2型糖尿病病人膀胱过度活动症现状及对生活质量的影响

Status quo of overactivity bladder and its impact on quality of life in patients with type 2 diabetes mellitus

[目的]探讨2型糖尿病病人膀胱过度活动症(OAB)的现状,并探讨其对生活质量的影响。[方法]采用一般资料调查表、膀胱过度活动症症状评分量表、简明生活质量量表、病人感知膀胱功能量表(PPBC)对济南市某三级甲等医院142例2型糖尿病合并OAB病人进行调查。[结果]2型糖尿病病人OAB的患病率为13.5%;生活质量在躯体健康和心理健康维度均明显低于普通糖尿病病人(P<0.01),躯体健康受损更严重;OAB症状困扰对生活质量有影响,年龄、糖尿病病程和并发症对生活质量也有影响。[结论]2型糖尿病病人OAB的患病率高于非糖尿病病人,OAB进一步降低了糖尿病病人的生活质量,应重视糖尿病病人OAB的预防及康复,减轻膀胱症状对病人的困扰;重点关注年龄大、糖尿病病程长、并发症多的病人,提高其生活质量。

Objective：To investigate the status quo of overactive bladder（OAB） and its impact on quality of life（QOL） of patients with type 2 diabetes mellitus. Methods： A Total of 142 type 2 from a three level t irs t - class hospital in Jinan city were investigated by general informOveractive Bladder Symptom Score（OABSS） ,Short Form Health Survey Scale（SF -12） ,and Patient Perception of Bladder Condition（PPBC） . Results： The prevalence of OAB among patients with type 2 diabetes was 13. 5%. The QOL was signiticantly lower than type 2 diabetic patients both in physical component and mental compo-nent（P 〈0. 01） , especially physical health. OAB symptom had an impact on the QOL. In addition, age, duration of diabetes and complications also had an impact on the QOL . Conclusions： The prevalence of OAB in patients with type 2 diabetes was higher than patients without diabetes. OAB furthery reduced the QOL of patients with diabetes. One should pay attention to the prevention and rehabilitation of patients with diabetes and OA B ,in or-der to reduce the impact of bladder symptoms to patients. Patients with older age, longer duration of diabetes, and more complications should be paid more attention to improve their QOL.