自我评价和3日排尿日记评价膀胱过度活动症症状评分的比较

Comparison of the patient-determined overactive bladder symptom score and the overactive bladder symptom score created by the 3-day bladder diaries

目的比较患者自行完成的膀胱过度活动症症状评分(OABSS)和根据3日排尿日记得出的膀胱过度活动症症状评分(OABSS-BD)的比较,确认以患者主诉为参考依据的OABSS是否能准确反应患者的实际状态。方法对纳入研究的67例男性和45例女性病例进行OABSS评估并记录3日以上排尿日记,根据患者3日排尿日记完成OABSS-BD评分,比较两个评分结果是否有差异。结果女性患者白天排尿次数、夜尿次数OABSS得分(0.96±0.56、2.13±0.66)明显高于OABSS-BD得分(0.69±0.56、1.84±0.52),和全体患者的结果相同,在全体患者中,白天排尿次数、夜尿次数OABSS得分(1.13±0.59、2.38±0.69)明显高于OABSS-BD得分(0.91±0.64、2.10±0.68)。在男性患者,夜尿次数OABSS得分(2.50±0.66)明显高于OABSS-BD得分(2.27±0.73)。结论 OABSS是评价膀胱过度活动症患者症状有效、易行的方法,但和患者排尿日记相关评估分数相比,患者本人存在过度评估白天及夜间排尿次数的情况。

Objective To explore whether the patient-determined overactive bladder symptom score （OABSS） could re- fleet the actual status of patients by comparing the OABSS and OABSS derived from a 3-day bladder diary （BD）. Methods A total of 67 males and 45 females included were asked to complete OABSS and record a 3-day BD. The OABSS-BD was created according to the 3-day BD. The scores were then compared. Results In females, the scores of OABSS in daytime frequency and nighttime frequency were （0.96±0.56） and （2.13±0.66）, which were higher than OABSS-BD scores [（0. 69±0.56） and （1.8±0.52）]. In all patients, scores of OABSS in daytime frequency and nighttime frequency were （1.13±0.59） and （2.38±0.69）, which were significantly higher than the scores of OABSS-BD [（0.91±0.64）, and （2.10±0.68）]. In male patients, the score of OABSS in nighttime frequency was （2.50~0.66）, which was significantly higher than score of OABSS-BD [（2.27 ±0.73）]. Conclusions OABSS is a useful and simple tool to evaluate OAB. However, patients may overestimate the day- time and nighttime frequency compared with the scores created by 3-day BD.