门诊就诊的良性前列腺增生患者下尿路症状调查及特点分析

发布时间：2018-05-25 01:29

本文选题：良性前列腺增生 + 下尿路症状　；参考：《山西医科大学》2017年硕士论文

【摘要】：目的:了解吕梁市人民医院泌尿外科门诊就诊的良性前列腺增生(BPH)患者下尿路症状(LUTS)的特征、分布及严重程度。方法:对2016年04-10月份期间在吕梁市人民医院泌尿外科门诊就诊的50岁以上的在临床上确诊为BPH且愿意接受调查的男性患者进行相关检查及下尿路症状问卷调查。问卷调查包括国际前列腺症状评分(IPSS评分)和生活质量评分(QOL评分)。结果:478例BPH患者中51-60、61-70、71-80、80岁各年龄组例数分别为77(16.11%)、129(26.98%)、154(32.22%)、118(24.69%)。前列腺平均体积为38.06±13.78ml,51-60、61-70、71-80、80岁各年龄组前列腺平均体积分别为32.1±9.476ml、34.89±14.83ml、39.94±12.70ml、42.90±14.21ml,各年龄组见前列腺体积差别有统计学意义(P0.05),且随年龄组的增长前列腺体积增大。478名BPH患者中中、重度LUTS症状患者共432例,占总数的91.38%。51-60、61-70、71-80、80岁年龄组患者中中、重度LUTS症状例数分别为62(82.82%)、113(87.60%)、145(94.16%)、111(94.07%)。QOL评分平均4.20±1.39,不太满意、苦恼、很糟(QOL评分为4、5、6分)的患者共352例,占总数的73.64%。478名BPH患者中以急性尿潴留就诊者共76例,占BPH患者的15.90%,51-60、61-70、71-80、80岁各年龄组例数分别为5(6.58%)、17(22.37%)、26(34.21%)、28(36.84%)。各年龄段急性尿潴留发生率之间的差别有统计学意义(P0.05),且年龄越高尿潴留发生率越高。结论:BPH)患者在泌尿外科门诊患者中所占比例很高,其中中、重度LUTS症状的患者所占的比例很高,生活质量较差,反应出了当地BPH患者就诊意识差、就诊时间晚。需要对中老年BPH/LUTS患者进行健康普查和宣教,提高患者就诊意识,早做临床干预,提高患者生活质量。
[Abstract]:Objective: to investigate the characteristics, distribution and severity of lower urinary tract symptoms (LUTS) in patients with benign prostatic hyperplasia (BPH) in Urology outpatient of Luliang people's Hospital. Methods: from April to October 2016, the male patients over 50 years old who had been diagnosed with BPH in clinic and were willing to be investigated were examined and the lower urinary tract symptoms were investigated in the Urology Clinic of Luliang people's Hospital from April to October 2016. The questionnaire included International Prostate symptom scale (IPSS) and quality of Life score (QOL). Results among the 478 cases of BPH, the number of patients aged 51-6061-7071-80 and 80 years old were 77 ~ 16.11 and 129-26.98, respectively. The mean volume of prostate was 38.06 卤13.78ml / 51-6061-7071-80 and 32.1 卤9.476ml / d 34.89 卤14.83ml respectively. The difference of prostate volume between different age groups was statistically significant (P0.05N), and the prostate volume increased with the increase of prostate volume in the age group (.478 patients), and the mean volume of prostate was 39.94 卤12.70 ml / d (42.90 卤14.21 ml) in each age group, and the prostatic volume increased with the increase of prostatic volume in the age group (P < 0.05), and the mean volume of prostate was significantly higher than that in the control group (P < 0.05). There were 432 patients with severe LUTS symptoms, accounting for 91.38.51-600.61-7071-80 years of age. The number of patients with severe LUTS symptoms was 6222.822n 117.60. The average score was 4.20 卤1.39. 352 patients were not satisfied, distressed, and had a very bad QOL score of 45, 6). Of the 73.64.478 BPH patients, 76 were diagnosed with acute urinary retention, accounting for 15.90% of the patients with BPH. The number of patients aged 71-80 years old was 56.58%. The number of patients with acute urinary retention was 176.58%, 2634.21% and 2836.84%, respectively. There were significant differences in the incidence of acute urinary retention among different age groups (P 0.05), and the higher the age, the higher the incidence of urinary retention. Conclusion the proportion of LUTS patients in urological outpatients is very high, among them, the proportion of patients with severe LUTS symptoms is very high, the quality of life is poor, which reflects the poor consciousness of local BPH patients and the late visit time. It is necessary to carry out general health survey and education for middle and old age patients with BPH/LUTS, improve their consciousness of seeing doctors, make early clinical intervention, and improve their quality of life.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R697.3

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