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在评估男性下尿路症状时,新的视觉前列腺症状评分作为国际前列腺症状评分是否有用?土耳其社会中两种症状评分的前瞻性比较。

Is new visual prostate symptom score useful as International Prostate Symptom Score in the evaluation of men with lower urinary tract symptoms? A prospective comparison of 2 symptom scores in Turkish society.

作者信息

Ceylan Yasin, Gunlusoy Bulent, Degirmenci Tansu, Kozacioglu Zafer, Bolat Deniz, Minareci Suleyman

机构信息

Department of Urology, Bozyaka Education and Research Hospital, Izmir, Turkey.

Department of Urology, Bozyaka Education and Research Hospital, Izmir, Turkey.

出版信息

Urology. 2015 Mar;85(3):653-7. doi: 10.1016/j.urology.2014.10.057.

DOI:10.1016/j.urology.2014.10.057
PMID:25733282
Abstract

OBJECTIVE

To evaluate the correlation between the visual prostate symptom score (VPSS) and the International Prostate Symptom Score (IPSS) and uroflowmetry parameters in Turkish men with lower urinary tract symptoms.

MATERIAL

Between September 2013 and March 2014, a total of 191 patients who were admitted to the hospital with lower urinary tract symptoms were enrolled in the study. After the routine tests were performed, the patients were requested to fill the IPSS questionnaire consisting of 8 questions and the VPSS questionnaire consisting of 4 questions. Peak (Qmax) and average (Qave) urinary flow rates were measured.

RESULTS

Mean age value was 62.8 years (range, 43-84 years). The education level was divided into 3 groups as follows: groups 1, 2, and 3 consisting of 98 patients (51.3%) with formal schooling (1-8 years education), 61 patients (31.9%) with 9-12 years education, and 32 patients (16.8%) with college or university education, respectively. There was a positive correlation between the total IPSS and the total VPSS (r = 0.72; P <.001). There was a negative correlation between the Qmax values and both the total IPSS (r = -0.53; P <.001) and the total VPSS (r = -0.3; P <.01), separately. The questionnaire was completed without any assistance by 25 (25.5%), 33 (54.1%), and 27 (84.4%) men for the IPSS and by 76 (77.6%), 54 (88.5%), and 31 (96.9%) men for the VPSS in groups 1, 2, and 3, respectively.

CONCLUSION

The VPSS correlates significantly with the IPSS and can be reliably used in the elderly and low-educated patients for the assessment of symptom severity in men with lower urinary tract symptoms.

摘要

目的

评估视觉前列腺症状评分(VPSS)与国际前列腺症状评分(IPSS)以及尿流率参数在患有下尿路症状的土耳其男性中的相关性。

材料

在2013年9月至2014年3月期间,共有191例因下尿路症状入院的患者纳入本研究。在进行常规检查后,要求患者填写由8个问题组成的IPSS问卷和由4个问题组成的VPSS问卷。测量最大尿流率(Qmax)和平均尿流率(Qave)。

结果

平均年龄为62.8岁(范围43 - 84岁)。教育水平分为3组,如下:第1组、第2组和第3组分别有98例(51.3%)接受过正规学校教育(1 - 8年教育)、61例(31.9%)接受过9 - 12年教育以及32例(16.8%)接受过大学教育的患者。IPSS总分与VPSS总分之间存在正相关(r = 0.72;P <.001)。Qmax值分别与IPSS总分(r = -0.53;P <.001)和VPSS总分(r = -0.3;P <.01)呈负相关。第1组、第2组和第3组中,分别有25例(25.5%)、33例(54.1%)和27例(84.4%)男性在无任何帮助的情况下完成了IPSS问卷,分别有76例(77.6%)、54例(88.5%)和31例(96.9%)男性在无任何帮助的情况下完成了VPSS问卷。

结论

VPSS与IPSS显著相关,可可靠地用于老年和低教育水平患者,以评估患有下尿路症状男性的症状严重程度。

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