皖南地区不同老年人群良性前列腺增生发病的差异及相关因素

Comparison of Incidence of BPH and Related Factors between Urban and Rural Inhabitants in District of Wannan

目的 :探讨不同人群良性前列腺增生 (BPH)的发病差异的原因。 方法 :调查皖南地区 6 0岁以上 30 9例男性县处级干部和 314例贫困乡农民的前列腺体积 (V)、国际前列腺增生症状评分 (IPSS)、生活质量评分 (L)、最大尿流率 (Qmax)、剩余尿 (R)及饮食结构等进行比较。 结果 :饮食结构中县处级干部动物蛋白摄入量明显高于贫困乡农民 (10年前u =2 4 .10 ,P <0 .0 1,现在u =2 4 .10 ,P <0 .0 1) ,其BPH的发病率亦明显高于贫困乡农民(91.9%vs 11.8% ,χ2 =2 4 .6 4 ,P <0 .0 0 1)。Logistic回归分析表明BPH与动物蛋白摄入量呈正相关。 结论 :皖南地区城镇干部的BPH发病率明显高于乡村农民 。

Objectives: To investigate the difference of BPH incidence in two groups. Methods: 309 cadres and 314 farmers over 60 years old in district of Wannan have been investigated. The investigation included prostate volume (V), IPSS, L, Qmax, residual urine (R) and dietary constituents. Results: The intake of animal protein in cadres is more than that in farmers ( u = 24.10 , P < 0.01 ), and the incidence rate of BPH is significantly higher ( 91.1 % vs 11.8 %, χ 2 = 24.64 , P < 0.001 ). Logistic regression shows that the intake of animal protein has a parallel relationship with BPH. Conclusions: In the district of Wannan, the incidence of BPH in cadres is significantly higher than that of farmers, and it may be correlated with the amount of animal protein intake. Natl J Androl,2003,9(1):45 47