青年人群中前列腺炎样症状及其相关因素的调查

Prevalence and Related Factors of Prostatitis-Like Symptoms in Young Men

目的：了解青年人群中前列腺炎样症状发病情况；研究与前列腺炎样症状有关的危险因素。方法：应用NIH-CPSI和自行设计的前列腺炎相关因素问卷对潍坊市潍城区2500例青年男性（年龄18～30岁）进行调查，收集相关信息，进行病例对照研究，筛选前列腺炎样症状发生的危险因素。结果：共回收问卷2382份，其中2125份填写完整。128例（6．02％）被确认有前列腺炎样症状，疼痛症状评分（6．98±0．29）分，排尿症状评分（3．77±0．25）分，其中39例有中一重度前列腺炎样症状。相关因素中久坐习惯、憋尿习惯、生活或工作中经常感巨大压力、频繁手淫、寒冷的工作环境等可能是前列腺炎样症状发生的危险因素。结论：青年人群中前列腺炎样症状常见，一些内在因素和环境因素可能是前列腺炎样症状发生的危险因素，指导患者改变不良生活习惯，避免相关危险因素，对预防和减少前列腺炎发作是有益的。

Objective： To investigate the prevalence and related factors of prostatitis-like symptoms among young men. Methods： The study was a cross-sectional survey of 2 500 young men aged 18-30 years in the city of Weifang, and all of them completed a ques- tionnaire on prostatitis. The univariate and multivariate logistic regression procedures were used to investigate the risk factors among the young men with chronic prostatitis-like symptoms. Results： The valid response rate was 85% （n = 2 125）. of the 128 subjects （6. 02% ） identified as having chronic prostatitis-like symptoms, the mean age was 21.8 years, the average pain score was 6.98±0.29, and the average voiding score was 3.77 ± 0.25. Of the sampled population, 39 men had prostatitis-like symptoms with an index pain score of 8 or more. Significant risk factors include frequent masturbation, prolonged sitting, long-time fixed posture, cold environment, stress at home and work. Conclusion ： The study suggested that chronic prostatitis-like symptoms are common among young men, and the urethritis history, frequent masturbation, prolonged sitting, long-time urine holding, cold environment, and stress at home and work might be significant risk factors.