全国良性前列腺增生健康教育工程患者问卷调查初步分析

Understanding Chinese patients attitude towards BPH and BPH treatment： result of Prostate Health Educational Programmer study

目的了解我国BPH患者临床特点及患者对BPH的认识现状、治疗要求等状况。方法2006—2007年采用自行设计开发的中老年男性前列腺健康问卷对已确诊的BPH患者进行调查。调查内容包括就诊原因、经常就诊的医疗机构、接受治疗的愿望以及IPSS评分等。接受调查患者3560例，其中2878份（80．8％）问卷填写完整。结果2878份合格问卷分析结果显示，患者就诊时具有中、重度BPH症状者占86．0％；就诊主要原因依次为尿频、憋尿困难等刺激性症状者占64．1％，排尿不畅等梗阻性症状者占41．7％，单位或个人体检查出者占41．0％，担心患前列腺癌者占14．5％；患者因前列腺疾病就诊于三级医院者占53．2％，二级医院者占24．3％，社区医院占17．2％；患者能够正确认识BPH为老年慢性进行性疾病者占69．1％；困扰患者生活最明显的LUTS为夜尿，其后依次为尿频、尿线中断、尿流细弱、憋尿困难、尿不尽、排尿费力；患者认为BPH治疗目标是恢复排尿通畅者占87．4％；治疗过程中最担心的问题是排尿症状无改善者占51．3％。结论BPH患者大多能正确认识BPH，但对BPH临床进展带来的远期并发症尚缺乏关注；以夜尿为代表的刺激症状是促使患者就诊和影响患者生活质量的主要原因；迅速改善LUTS，尤其是刺激性症状是BPH患者最关注的治疗目标。

Objective To assess the clinical characteristics of benign prostatic hyperplasia （BPH） patients and patients＇s attitude towards BPH and BPH therapy. Methods The questionnaires were distributed to 3560 BPH patients throughout the country during the period of Prostate Health Educational Programmer （PHELP）. The survey was mainly focused on the questions of patient understanding toward BPH, the preference of treatment and international prostate score scale. Results The evaluations based on 2878 completed patient＇s questionnaires showed that 86.0% of pa tients were diagnosed with moderate or severe low urinary tract syndrome. The main reasons for seek treatment was irritative symptoms （64. 1%）, obstructive symptoms （41. 7%）, physical checkup （41.0%）, worry about prostate cancer（14.5%）. Most of patients sought treatment from big hospitals. Most of patients （69.1%） had right understanding towards BPH. Nocturia was the most bothersome of lower urinary tract symptoms（LUTS） suggestive of BPH. Rapid LUTS improvement was the patient＇s main objective （87.4%）. Conclusions Chinese patients did not recognize the complications of BPH progression. Irritative symptoms are the main reasons for seek treatment. Nocturia is most bothersome syndrome, which deteriorates quality of life mostly.