摘要
目的探讨中老年男性高血压人群中,国际前列腺增生症状评分(IPSS)和最大尿流率(Qmax)的影响因素。方法对安徽安庆农村地区50～75岁男性原发性高血压患者435例进行流行病调查,采用多元Logistic回归分析IPSS和最大尿流率的影响因素。结果多元Logistic回归分析结果显示:影响中老年男性高血压患者IPSS评分的主要因素有年龄(OR2.25,95%CI=1.45～3.48)和残余尿量(OR2.98,95%CI=1.92～4.63),影响最大尿流率的主要因素有年龄(OR2.22,95%CI=1.43～3.45),前列腺体积(OR2.39,95%CI=1.42～4.04),残余尿量(OR2.09,95%CI=1.34～3.25)和吸烟(OR0.56,95%CI=0.31～0.99)。结论在中老年男性高血压患者人群中,年龄和残余尿量是良性前列腺增生主观症状的主要影响因素;年龄、前列腺体积以及残余尿量是最大尿流率的主要影响因素;吸烟可能是最大尿流率减小的保护因素。
Objective To explore the influencing factors of international prostate syndrome score （IPSS） and maximum flow rate （Qmax） in middle aged and old male patients with essential hypertension in rural commuruty. Methods A population - based epidemiological investigation was conducted to collect 435 hypertensive male patients of 50 to 75 years old in Anqing,Anhui. Logistic regression was used for analysis of influencing factors. Results Logistic regression analysis showed that the main influencing factors of IPSS were age（ OR 2. 25,95% CI = 1.45 - 3.48） and post void residual（ OR 2.98,95% CI = 1.92 -4.63） ;the main influencing factors of Qmax were age （ OR 2.22,95% CI = 1.43 - 3.45） ,prostate volume （ OR 2.39,95 % CI = 1.42 -4. 04 ）, post void residual （ OR 2. 09,95 % CI = 1.34 - 3.25 ） and smoking （ OR 0. 56, 95 % CI = 0. 31 - 0. 99 ）. Conclusion Age and post void residual are main influencing factors of IPSS. Main influencing factors of Qmax are age,prostate volume, post void residual. Cigarette using may reduce the risk for the decreased level of Qmax.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2009年第4期456-458,共3页
Chinese Journal of Public Health
