Pinnock C, Marshall V R
Division of Surgery, Repatriation General Hospital Daw Park, SA.
Med J Aust. 1997 Jul 21;167(2):72-5. doi: 10.5694/j.1326-5377.1997.tb138783.x.
To determine the prevalence of troublesome lower urinary tract symptoms (LUTS) in men and women in the community.
Interview-based prevalence survey.
Metropolitan and rural communities in South Australia, September, 1995.
Probability sample of 1204 men and 1686 women (aged over 18 years) weighted to reflect the age and sex distribution of the South Australian population.
Presence of storage (irritative) and voiding (obstructive) symptoms, based on the International Prostate Symptom Score questionnaire; satisfaction with urinary condition (quality-of-life measure); and visits to a doctor for urinary symptoms in the preceding 12 months.
The prevalence of one or more troublesome LUTS was 26% (318/1204) for men and 39% (662/1686) for women (all ages) and 48% (314/649) for men and women over 65. The most common troublesome symptoms in men and women were nocturia and frequency. Symptoms were significantly age-related in men, but less so in women, in whom symptom prevalence exceeded 30% for all age groups. Ten per cent of men (123/1204) and 15% of women (249/1686) had visited a doctor for a urinary problem in the previous 12 months. Nine per cent of men (104/1204) and 16% of women (274/1686) were substantially dissatisfied with their urinary condition. Symptom prevalence and dissatisfaction with urinary condition were significantly associated with visiting the doctor (P < 0.0001), but only 28% (88/318) of men and 27% (179/662) of women with troublesome LUTS saw a doctor, and 63% (65/104) of men and 59% (162/274) of women dissatisfied with their urinary condition did not seek medical help.
Although the prevalence of troublesome LUTS in the community is high, the number of people whose quality of life is substantially affected is much lower. The impact of these symptoms upon quality of life is a major reason for patients to see a doctor, yet many who are "bothered" by the symptoms do not do so.
确定社区中男性和女性下尿路症状（LUTS）困扰的患病率。
基于访谈的患病率调查。
南澳大利亚的城市和农村社区，1995年9月。
1204名男性和1686名女性（年龄超过18岁）的概率样本，进行加权以反映南澳大利亚人口的年龄和性别分布。
基于国际前列腺症状评分问卷，收集储尿期（刺激性）和排尿期（梗阻性）症状的存在情况；对排尿状况的满意度（生活质量指标）；以及在过去12个月内因泌尿系统症状就医的情况。
所有年龄段中，一种或多种LUTS困扰的患病率男性为26%（318/1204），女性为39%（662/1686）；65岁及以上男性和女性的患病率为48%（314/649）。男性和女性最常见的困扰症状是夜尿症和尿频。男性症状与年龄显著相关，而女性相关性较小，所有年龄组中女性症状患病率均超过30%。在过去12个月内，10%的男性（123/1204）和15%的女性（249/1686）因泌尿系统问题看过医生。9%的男性（104/1204）和16%的女性（274/1686）对其排尿状况非常不满意。症状患病率和对排尿状况的不满意与就医显著相关（P<0.0001），但有LUTS困扰的男性中只有28%（88/318）、女性中只有27%（179/662）看过医生，对排尿状况不满意的男性中有63%（65/104）、女性中有59%（162/274）未寻求医疗帮助。
尽管社区中LUTS困扰的患病率很高，但生活质量受到严重影响的人数要少得多。这些症状对生活质量的影响是患者就医的主要原因，但许多受症状“困扰”的人并未就医。
