不同职业人群前列腺疾病患病率及影响因素分析

Analysis on the prevalence of prostate disease and its influencing factors in different occupational populations

目的通过对不同职业人群前列腺疾病患病情况及相关危险因素进行分析,探讨不同职业人群前列腺疾病的患病率及相关危险因素。方法选择2019年1月—2019年12月在我院健康管理中心进行前列腺超声检查的不同职业人群3219例,按其职业分为5类:医务人员、国企职工、私企职工、高校教职工和银行职工,分析不同职业人群前列腺疾病患病情况及其相关影响因素。结果3219例受检者中,前列腺疾病的患病率为43.96%,前列腺疾病患病率随着年龄的增长而升高(P<0.001);20~29岁及30~39岁年龄组前列腺钙化患病率均高于其他三种类型前列腺疾病(P<0.001),而60岁以上年龄组前列腺增生和合并两种及以上前列腺疾病患病率均高于其他两种类型前列腺疾病(P<0.001);前列腺增生和合并两种及以上前列腺疾病的患病率均随着年龄的增长而递增(P<0.001);不同职业人群前列腺疾病的患病率不同(P<0.001),银行职工的前列腺疾病患病率最高,为52.36%;体质量指数升高组、血压升高组和血脂升高组的前列腺钙化患病率均高于其对应的正常组(P<0.05);体质量指数升高组、血糖升高组、血压升高组和血脂升高组的前列腺增生患病率均高于其对应的正常组(P<0.001)。结论不同的职业群体前列腺疾病的患病情况不一样,体质量指数升高、血压升高、血脂升高及血糖升高等相关因素增加患前列腺疾病的风险,应加强前列腺疾病预防保健方面的健康宣传,提倡健康的生活方式,从而降低前列腺疾病的患病率。

Objective To study on epidemic situation of prostate disease and related risk factors in different occupational groups by analyzing the prevalence and related risk factors of prostate disease in different occupational groups.Methods 3219 cases of five different occupations including medical staffs,state-owned enterprise staffs,private enterprise staffs,college staffs and bank staffs who had underwent prostate ultrasonography in the health management centre department of the Fifth Affiliated Hospital of Guangzhou Medical University from January 2019 to December 2019 were included as study objects to analyze the prevalence of prostate disease and its related factors in different occupational groups.Results The prevalence of prostate disease was 43.96%in 3219 cases of different occupational groups,and the prevalence of prostate disease increased greatly with age(P<0.001).The detection rates of prostate calcification in the age group of 20-29 and 30-39 were greatly higher than the other three types of prostate diseases(P<0.001).The detection rate of BPH and with two or more prostate diseases in the age group over 60 years old was greatly higher than the other two types of prostate diseases(P<0.001);The detection rates of BPH and with two or more prostate diseases were significantly increased with age(P<0.001).There was an obvious difference inthe prevalence of prostate diseasesamong different occupational groups(P<0.001).The prevalence of prostate disease in bank staffs was 52.36%,which was the highest among the five occupations.The prevalence of prostate calcification in the group with high body mass index,high blood pressure and high blood lipid were greatly higher than that of their normal group(P<0.05).The prevalence of BPH in the group with high body mass index,high blood glucose,high blood pressure and high blood lipid were higher than that of their greatly normal group(P<0.001).Conclusions The prevalence of prostate diseases is different among different occupational groups.Relative factors such as high body mass index,high blood glucose,high blood pressure and high blood lipid will increase the risk of prostate disease.By strengthening the health promotion of prostate disease prevention and health care,promoting a healthy lifestyle,it may reduce the prevalence of prostate disease.