对129名慢性前列腺炎患者症状差异的调查和原因分析

Analysis on the symptom discrepancies in 129 patients with chronic prostatitis

目的:调查不同发病危险因素下慢性前列腺炎患者的症状差异。方法:建立以NIH-CPSI为基础的症状问卷,加入对慢性前列腺炎发病危险因素的调查;我们在一个网上论坛“前列腺炎患者自助中心”对慢性前列腺炎患者投放问卷,经电子邮件回收。将筛选后的129份问卷按照发病危险因素不同分为3组进行症状差异分析。结果:三个症状群的出现率在三组间有较明显的差异:会阴／肛门坠胀(P1,2<0．05;P1．3<0．05)、尿道内刺痒／刺痛(P1．2<0．005;P1,3<0．005)和尿频／尿急／尿不尽／排尿无力(P1.2=0．069;P1.3=0．052)。结论:不同发病危险因素下的前列腺炎患者在一些症状上存在差异,考察这些差异与其相应危险因素(如频繁射精)的关系将为该病的病因学研究提供线索。

Objective： To analyze the symptom discrepancies of chronic prostatitis under different risk factors. Methods： The questionnaires were made by combining a series of modified questions on the basis of NIH - CPSI with other four carefully designed questions oriented to trace the risk factors of chronic prostatitis. The questionnaires were published on a cyber - forum named “help center of prostatitis” and the answers were collected by e - mails from the patients. The validated answers were catalogued into three groups according to the risk factors they were undertaken. Results ： Three symptom groups were within or around the margin of statistically - significant line, which were“Discomfort in （around） the Perineum and anus region” （which can not be explained as pain） （P1.2 〈 0.05; P1.3 〈 0. 05 ） ; “Itching or pain within the urethra （ P1.2 〈 0. 005 ; P1.3 〈 0. 005 ） ”and“ Voiding symptoms” （ P1.2 = 0. 069 ; P1.3= 0. 052 ）. Conclusion： Patients under different risk factors display different symptoms. Moreover, those distinctive symptoms together with their corresponding risk factors （ etc. frequent ejaculation） give us a clue to trace the true origin of this disease.