相关临床指标对良性前列腺增生的诊疗价值

目的：明确血糖、高血压、血脂代谢紊乱及肥胖与良性前列腺增生的关系，以期为此类疾病的诊疗提供参考。方法：回顾性分析2008年1月至2012年1月在我院接受治疗的良性前列腺增生患者的临床资料，另选取健康体检者作为对照组。比较两组受试者以下临床参数：腰围、血甘油三脂（TG）、血高密度脂蛋白（HDL—c）、空腹血糖、高血压病史。结果：前列腺增生组（病例组）患者腹围≥95cm的比例高于健康体检组（对照组），相比较差异具有统计学意义（P=0．021）；病例组血HDL—c≥1．03mmol／L的患者有31（24．8％）例，对照组有13（10．8％）例，两者比较差异具有统计学意义（P=0．004）。病例组空腹血糖〉16．2mmol／L的患者有51（40．8％）例，对照组有34（28．3％）例，两者比较差异具有统计学意义（P=0．040）。病例组高血压患病率为51．2％，对照组为35．8％，两者比较差异具有统计学意义（P=0．015）。结论：腹型肥胖、高脂血症、高血压及高血糖是老年人发生前列腺增生的危险因素。

Relevant indicators for clinical diagnosis of benign prostatic hyperplasia

Objectives： The article tries to find the relationship between the blood sugar, high blood pressure, blood lipid metabolic disorder and obesity with the benign prostatic hyperplasia, so as to provide reference for the diagnosis and treatment of these kinds of diseases. Methods： we conducted an analysis retrospectively on patients presenting in our hospital from January 2008 to January 2012 based on the clinical data of treatment with benign prostatic hyperplasia, and the people with healthy physi- cal examination were selected as control groups. We compared the following clinical parameters of the groups： waist circumfer- ence, blood triglyeerides （TG）, high- density lipoprotein （HDL - C）, fasting blood glucose, and high blood pressure history. Results： in the prostatic hyperplasia group, the percentage of patients who had the abdomen circumference were larger than that in control group （people with healthy examination） , and there was no obvious statistical difference （P = 0. 021 ） ; There were 31 cases in the patient group who had the blood HDL - C greater than 1.03 / L （24.8%）, while in the control group, there were 13 eases （ 10.8% ）. The two comparative differences had statistically significance （P =0. 004）. There were 51 people in the pa- tient group who had the fasting plasma glucose greater than 6.2 / L, which took up 40.8% of the entire group, while in the con- trol group there were 34 cases （28.3%）. The comparative differences between the two group had statistically significance （P = 0. 040）. The percent of hypertension prevalence rate was 51.2% in the patient group, while in the control group it was 35.8%, and the comparative differences of two group had statistically significance （P = 0. 015 ）. Conduslons： Abdominal obesity, hyper- lipidemia, hypertension and hyperglycemia are risking factors for the elderly in getting hyperplasia of prostate.