广州城镇退休职工良性前列腺增生症诊疗状况调查

Survey report of diagnosis and treatment status for benign prostatic hyperplasia in Guangzhou retired workers

目的为了解当前广州城镇退休职工良性前列腺增生症发病状况，更好的为治疗宣教作指导。方法结合国内外文献，用我科自制的良性前列腺增生症知识调查表，对荔湾区城镇退休职工BPH诊疗状况进行调查。结果发出调查问卷80份，收回有效问卷73份。前列腺症状评分在0．7分有14人，8～19分39人，20～35分20人。中到重度的评分患者中只有44．1％接受治疗，且皆有家人经济缓助。受访人群中26人合并高血压，19人合并糖尿病，其中7人同时合并高血压、糖尿病。结论城镇退休职工良性前列腺增生症发病率高，但就诊率低。可能与BPH的健康宣教落后，政府医保门慢政策未倾斜，患者负担重等因素有关系。因而加强BPH的健康宣教及医疗投入显得尤为重要。

Objective To understand diagnosis and treatment status of benign prostatic hyperplasia （BPH） in Guangzhou urban retired workers. Methods Investigated diagnosis and treatment status of BPH in retired workers from Liwan District with self-designed BPH knowledge questionnaire, analyzed the results combined with literature research. Results We gave out 80 questionnaires, and withdrew 73 valid questionnaires. There were 14 persons whose international prostate symptom score （IPSS） were in 0-7, 39 persons in 8-19, 20 persons in 20-35. Only 44.1% of patients with moderate to severe IPSS received treatment, with family economic aid. There were 26 cases of hypertension, 19 cases of diabetes, 7 cases of hypertension combined with diabetes. Conclusions Retired workers have a high morbidity in BPH and a low attendance rate, which may be associated with insufficient BPH health education and government health insurance, heavy economic burden of patients. Therefore, it is particularly important to strengthen health education and health finance on BPH.