[对IPSS,mIPSS和VPSS问卷与尿液流量计和良性前列腺增生症男性的认知功能控制进行前性比较]
E Efremov M1,2,3, L Medvedev V1,2,3, D Anosov A1,2,3
1Regional Clinical Hospital No. 1 named after Prof. S.V. Ochapovsky, Krasnodar, Russia.
Urologiia (Moscow, Russia : 1999)
|December 16, 2025
概括
修改后的国际前列腺症状评分 (mIPSS) 问卷提供了对良性前列腺激增症 (BPH) 患者下尿道症状 (LUTS) 的更可靠的评估. 与标准IPSS相比,它与尿液流量计等客观指标的相关性更强.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医学诊断 医学诊断 医学诊断
- 患者评估 患者评估
背景情况:
- 精确评估下泌尿道症状 (LUTS) 对于管理良性前列腺增生症 (BPH) 至关重要.
- 国际前列腺症状评分 (IPSS) 是广泛使用的,但有局限性,特别是对于认知障碍患者.
- 视觉前列腺症状评分 (VPSS) 是为了通过视觉辅助来解决IPSS限制而开发的.
研究的目的:
- 为了比较BPH男性的IPSS,修改IPSS (mIPSS) 和VPSS问卷.
- 根据尿液流量计和认知功能来评估这些问卷.
- 通过修改来提高IPSS的诊断准确性.
主要方法:
- 一项前性研究包括72名患有症状BPH的男性.
- 进行了包括尿流量计在内的标准泌尿学评估.
- 参与者填写了IPSS,mIPSS (含空白/存储症状分类) 和VPSS问卷.
主要成果:
- 与标准IPSS相比,mIPSS与客观尿液流量计参数 (Qmax,Qave) 的相关性更强.
- 问卷答复显示了强烈的关联 (r > 0.6),表明许多方面可以互换.
- 具体症状,如尿流强度和夜,与通过mIPSS的客观测量有显著的相关性.
结论:
- 修改后的IPSS (mIPSS) 是一种合理可靠的工具,用于评估BPH患者的LUTS,比标准IPSS有优势.
- mIPSS与泌尿动力学发现的相关性得到改善,并且更容易使用.
- mIPSS和VPSS是有效的识别排空障碍,特别是在认知障碍患者.
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