余杭区前列腺增生患病现状及相关治疗的调查

Investigation on the prevalence and related treatment of prostate hyperplasia in Yuhang city

目的:探讨杭州市余杭区前列腺增生的患病现状及相关治疗情况。方法:选择浙江省杭州市余杭区10个社区580名中老年男性作为调查对象,将研究对象分成不同的年龄组进行研究。比较不同年龄段的IPSS评分、下尿路症状评分及下尿路症状的严重程度,对比不同年龄段的Q_(max)水平和前列腺体积,同时根据不同的诊断标准统计前列腺增生的患病率,并且调查相关的用药情况。结果:随着年龄的上升,男性人群的IPSS评分也随之上升,年龄>80岁男性的平均IPSS评分高达(15.90±4.73)分;随着年龄的上升,下尿路症状中的尿道梗阻症状评分、膀胱刺激症状评分显著上升,且下尿路症状的严重程度逐渐提高;Q_(max)水平随着年龄的上升而降低,且Q_(max)水平<15 m L/s的比例提高。不同诊断标准下的前列腺增生患病率存在差异性。用药情况中以5α-还原酶抑制剂类药物的使用率最高,α-肾上腺素能受体阻滞剂类药物、中成药的使用率也较高。结论:杭州市余杭区大部分中老年男性群体存在下尿路症状,且随着年龄的上升,下尿路症状越明显、前列腺增长的患病率越高,相关的用药情况基本合理。

Objectives：To investigate the prevalence of the disease and associated treatment of the prostate hyperplasia in Yuhang District of Hangzhou City in Zhejiang Province.Methods：580 middle-aged men in the 10 communities in Yuhang District were selected and divided into different age groups.The IPSS score,lower urinary tract symptom score and lower urinary tract symptoms were compared among different age groups.The levels of Qmax and prostate volume at different ages were compared.At the same time,according to different diagnostic criteria,the prevalence of prostate hyperplasia was analyzed,and investigation was done on relevant drug use.Results：The IPSS score of the male population also increased with age.The average IPSS score of patients with age over 80 was （15.3 ± 6.1）.Along with the age increasing,the symptoms of urethral obstruction and bladder irritation in lower urinary tract symptoms increased significantly.And the lower urinary tract symptoms gradually improved.Qmax level increased by 15 ml / s.The prevalence of prostatic hyperplasia under different diagnostic criteria was different.The use of 5-reductase inhibitors was the highest,and the use of alpha-adrenergic receptors was also higher.Conclusion：Most elderly male population has the lower urinary tract symptoms in Yuhang District of Hangzhou City in Zhejiang Province.And with the increase of age,the symptoms of urinary tract are more obvious and the incidence of prostate increases.Drug use situation is basically reasonable.