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在社区中,良性前列腺缩的高患病率
W M Garraway1, G N Collins, R J Lee
1Department of Public Health Sciences, Edinburgh University, UK.
Lancet (London, England)
|August 24, 1991
概括
良性前列腺增生 (BPH) 比以前认为的更为常见,每1000名40-79岁的男性中就有253人受到影响. 这项研究强调了BPH在一般社区的高患病率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 流行病学 流行病学
背景情况:
- 临床追溯和尸体解剖研究表明,良性前列腺增生 (BPH) 的患病率比泌尿科医生怀疑的要低.
- 社区可能存在较高的BPH患病率,影响着老龄化男性人口的很大一部分.
研究的目的:
- 为了确定一个定义的社区内良性前列腺增生症 (BPH) 的实际患病率.
- 评估40-79岁男性在不同年龄组的BPH患病率.
主要方法:
- 一项以社区为基础的研究,涉及40-79岁的男性.
- 参与者填写了尿症状问卷,并接受了尿液流量测量.
- 跨直肠超声波 (TRUS) 用于评估前列腺功能障碍症状的男性的前列腺体积.
主要成果:
- 这项研究包括705名男性,其中214人接受了TRUS.
- BPH (前列腺体重>20g与尿路症状或峰值流量<15ml/s) 的患病率为每1000名男性中有253名 (95% CI 221-285).
- 患病率随着年龄的增长而增加,从40-49岁的男性中每1000人中有138人,到60-69岁的男性中每1000人中有430人.
结论:
- 良性前列腺增生症 (BPH) 在社区中比以前在临床研究中报告的要普遍得多.
- 相当多的男性经历BPH,即使没有先前诊断或严重的症状.
- 这些发现强调了需要在初级保健机构增加对BPH的认识和潜在查的需要.
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