男性健康体检人群镜下血尿的危险因素分析

Analysis of Risk Factors for Microscopic Hematuria in Male Health Examination Population

目的 探讨男性健康体检人群镜下血尿(microscopic hematuria,MH)的危险因素,进而为该体检人群提供针对性咨询服务与健康指导。方法 回顾性分析2021年7~11月在苏州科技城医院健康体检中心行健康体检的男性人员的资料,体检者填写健康状况调查表(包括年龄,体重指数,是否吸烟、饮酒、高血压、糖尿病、冠心病等),行尿常规及总前列腺肿瘤特异性抗原(TPSA)等检验。对上述资料进行整理分析,记录镜下血尿发生情况,并采用单因素分析和多因素Logistic回归分析发生镜下血尿的相关因素。结果 共记录1812例资料,其中1573例(年龄26~74岁,平均43±11.1岁)资料完整,并列入最后分析。尿常规检查MH阳性者125例(7.9%),阴性者1448例(92.1%)。单因素分析结果显示糖尿病、蛋白尿增加镜下血尿检出率(P<0.05)。多因素Logistic回归分析显示[OR(95%CI)]:糖尿病、蛋白尿是MH发生的危险因素(P<0.05)。年龄、高血压、体重指数、吸烟、饮酒、TPSA与MH无明显相关性(P>0.05)。结论 MH是男性体检者中常见的现象。与MH相关的危险因素是糖尿病、蛋白尿。未发现MH与年龄、BMI、吸烟、饮酒、TPSA等之间有关。

Objective To explore the risk factors of microscopic hematuria(MH)in men undergoing health examination,and to provide targeted counseling and health guidance for this population.Methods The data of physical examination,questionnaire survey were analyzed in the men who came to Health Examination Center of Suzhou Science&Technology Town Hospital from July to November 2021.The physical examination participants completed the health status questionnaire(including age,body mass index,smoking,drinking,hypertension,diabetes,coronary heart disease,etc.),urine routine and total prostate tumor specific antigen(TPSA)were tested.The above data were collated and analyzed,and the incidence of microscopic hematuria was recorded.Univariate analysis and multivariate Logistic regression analysis were used to analyze the related factors of microscopic hematuria.Results A total of 1812 cases were recorded,of which 1573(age 26~74 years,mean 43±11.1 years)had complete data and were included in the final analysis.In urine routine examination,125 cases(7.9%)were positive for MH,and 1448 cases(92.1%)were negative.The median age was(43.4±9.7)years and(44±11.2)years,respectively.Univariate analysis showed that diabetes mellitus and proteinuria increased the detection rate of microscopic hematuria(P<0.05).Multivariate Logistic regression analysis showed that[OR(95%CI)]:Diabetes mellitus and proteinuria are risk factors for MH(P<0.05);age,hypertension,body mass index,smoking,drinking and TPSA were not significantly associated with MH(P>0.05).Conclusion MH is a common phenomenon in male health examiners.Risk factors associated with MH are diabetes mellitus and proteinuria.No association was found between MH and age,BMI,smoking,drinking and TPSA.