CAJ | 학술논문

目的了解中国主要城市泌尿外科门诊良性前列腺增生(BPH)患者下尿路症状(LUTS)的诊断及治疗现状.方法 2011年10-12月对全国14个城市的57家医院泌尿外科门诊进行调查.对在调查时间内前来泌尿外科就诊的全部男性患者进行LUTS/BPH病史询问后,对存在LUTS症状的患者进行详细的问卷调查.结果调查期间,共有6 200例男性患者就诊,其中2 940例(47.4％)有LUTS/BPH病史.40岁以下的LUTS患者占30.0％(882例),60岁以下的占60.0％(1 764例);尿频(72.0％)、尿急(53.0％)、夜尿(48.0％)是患者就诊的主要原因,71 ～ 80岁患者因为夜尿就诊的比例为63.0％,高于61 ～ 70岁组的52.0％和51 ～ 60岁组的49.0％;国际前列腺症状评分(IPSS评分)总平均分14.98(6 ～35)分,患者中59.0％为中度症状,26.0％为重度症状;生命质量评分(QOL评分)平均4.12(1 ～6)分;膀胱过度活动症评分(OABSS)平均5.78(3 ～15)分,患者中56.0％为中度膀胱过度活动症(OAB),3.0％为重度OAB;患者最常接受的检查是尿常规检查,极少数出现异常.本组资料中产生LUTS的具体疾病:引起下尿路症状OAB(25.2％)、BPH伴OAB(20.4％)、BPH(20.2％)、前列腺炎(20.2％)、泌尿系感染(11.8％).结论 LUTS/BPH是泌尿外科门诊的常见病,发生率呈逐年增长趋势,临床应用的检查及药物治疗方案应根据病因及时调整,同时应加大患者宣教的力度.
목적 료해중국주요성시비뇨외과문진량성전렬선증생(BPH)환자하뇨로증상(LUTS)적진단급치료현상.방법 2011년10-12월대전국14개성시적57가의원비뇨외과문진진행조사.대재조사시간내전래비뇨외과취진적전부남성환자진행LUTS/BPH병사순문후,대존재LUTS증상적환자진행상세적문권조사.결과 조사기간,공유6 200례남성환자취진,기중2 940례(47.4％)유LUTS/BPH병사.40세이하적LUTS환자점30.0％(882례),60세이하적점60.0％(1 764례);뇨빈(72.0％)、뇨급(53.0％)、야뇨(48.0％)시환자취진적주요원인,71 ～ 80세환자인위야뇨취진적비례위63.0％,고우61 ～ 70세조적52.0％화51 ～ 60세조적49.0％;국제전렬선증상평분(IPSS평분)총평균분14.98(6 ～35)분,환자중59.0％위중도증상,26.0％위중도증상;생명질량평분(QOL평분)평균4.12(1 ～6)분;방광과도활동증평분(OABSS)평균5.78(3 ～15)분,환자중56.0％위중도방광과도활동증(OAB),3.0％위중도OAB;환자최상접수적검사시뇨상규검사,겁소수출현이상.본조자료중산생LUTS적구체질병:인기하뇨로증상OAB(25.2％)、BPH반OAB(20.4％)、BPH(20.2％)、전렬선염(20.2％)、비뇨계감염(11.8％).결론 LUTS/BPH시비뇨외과문진적상견병,발생솔정축년증장추세,림상응용적검사급약물치료방안응근거병인급시조정,동시응가대환자선교적력도.
Objective To evaluate the diagnostic and therapeutic status of lower urinary tract symptoms (LUTS) of benign prostatic hyperplasia (BPH) in urological outpatients.Methods The survey was conducted at 57 urological clinics in 14 cities during the period of October-December 2011.All surveyed male outpatients were inquired about whether there was a history of LUTS/BPH or not.Then eligible patients received a more detailed questionnaire for LUTS.Results Among a total of 6 200 male outpatients,47.4％ (n =2 940) had a history of LUTS/BPH.The rate for LUTS was 30.0％ (n =882) in patients aged under 40 years and 60.0％ (n =1 764) in those aged over 60 years.The major complains included frequency (72.0％),urgency (53.0％) and nocturia (48.0％).At a rate of 63.0％,the patients aged 71-80 years came more to a hospital for nocturia than 61-70 years (52.0％) and 51-60 years (49.0％).The average International Prostate Symptom Score (IPSS) was 14.98 (6-35) and 59.0％ patients had moderate symptoms and 26.0％ severe symptoms.The average score of quality-of-life was 4.12 (1-6) points.And the average overactive bladder symptom score (OABSS) was 5.78 (3-15) points and 56.0％ patients had moderate overactive bladder (OAB) and 3.0％ severe OAB.Urinalysis was largely normal.The main causes for LUTS included OAB (25.2％),BPH and OAB (20.4％),BPH (20.2％),prostatis (20.2％) and urinary infection (11.8％).Conclusions LUTS and BPH are common in urological outpatients.And the incidence is rising yearly.Clinical examinations and drug regimens should be timely adjusted according to the etiology.And patient education should be strengthened at the same time.