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目的分析中老年男性下尿路症状与良性前列腺增生之间的相关性。方法选取2007年3月～2011年3月间来某院体检的50岁以上男性642人作为研究对象,将其按年龄段分为50～59岁、60～69岁、大于70岁3组。采取问卷调查和辅助检查的方式,获取其IPSS评分、QOL评分、前列腺体积、残余尿量等数据。结果各个年龄组呈现随年龄增加,IPSS评分升高,LUTS发病率上升的趋势;前列腺体积与IPSS评分无相关性(r=0.12,P﹥0.05);残余尿量与前列腺体积呈弱相关(r=0.22,P=0.004);残余尿量与IPSS评分呈中度相关(r=0.71,P﹤0.001);QOL与前列腺体积无相关性(r=0.17,P﹥0.05);QOL与IPSS呈高度相关(r=0.89,P﹤0.001);残余尿量与QOL中度相关(r=0.68,P﹤0.001)。结论中老年男性的下尿路症状与前列腺增生具有中高度相关性,给临床治疗中老年男性的下尿路症状提供指导。
Objective To analyze the correlation between lower urinary tract symptoms and benign prostatic hyperplasia in middle-aged and elderly men. Methods A total of 642 males over the age of 50 from March 2007 to March 2011 were selected as research subjects and divided into three groups of 50 to 59 years old, 60 to 69 years old and over 70 years old. Take the way of questionnaire and auxiliary examination to obtain the IPSS score, QOL score, prostate volume, residual urine volume and other data. Results There were no significant correlations between prostate volume and IPSS score (r = 0.12, P> 0.05), residual urine volume and prostate volume (r = 0.22, P = 0.004). There was a moderate correlation between residual urine volume and IPSS score (r = 0.71, P <0.001). There was no correlation between QOL and prostate volume (R = 0.89, P <0.001). The residual urine volume was moderately correlated with QOL (r = 0.68, P <0.001). Conclusion The lower urinary tract symptoms of middle-aged and elderly men have a moderate to high correlation with benign prostatic hyperplasia, which will provide guidance for the clinical treatment of lower urinary tract symptoms in middle-aged and elderly men.