Hansen M V, Zdanowski A, Spångberg A
Department of Urology and Surgery, Central Hospital, Halmstad, Sweden.
Scand J Urol Nephrol. 1994 Dec;28(4):371-8. doi: 10.3109/00365599409180516.
A questionnaire concerning micturition symptoms and bother was answered by 2559 (66%) randomly selected males. Voiding problems increased with age from about 4 to 40%. The symptoms were weakly but significantly correlated to each other (rs < 0.55). The ability of a particular symptom question to predict whether a subject actually would seek a doctor was generally low. A score system with a maximum score of 33 points was constructed. If prostatism was defined as a certain score or higher, a change in the definition in the score interval 4-10 would change the number of subjects with this syndrome with approximately 10%/score point. As a consequence of the results, the use of a symptom score as a criterion for the decision to treat patients suffering from prostatism is challenged. A patient administered symptom evaluation from is strongly recommended to obtain a more objective symptom registration.
2559名（66%）随机抽取的男性回答了一份关于排尿症状及困扰的问卷。排尿问题随年龄增长而增加，从约4%增至40%。这些症状之间的相关性较弱但具有统计学意义（rs<0.55）。特定症状问题预测受试者是否实际会寻求医生帮助的能力总体较低。构建了一个最高分为33分的评分系统。如果将前列腺增生定义为达到某一分数或更高分数，那么在4 - 10分的评分区间内改变定义，患有该综合征的受试者数量将以约10%/分的比例变化。基于这些结果，使用症状评分作为决定治疗前列腺增生患者的标准受到了挑战。强烈建议对患者进行症状评估，以获得更客观的症状记录。
