广州医药
廣州醫藥
엄주의약
Guangzhou Medical Journal
2015年
5期
25-28
,共4页
杨文俊%谢克基%汤平%欧汝彪%邓向荣%王斌%韦兴华
楊文俊%謝剋基%湯平%歐汝彪%鄧嚮榮%王斌%韋興華
양문준%사극기%탕평%구여표%산향영%왕빈%위흥화
膀胱过度活动症%慢性前列腺炎%诊断%重叠
膀胱過度活動癥%慢性前列腺炎%診斷%重疊
방광과도활동증%만성전렬선염%진단%중첩
Overactive Bladder%Chronic Prostatitis%Diagnosis%Overlap
目的:探讨OAB与CP/CPPS的症状及诊断的重叠情况,为临床诊疗提供参考。方法151例中青年男性患者入选为研究对象,按 OAB 及 CP/CPPS 的定义及诊断标准将其分为 OAB 组、CP/CPPS 组及 OAB +CP/CPPS组,并对 OAB +CP/CPPS 组进行诊断性治疗对研究对象进行明确诊断;根据年龄分为:18~25岁组、26~35岁组和36~49岁组,比较各年龄组患者 OAB 及 CP/CPPS 的重叠情况;对各组患者的临床症状进行分析比较,了解其重叠情况。结果在151例研究对象中,可诊断为 OAB、CP/CPPS、OAB +CP/CPPS 的分别有62例(41.06%)、32例(21.19%)、57例(37.75%),因此 OAB 与 CP/CPPS 的诊断重叠率为37.75%,明显大于 CP/CPPS 患者的诊断率;各年龄组间诊断重叠率无差异(P >0.05);症状的重叠方面,OAB +CP/CPPS 组有尿急、尿频、夜尿症、急迫性尿失禁、尿不尽感、排尿困难、泌尿生殖系疼痛和或不适症状的分别为57例(100.00%)、50例(87.72%)、21例(36.84%)、2例(3.51%)、12例(21.05%)、2例(3.51%)、57例(100.00%),其中,尿急、尿频及泌尿生殖系疼痛或不适症状的重叠率最高;OAB +CP/CPPS 组经诊断性治疗后诊断为 OAB 患者约61.40%,而 CP/CPPS 患者为38.60%。结论OAB 与 CP/CPPS 两者间有相当高的重叠率且远高于 CP/CPPS 的诊断率,在 OAB 与 CP/CPPS 两者诊断重叠的患者中为 OAB 的可能性更大。
目的:探討OAB與CP/CPPS的癥狀及診斷的重疊情況,為臨床診療提供參攷。方法151例中青年男性患者入選為研究對象,按 OAB 及 CP/CPPS 的定義及診斷標準將其分為 OAB 組、CP/CPPS 組及 OAB +CP/CPPS組,併對 OAB +CP/CPPS 組進行診斷性治療對研究對象進行明確診斷;根據年齡分為:18~25歲組、26~35歲組和36~49歲組,比較各年齡組患者 OAB 及 CP/CPPS 的重疊情況;對各組患者的臨床癥狀進行分析比較,瞭解其重疊情況。結果在151例研究對象中,可診斷為 OAB、CP/CPPS、OAB +CP/CPPS 的分彆有62例(41.06%)、32例(21.19%)、57例(37.75%),因此 OAB 與 CP/CPPS 的診斷重疊率為37.75%,明顯大于 CP/CPPS 患者的診斷率;各年齡組間診斷重疊率無差異(P >0.05);癥狀的重疊方麵,OAB +CP/CPPS 組有尿急、尿頻、夜尿癥、急迫性尿失禁、尿不儘感、排尿睏難、泌尿生殖繫疼痛和或不適癥狀的分彆為57例(100.00%)、50例(87.72%)、21例(36.84%)、2例(3.51%)、12例(21.05%)、2例(3.51%)、57例(100.00%),其中,尿急、尿頻及泌尿生殖繫疼痛或不適癥狀的重疊率最高;OAB +CP/CPPS 組經診斷性治療後診斷為 OAB 患者約61.40%,而 CP/CPPS 患者為38.60%。結論OAB 與 CP/CPPS 兩者間有相噹高的重疊率且遠高于 CP/CPPS 的診斷率,在 OAB 與 CP/CPPS 兩者診斷重疊的患者中為 OAB 的可能性更大。
목적:탐토OAB여CP/CPPS적증상급진단적중첩정황,위림상진료제공삼고。방법151례중청년남성환자입선위연구대상,안 OAB 급 CP/CPPS 적정의급진단표준장기분위 OAB 조、CP/CPPS 조급 OAB +CP/CPPS조,병대 OAB +CP/CPPS 조진행진단성치료대연구대상진행명학진단;근거년령분위:18~25세조、26~35세조화36~49세조,비교각년령조환자 OAB 급 CP/CPPS 적중첩정황;대각조환자적림상증상진행분석비교,료해기중첩정황。