慢性前列腺炎症状评分表临床应用及分析

Chronic Prostatitis Symptom Index of Chinese

目的 :摸索建立适合中国人的慢性前列腺炎症状评分问卷 ,探讨其临床应用价值。 方法 :建立包括疼痛症状、排尿症状、其他症状 3个方面共计 18个症状的问卷。对 10 0例慢性前列腺炎病人、10 0例对照组 (BPH 4 0例 ,不育症 30例 ,勃起功能障碍 30例 )分别填写评分问卷。 结果 :通过评分问卷分析 ,疼痛症状仍然是慢性前列腺炎的主要症状 ,其中下腰痛和下腹痛发生率虽高 ,但特异性差 ;排尿症状发生率也很普遍 ;其他症状中腰酸特异性差。通过分析 ,进行修改 ,建立包含 3个方面共 12个问题的慢性前列腺炎症状评分问卷 :疼痛症状 (5个问题 ) ,排尿症状 (5个问题 ) ,其他症状 (2个问题 )。 结论 :本文建立的慢性前列腺炎症状评分问卷可作为病情 ,疗效评估及科研工作的简便、有效的工具 ,具有良好的临床实用性 ;并可方便病人自我监测病情 。

Objectives: To establish the chronic prostatitis symptom index which more suitable for Chinese to refine and standardize evaluation of current symptoms in men with 'chronic prostatitis'. Methods: The literature of previous work was reviewed to develop a symptom index instrument. There were18 questions representing three broad categories: pain symptoms, urinary symptoms and other symptoms. To evaluate the clinical utility and applicability for Chinese people of this tool,we used it in 100 patients with chronic prostatitis and 100 control patients (40 with benign prostatic hyperplasia, BPH; 30 with infertility; 30 with erectile dysfunction). Results: Of the three aspects symptoms, the primary component was pain. But pain in lower back and lower abdomen had less specificity. Pain in the rectal area was not very common but it could well distinguish patients with prostatitis from those BPH, infertility and ED. Urinary symptoms were also common. We used 5 symptom questions in urinary aspect in the last version of this index. In other symptoms,we dropped the question of uncomfortable of waist and back at last. It could not distinguish patients with prostatitis from those infertility and erectile dysfunction. Finally we analyzed the result and modified the new version of chronic prostatitis symptom index. It included 5 pain symptom questions, 5 urinary symptom questions and 2 other symptom questions. There are 12 questions in total. Conclusions: The chronic prostatitis symptom index we developed was validated and useful in clinical practice as well as research protocols. Moreover, it was more suitable for Chinese people.