中老年男性下尿路症状的流行病学调查

An epidemiological survey of lower urinary tract symtoms in middle and old age males

为了了解下尿路症状在中、老年男性中的流行情况，用附加了二个症状问题的ＳＬ问卷对８７１名５２～７４岁的男子作回顾性调查，对调查结果作了年龄分组分析。结果发现：平均ＩＰＳＳ总分为４．９３分，无症状者为１２．２％，轻症者为６４．７％，中度症状者为１９．６％，重症者为３．５％。夜尿者占７２．３％，尿终滴沥占５４．４％，而症状中分值＞３分者尿终滴沥占２５．６％，夜尿占１４．６％，平均ＱＯＬ为１．７４，ＱＯＬ为０～２、３、４～６的比例分别为５２．７％、４６．０％、１．３％。ＱＯＬ与ＩＰＳＳ的相关性较好（ｒ＝０．６２），与梗阻症状群的相关性（ｒ＝０．５７）优于与刺激症状的相关性（ｒ＝０．４４）。中重度症状者中有７２．０％的人未进行治疗。

A questionaire of international prostate symptom score (IPSS) with 2 additional subjective symptoms was collected from 871 men aged between 52 and 74 .The mean total score has been 4.93 points.12.2% of the subjects have been symptom free ,64.7% with slight symtoms ,19.6% with moderate symptoms and 3.5% with severe subjective symptoms,nocturia and dribbling being the 2 main symptoms in order.The mean QOL was 1.74% points ,52.7% of them being 0～2,46.0% being 3 and 1.3% being 4～6 points.The correlation between IPSS and QOL was quite evident ( r =0.62).The correlation between QOL and obstruction symptoms ( r =0.57) was more obvious than that between QOL and irritative symptoms( r = 0.44 ).72.0% subjects with moderate or severe symptoms ,however,did not ask for medical care.