결과재151례연구대상중,가진단위 OAB、CP/CPPS、OAB +CP/CPPS 적분별유62례(41.06%)、32례(21.19%)、57례(37.75%),인차 OAB 여 CP/CPPS 적진단중첩솔위37.75%,명현대우 CP/CPPS 환자적진단솔;각년령조간진단중첩솔무차이(P >0.05);증상적중첩방면,OAB +CP/CPPS 조유뇨급、뇨빈、야뇨증、급박성뇨실금、뇨불진감、배뇨곤난、비뇨생식계동통화혹불괄증상적분별위57례(100.00%)、50례(87.72%)、21례(36.84%)、2례(3.51%)、12례(21.05%)、2례(3.51%)、57례(100.00%),기중,뇨급、뇨빈급비뇨생식계동통혹불괄증상적중첩솔최고;OAB +CP/CPPS 조경진단성치료후진단위 OAB 환자약61.40%,이 CP/CPPS 환자위38.60%。결론OAB 여 CP/CPPS 량자간유상당고적중첩솔차원고우 CP/CPPS 적진단솔,재 OAB 여 CP/CPPS 량자진단중첩적환자중위 OAB 적가능성경대。
Objective To explore symptoms and diagnosis of overlap between OAB and CP/CPPS,providing reference for clinical treatment. Methods 151 cases of young men were enrolled in the study.According to the definition and diagnostic criteria of OAB and CP/CPPS,we divided the study subjects into OAB group,CP/CPPS group and OAB +CP/CPPS group.And OAB +CP/CPPS group would get a two-week diagnostic treatment to study a clear diagnosis.We also divided the subjects into 18-25 age group,26-35 year-old age group and 36-49 group according to the age,comparing the overlap of OAB and CP/CPPS in different age groups.The symptoms of the subjects in each group were analyzed to compare and study the overlap. Results A-mong these 151 cases,62 cases (41.06%)can be diagnosed as OAB,32 cases (21.19%)as CP/CPPS,57 cases (37.75%) as OAB +CP/CPPS.Therefore,OAB and CP/CPPS diagnostic overlap was 37.75%,significantly higher than the diagnosis of CP/CPPS patients;no significant difference (P >0.05)among all age groups diagnostic overlap rate;overlapping terms of symp-toms,OAB +CP/CPPS group urgency,urinary frequency,nocturia,urgency incontinence,urine not the flu,difficulty urina-ting,or genitourinary pain and discomfort were 57 cases (100.00%),50 cases (87.72%),21 cases (36.84%),2 cases (3.51%),12 cases (21.05%),2 cases (3.51%),57 patients (100.00%),which overlap ratio urgency,frequency,and genitourinary pain or discomfort was high;OAB +CP/CPPS group after diagnosis diagnostic treatment of OAB patients was about 61.40%,while CP/CPPS patients was 38.60%. Conclusion There is high overlap rate between OAB and CP/CPPS,which is much higher than the diagnostic rate of CP/CPPS.It is likely to have an OAB when a patient is diagnosed as OAB or CP/CPPS at the same time.