浙江省湖州市男性膀胱过度活动症的流行病学调查

Epidemiological investigation on the prevalence of bladder hyperactivity in Huzhou,Zhejiang province

目的：探讨浙江省湖州市男性膀胱过度活动症的患病情况。方法选择浙江省湖州市年龄＞50岁的常住男性居民1872例作为研究对象，调查当地中老年男性人群膀胱过度活动症的患病率。探讨膀胱过度活动症与年龄、IPSS 评分、体质量指数、糖尿病之间的关系。结果1872例研究对象中，资料完整且符合该次研究要求的共1863例。1863例研究对象中，505例患有膀胱过度活动症，膀胱过度活动症的患病率为27．1％。膀胱过度活动症患者的国际前列腺症状评分（IPSS）（17．9±177;8．1）分、前列腺体积（36．6±177;18．5）mL、生命质量（QOL）评分（3．6±177;1．1）分、残余尿量（26．9±177;3．5）mL，均高于非膀胱过度活动症患者的IPSS 评分（7．3±177;3．2）分、前列腺体积（28．1±177;16．8）mL、QOL 评分（2．3±177;1．3）分、残余尿量（14．3±177;1．8）mL，差异均有统计学意义（t ＝7．277、2．406、5．910、19．814，P ＜0．01～0．05）。膀胱过度活动症患者的 Qmax （12．6±177;6．3）mL／s，低于非膀胱过度活动症患者的 Qmax（17．1±177;7．4）mL／s，差异有统计学意义（t ＝3．577，P ＜0．01）。随着男性人群年龄的上升，膀胱过度活动症的患病率不断提高。随着 IPSS 评分的上升，膀胱过度活动症的患病率不断升高。糖尿病、体质量指数越高的人群，膀胱过度活动症的患病率也越高。结论浙江省湖州市男性人群膀胱过度活动症的患病率较高，年龄高、下尿路症状严重、糖尿病、肥胖人群是膀胱过度活动症发病的危险因素。

Objective To investigate the prevalence of bladder hyperactivity in Huzhou city,Zhejiang prov-ince.Methods 1 872 patients aged over 50 years old male residents were selected as research subjects in Huzhou. To investigate the prevalence of bladder hyperactivity in the elderly male population in the local area.The correlation between age,IPSS score,body mass index,diabetes and the bladder was investigated.Results In 1 872 cases,the data were complete and in accordance with the requirements of this study were 1 863 cases.1 863 cases,505 patients with bladder hyperactivity,bladder disease prevalence was 27.1%.Bladder hyperactivity patients with IPSS score （17.9 ±177;8.1 ）points,prostate volume （36.6 ±177;18.5 ）mL,QOL score （3.6 ±177;1.1 ）points,residual urine volume （26.9 ±177;3.5 ）mL in the bladder,were higher than those with non bladder hyperactivity,IPSS score （3.2 ±177; 16.8）points,prostate volume （28.1 ±177;1.3）mL,QOL score （2.3 ±177;1.8）points,the differences were statistically sig-nificant （t =7.277,5.910,19.814,2.406,P ＆lt;0.01 -0.05）.Qmax（12.6 ±177;6.3）mL/s in the patients with bladder hyperactivity was significantly lower than Qmax（17.1 ±177;7.4）mL/s of non bladder hyperactivity,and the difference was statistically significant （t =3.577,P ＆lt;0.01）.With the increasing age of male population,the prevalence of blad-der diseases was increased.With the increase of IPSS score,the incidence rate of bladder excessive activity increased. Diabetes,higher body mass index,the incidence of bladder excessive activity was higher.Conclusion Men with blad-der hyperactivity disorder has higher prevalence in Huzhou city,Zhejiang province.Age,lower urinary tract symptoms, diabetes,obesity are the risk factors in the incidence of bladder disease.