Institute of Urology and Nephrology, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Urology. 2012 Feb;79(2):403-8. doi: 10.1016/j.urology.2011.09.032. Epub 2011 Nov 25.
To investigate the correlation between the leukocyte in expressed prostatic secretion (EPS) and National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) in a large Chinese male population.
Data were collected from 1242 men who participated in the population-based Fangchenggang Area Male Health and Examination Survey (FAMHES), which was carried out in Guangxi, China from September 2009 to December 2009. The severity and symptoms of chronic prostatitis were accessed by the National Institutes of Health Chronic Prostatitis Symptom Index. Meanwhile, the leukocyte in EPS was counted. Demographic information, lifestyle characteristic, and medical history were also obtained through questionnaire.
There was no linear correlation between the leukocyte in EPS and NIH-CPSI scores in all subjects (n=1242) (P>.05). Regardless of whether subjects had prostatitis-like symptoms (n=107), there was no linear correlation between the leukocyte in EPS and NIH-CPSI scores (P>.05). After using chi-square tests linear-by-linear association, there were also no linear correlation between the leukocyte in EPS and NIH-CPSI scores (P>.05).
The results of this study have demonstrated that either in all subjects or in the subjects with prostatitis-like symptoms, there was no linear correlation between the leukocyte in EPS and the severity symptom. So the amount of leukocyte in EPS was unsuitable to apply as the only index of diagnosis, evaluating and observing curative effect. The index should be taken into account for a variety of factors. The improvement of clinical symptom and quality of life were the key points.
在中国一大型男性人群中,调查前列腺液白细胞表达与美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)之间的相关性。
数据来自于 2009 年 9 月至 12 月在中国广西进行的基于人群的防城港市男性健康与体检调查(FAMHES)中 1242 名男性。采用 NIH-CPSI 评估慢性前列腺炎的严重程度和症状。同时,计数前列腺液中的白细胞。通过问卷调查获取人口统计学信息、生活方式特征和病史。
在所有受试者(n=1242)中,前列腺液中的白细胞与 NIH-CPSI 评分之间无线性相关(P>0.05)。无论受试者是否存在前列腺炎样症状(n=107),前列腺液中的白细胞与 NIH-CPSI 评分之间均无线性相关(P>0.05)。采用卡方检验线性关联后,前列腺液中的白细胞与 NIH-CPSI 评分之间也无线性相关(P>0.05)。
本研究结果表明,无论是在所有受试者中,还是在存在前列腺炎样症状的受试者中,前列腺液中的白细胞与严重程度症状之间均无线性相关。因此,前列腺液中的白细胞数量不适合作为诊断、评估和观察疗效的唯一指标。应考虑多种因素。改善临床症状和生活质量是关键。