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目的 :了解老年男性前列腺症状的流行病学情况。方法 :运用描述流行病学方法 ,采用国际前列腺症状评分 (I PSS)及生活质量评估 (QOL)对广州市越秀区 2 32名 6 0岁以上男性进行问卷调查。同时做直肠指诊、腹部B超检查、尿流率和血清前列腺特异性抗原 (PSA)的测定并排除非前列腺增生 (BPH)引起的下尿路症状的疾病。结果 :6 0岁以上男性BPH的患病率为4 6 1% ,I PSS及QOL的平均分是 7.6 9和 2 .12。BPH轻、中、重度的比例分别是 53.0 % ,4 3.5%和 3.5%。结论 :广州越秀区 6 0岁以上男性BPH发病率逼近欧美等国并在症状严重程度比例及分布上与之相似 ,BPH是老年男性的常见泌尿外科疾病。但在最困扰的前列腺症状方面却有所不同。
Objective: To understand the epidemiology of prostate symptoms in elderly men. Methods: Descriptive epidemiological methods were used to survey 2 32 male over 60 years old in Yuexiu District of Guangzhou City using the International Prostate Symptom Score (I PSS) and Quality of Life Assessment (QOL). At the same time, rectal examinations, abdominal B-ultrasound, urine flow rate and serum PSA determination were performed and exclusion of lower urinary tract symptoms caused by benign prostatic hyperplasia (BPH). Results: The prevalence of BPH in men over the age of 60 was 46.1%, and the mean scores of I PSS and QOL were 7.69 and 2.12. The rates of mild, moderate and severe BPH were 53.0%, 3.55% and 3.5%, respectively. Conclusion: The incidence of BPH in males over 60 years old in Yuexiu district of Guangzhou is similar to that in Europe, the United States and other countries. The proportion and distribution of symptoms are similar. BPH is a common urological disease in elderly men. But it is different in the most troublesome prostate symptoms.