下尿路症状对50至80岁男性不适的影响。
Impact of lower urinary tract symptoms on discomfort in men aged between 50 and 80 years.
作者信息
Robert Grégoire, Descazeaud Aurélien, Azzouzi Rahmene, Saussine Christian, Haillot Olivier, Dumonceau Olivier, Ballereau Charles, Fourmarier Marc, Devonec Marian, Lukacs Bertrand, Delongchamps Nicolas Barry, Desgrandchamps Francois, de la Taille Alexandre
机构信息
Departments of Urology, Bordeaux Pellegrin University Hospital, Bordeaux-2 Victor Segalen University, Bordeaux, France.
出版信息
Urol Int. 2010;84(4):424-9. doi: 10.1159/000304509. Epub 2010 Mar 26.
BACKGROUND/AIMS: There are only a few surveys on the prevalence of lower urinary tract symptoms (LUTS) among the general population. The aim of this survey was to assess the prevalence of LUTS and their impact on discomfort in men.
METHODS
A questionnaire was mailed to 3,877 men aged 50-80 years, which included questions on their medical history, demographic and sociological status, and also the International Prostate Symptom Score (IPSS) with additional questions on discomfort related to urinary symptoms.
RESULTS
The response rate was 81.5%. Prevalence of mild and severe IPSS was 89.2%. Specific bother for each urinary symptom depended on symptom frequency: urgency, frequency, weak stream, nocturia, incomplete emptying, intermittency and straining 1 time out of 5 were responsible for discomfort in respectively 4.9, 6.1, 7.1, 7.5, 8.7 and 9.9%; the same symptoms more than half of the time were responsible for discomfort in respectively 32.8, 38, 45.3, 45.6, 53.2 and 58.7%. Urgency was much more deeply implicated in discomfort than frequency of nocturia.
CONCLUSIONS
Urinary symptoms in men are very common. Nocturia is the most frequent but has a low impact on discomfort. Urgency has a higher impact on discomfort and should therefore be considered in treatment decision-making.
背景/目的：关于普通人群下尿路症状（LUTS）患病率的调查较少。本调查旨在评估LUTS的患病率及其对男性不适的影响。
方法
向3877名年龄在50 - 80岁的男性邮寄了一份问卷，其中包括关于他们的病史、人口统计学和社会学状况的问题，以及国际前列腺症状评分（IPSS），并附加了与尿路症状相关的不适问题。
结果
应答率为81.5%。轻度和重度IPSS的患病率为89.2%。每种尿路症状的特定困扰程度取决于症状出现的频率：尿急、尿频、尿流无力、夜尿、排尿不尽、间歇性排尿和排尿费力，每5次出现1次时分别导致4.9%、6.1%、7.1%、7.5%、8.7%和9.9%的不适；相同症状出现超过一半时间时分别导致32.8%、38%、45.3%、45.6%、53.2%和58.7%的不适。尿急比夜尿频率更易引发不适。
结论
男性尿路症状非常常见。夜尿最为频繁，但对不适的影响较小。尿急对不适的影响更大，因此在治疗决策中应予以考虑。
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