在良性前列腺增生 (BPH) 患者中,COVID-19疫苗接种对下泌尿道 (LUTS) 的影响
Amirreza Shamshirgaran1, Diana Taheri1,2, Seyed Reza Yahyazadeh3
1Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Clinical and experimental vaccine research
|February 10, 2025
概括
接种COVID-19疫苗可能会使男性良性前列腺增生 (BPH) 的尿路症状如急性和频率恶化. 在这项研究中,前列腺特异性抗原 (PSA) 水平和前列腺大小在接种疫苗后保持不变.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 良性前列腺增生 (BPH) 是一种非恶性前列腺扩大,导致下泌尿道症状 (LUTS).
- 雄激素失调是BPH发展的一个关键因素.
- 有关COVID-19疫苗对BPH患者LUTS的副作用存在担忧.
研究的目的:
- 研究COVID-19疫苗接种对BPH患者LUTS的影响.
- 在接种疫苗后评估前列腺特异性抗原 (PSA) 水平和前列腺体积的变化.
主要方法:
- 对接受COVID-19疫苗的106名BPH患者进行了前性纵向研究.
- 评估包括超声波,PSA测试,尿液分析和前列腺症状国际分数问卷在增强剂之前和3个月后.
- 使用的疫苗是牛津/阿斯特拉泽内卡,Sinopharm或斯普特尼克-V.
主要成果:
- 接种疫苗后没有观察到PSA水平或前列腺体积的显著变化.
- 尿急症,尿失尿症,尿频率和血尿症的发生率显著增加 (p<0.05).
- 其他尿路症状没有显示出统计学上显著的差异.
结论:
- 接种COVID-19疫苗可能会加剧BPH患者的特定尿路症状.
- 紧迫性,失尿症,频率和出血症是监测疫苗接种后关键症状.
- 需要进一步的研究来证实这些发现,并了解潜在的机制.
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