動癥%膀胱過度活動癥癥狀評分%糖尿病%流行病學%中年人
방광과도활동증%방광과도활동증증상평분%당뇨병%류행병학%중년인
Overactive bladder%Overactive bladder symptom score%Diabetes mellitus%Epidemiology%Middle-aged people
目的 了解中老年人膀胱过度活动症(OAB)的患病情况. 方法 采用多级分层随机抽样、横断面现场调查的方法,随机抽取郑州市6个社区年龄≥40岁的10 160名常住居民进行现场问卷调查,内容包括调查对象基本信息、既往史、现病史和中文版OAB症状评分(Overactive Bladder Symptom Score,OABSS)等.OAB诊断依据为OABSS中尿急≥2分且总分≥3分.用x2检验和Bonferroni法对调查结果进行分析. 结果 9805份问卷符合要求进入统计分析.调查对象年龄40 ～ 92岁[(57.9±9.7)岁],OAB总患病率为2.1％ (209/9805),其中干性OAB 1.0％(100/9805),湿性OAB 1.1％(109/9805).男性总患病率显著高于女性(2.7％和1.9％,P＜0.05).男女患病率随年龄增加不断增高.60岁前,男、女患病率差异无统计学意义(1.2％和1.4％,P ＞0.05),之后男性则高于女性(4.6％和2.6％,P ＜0.05).糖尿病患者OAB患病率明显高于非糖尿病患者(2.8％和1.9％,P ＜0.05).体质指数(BMI)≥30 kg/m2者比正常人(BMI＜ 25 kg/m2)更易患OAB(3.2％和1.8％,P ＜0.05). 结论 中老年人OAB患病率随着年龄增长不断增高,60岁以后男性OAB尤为突出,应给予特别关注.糖尿病、BMI≥30 kg/m2是OAB的高发因素.
目的 瞭解中老年人膀胱過度活動癥(OAB)的患病情況. 方法 採用多級分層隨機抽樣、橫斷麵現場調查的方法,隨機抽取鄭州市6箇社區年齡≥40歲的10 160名常住居民進行現場問捲調查,內容包括調查對象基本信息、既往史、現病史和中文版OAB癥狀評分(Overactive Bladder Symptom Score,OABSS)等.OAB診斷依據為OABSS中尿急≥2分且總分≥3分.用x2檢驗和Bonferroni法對調查結果進行分析. 結果 9805份問捲符閤要求進入統計分析.調查對象年齡40 ～ 92歲[(57.9±9.7)歲],OAB總患病率為2.1％ (209/9805),其中榦性OAB 1.0％(100/9805),濕性OAB 1.1％(109/9805).男性總患病率顯著高于女性(2.7％和1.9％,P＜0.05).男女患病率隨年齡增加不斷增高.60歲前,男、女患病率差異無統計學意義(1.2％和1.4％,P ＞0.05),之後男性則高于女性(4.6％和2.6％,P ＜0.05).糖尿病患者OAB患病率明顯高于非糖尿病患者(2.8％和1.9％,P ＜0.05).體質指數(BMI)≥30 kg/m2者比正常人(BMI＜ 25 kg/m2)更易患OAB(3.2％和1.8％,P ＜0.05). 結論 中老年人OAB患病率隨著年齡增長不斷增高,60歲以後男性OAB尤為突齣,應給予特彆關註.糖尿病、BMI≥30 kg/m2是OAB的高髮因素.
목적 료해중노년인방광과도활동증(OAB)적환병정황. 방법 채용다급분층수궤추양、횡단면현장조사적방법,수궤추취정주시6개사구년령≥40세적10 160명상주거민진행현장문권조사,내용포괄조사대상기본신식、기왕사、현병사화중문판OAB증상평분(Overactive Bladder Symptom Score,OABSS)등.OAB진단의거위OABSS중뇨급≥2분차총분≥3분.용x2검험화Bonferroni법대조사결과진행분석. 결과 9805빈문권부합요구진입통계분석.조사대상년령40 ～ 92세[(57.9±9.7)세],OAB총환병솔위2.1％ (209/9805),기중간성OAB 1.0％(100/9805),습성OAB 1.1％(109/9805).남성총환병솔현저고우녀성(2.7％화1.9％,P＜0.05).남녀환병솔수년령증가불단증고.60세전,남、녀환병솔차이무통계학의의(1.2％화1.4％,P ＞0.05),지후남성칙고우녀성(4.6％화2.6％,P ＜0.05).당뇨병환자OAB환병솔명현고우비당뇨병환자(2.8％화1.9％,P ＜0.05).체질지수(BMI)≥30 kg/m2자비정상인(BMI＜ 25 kg/m2)경역환OAB(3.2％화1.8％,P ＜0.05). 결론 중노년인OAB환병솔수착년령증장불단증고,60세이후남성OAB우위돌출,응급여특별관주.당뇨병、BMI≥30 kg/m2시OAB적고발인소.
Objective To study the prevalence,risk factors of overactive bladder (OAB) in middle-aged and senior residents in Zhengzhou China.Methods A randomized,community-based,crosssectional study was performed on 10 160 residents aged 40 or older in urban area of Zhengzhou by using a stratified system sampling approach.A questionnaire including the subjects' basic information,previous history,present history,the Chinese overactive bladder symptom score (OABSS) was filled on site.The diagnostic criteria for OAB was 'an urgency score for Question 3 of 2 or more,and an OABSS of 3 or more'.Chisquare test was used to determine the differences of prevalence between genders,age groups,BMI and people with and without diabetes mellitus (DM).A pairwise comparison was conducted between different age,BMI group by using Bonferroni method.Results A total of 10 160 residents were investigated and finally 9805 (96.5％) were qualified for final statistical analysis.The mean age was (57.9 ± 9.7) years.The overall prevalence of OAB was 2.1％ (209/9805),of which,with OABdry 1.0％,and OABwet 1.1％.Male subjects were more likely suffered from OAB than female,with 2.7％ (84/3129) versus 1.9％ (125/6676).The prevalence of OAB in both male and female increased with age.There was no significant difference in the prevalence of male and female before the age of 60 years (1.2％ versus 1.4％,P ＞ 0.05) and more common in men than in women after the age of 60 years (4.6％ versus 2.6％,P ＜ 0.05).The prevalence of the subjects with DM was significantly higher than those without DM (P ＜ 0.05).The subjects with BMIs of 30 or more were nore likely to have OAB (3.2％ versus 1.8％,P ＜ 0.05).Conclusions The prevalence of OAB increases with advancing age.The prevalence of male is higher than female after the age of 60 years.The diabetics and obese people are more likely to have OAB.
