浙江省长兴县良性前列腺增生患者下尿路症状的特征分析.docVIP

浙江省长兴县良性前列腺增生患者下尿路症状的特征 分析 【摘要】日的：对浙江省长兴县良性前列腺增生患者下尿路症状的 特征进行研究分析。方法：选择2009年3月至2013年9月良性前列腺增 生患者2100例作为研究对象，患者年龄介于47?81岁之间。将47~64 岁年龄段患者设为対照组，将64?81岁年龄段患者设为观察组，两组各 1050例。通过IPSS （国际前列腺症状）评分量表对两组评分，并观察两 组患者LUTS （下尿路症状）的严重程度，同时观察LUTS的严重程度和TPSS 评分、患者年龄、最大尿流率以及前列腺体积Z间的联系，并分析与LUTS 严重程度的相关因素。患者均通过口服西药坦索洛新胶囊与中药汤剂进行 治疗，疗程结束后观察治疗效果。结果：两组年龄及IPSS评分比较，差 异均冇统计学意义（P〈005）。观察组患者的LUTS屮重度比例764%大于对 照组患者的LUTS中重度比例420%,差异均有统计学意义（P001）o中重 度LUTS患者在IPSS评分高、患者年龄、前列腺体积方面均高于轻度LUTS 患者，差异均有统计学意义（P001~005）o中重度LUTS患者最大尿流率 低于轻度LUTS患者，差异均有统计学意义（P001）o患者经过中西结合 治疗，IPSS评分显著降低、最大尿流率加快、前列腺体积缩小以及Q0L评 分降低，差异显著（P〈005）。结论：良性前列腺增生患者普遍存在下尿路 症状，患者病情的严重程度与年龄、不良习惯存在紧密的联系,因此老年 良性前列腺增生患者需要养成良好的生活习惯防止疾病的恶化。患者经中 西医结合治疗后症状得到显著改善、生活质量得到明显的提高。 【关键词】长兴县；良性前列腺增生；下尿路症状；特征分析；坦索 洛新胶囊；屮药 [Abstract】Objectives： To analyze the characteristics of lower urinary tract symptoms in patients with benign prostatic hyperplasia in Changxing county of Zhejiang province. Methods： 2100 patients with benign prostatic hyperplasia from March 2009 to September 2013 were selected and the age of them ranged from 47-81 years ol d. Patie nts bet wee n 47 and 64 years ol d were con trol group, and the 64-81 years old group was the observation group with 1050 cases in each group. The IPSS Rati ng Scale score of two groups were observed as well as the relati on ship among the severity of LUTS and LUTS, patients age, IPSS score, maximum urinary f1ow rate and volume of the prostate. The related factors of the severity of LUTS were analyzed? Patients were all treated by oral administration of western medicine tamsulosin capsules and the decoction of Chinese medicine to observe the therapeutic effect after the treatment. Results: With respect to Age and IPSS scores, the difference between two groups was statistically significant (P [Key words ] Changxing county； Benign prostatic hyperplasia； Lower urinary tract symptoms； Feature analysis； Tamsulosin capsules； Traditional Chinese medicine 【中图分类号】R697+.3【文献标志码】A 良性前列腺增生为男性泌尿科中十分普遍的疾病，下尿路症状(LUTS) 是良性前列腺增生患者的