遂宁地区良性前列腺增生术后LUTS相关危险因素分析

目的:调查与分析遂宁地区良性前列腺增生术后下尿路症状(Lower Urinary Tract Symptoms,LUTS)发生的相关危险因素。方法:2014年9月到2019年10月选择在遂宁市中心医院诊治的遂宁地区良性前列腺增生症患者172例,所有患者都给予手术治疗,记录术后LUTS发生情况,调查患者的临床资料并进行影响因素分析。结果:在172例患者中,术后平均国际前列腺症状评分量表(International prostate symptom scores,IPSS)评分为5.67±0.13分,其中储尿期症状评分3.01±0.11分,排尿期症状评分为1.76±0.22分,排尿后症状评分0.89±0.14分,发生LUTS 18例(LUTS组),发生率为10.5%。LUTS组的生活质量评分高于非LUTS组(P<0.05);LUTS组的年龄、体重指数、低密度脂蛋白、总胆固醇、前列腺体积与非LUTS组对比差异有统计学意义(P<0.05);Pearson分析显示年龄、体重指数、低密度脂蛋白、总胆固醇、前列腺体积都与LUTS存在相关性(P<0.05);二元Logistic回归分析显示年龄、体重指数、低密度脂蛋白、总胆固醇、前列腺体积都为导致LUTS发生的主要因素(P<0.05)。结论:遂宁地区良性前列腺增生术后LUTS的发生比较常见,可严重影响患者的生活质量,年龄、体重指数、低密度脂蛋白、总胆固醇、前列腺体积都为导致LUTS发生的主要因素。

Analysis of Risk Factors Related to LUTS after Benign Prostatic Hyperplasia in Suining District

ABSTRACT Objective: To investigate and analysis the risk factors related with the occurrence of Lower Urinary Tract Symptoms (LUTS) after benign prostatic hyperplasia in Suining district. Methods: From September 2014 to October 2019, 172 cases of patients with benign prostatic hyperplasia in the Suining district related diagnosed and treated in our hospital were selected as the research object. All patients were given surgical treatment, recorded the occurrence of postoperative LUTS. The clinical data of the patients were investigated and given influencing factor analysis. Results: The postoperative mean international prostate symptom(IPSS) scores in the 172 cases were 5.67±0.13 points, of which the storage symptom scores were 3.01±0.11 points, and the voiding symptom scores were 1.76±0.22 scores, the symptom score after urination were 0.89±0.14 points, that there were 18 cases of LUTS (LUTS group), the incidence rate were 10.5 %. The quality of life score of the LUTS group were higher than that of the non-LUTS group, and compared the differences were statistically significant(P<0.05). LUTS group''s age, body mass index, low-density lipoprotein, total cholesterol, prostate volume compared with non-LUTS group were statistically significant(P<0.05). Pearson analysis showed age, body mass index, low-density lipoprotein, total cholesterol, prostate volume were correlated with LUTS(P<0.05). Binary logistic regression analysis shows that age, body mass index, low-density lipoprotein, total cholesterol, and prostate volume were the main factors that cause LUTS(P<0.05). Conclusion: The occurrence of LUTS after benign prostatic hyperplasia in Suining district are relatively common, which can seriously affect the quality of life of patients. Age, body mass index, low-density lipoprotein, total cholesterol, and prostate volume are the main factors that cause LUTS.