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良性前列腺增生临床调研报告
引用本文:张祥华,李昕,叶章群,孙则禹,孙颖浩,孙光,王建业,那彦群.良性前列腺增生临床调研报告[J].中华外科杂志,2008,46(15).
作者姓名:张祥华  李昕  叶章群  孙则禹  孙颖浩  孙光  王建业  那彦群
作者单位:1. 北京大学第一医院泌尿外科北京大学泌尿外科研究所,100034
2. 华中科技大学同济医院泌尿外科
3. 南京鼓楼医院泌尿外科
4. 上海长海医院泌尿外科
5. 天津医科大学第二医院泌尿外科
6. 卫生部北京医院泌尿外科
摘    要:目的 了解我国泌尿外科医师对良性前列腺增生(BPH)的认识程度以及BPH患者的临床特点.方法 调研对象为全国119家三级甲等医院的部分专职泌尿外科医师和BPH患者.医师问卷主要包括泌尿外科医师对BPH临床进展性的认识以及目前的诊治措施等问题.患者问卷主要包括BPH发病年龄、症状特点以及接受治疗的愿望等问题.结果 对合格的289份医师问卷和4253份患者问卷的分析结果显示98.6%的泌尿外科医师认为BPH是一种临床进展性疾病,但是对临床进展性高危因素的认识还存在一定的分歧.同时,98.1%的患者就诊时属于中、重度BPH,夜尿是影响患者生活质量的最主要症状.治疗过程中泌尿外科医师以及BPH患者共同关心的问题就是迅速改善下尿路症状.结论 本调研是第一次针对泌尿外科医师和BPH患者的专项临床调研,调研结果将从一个侧面反映我国BPH的治疗现状并有利于我国BPH诊疗指南的不断完善.

关 键 词:前列腺增生  问卷调查  医师  患者

Clinical questionnaires about benign prostatic hyperplusia
Abstract:Objectives To assess the understanding degree of urologists for benign prastatic hyperplasia (BPH) and the clinical characteristics of BPH patients. Methods The questionnaires was distributed to urologists and patients in 119 hospitals over the country, respectively. The urologist survey was mainly focused on the questions of BPH progression and therapeutic model The patient survey was mainly focused on the questions of patient's age, symptom features and the preference to receiving treatment. Results The evaluations based on 289 completed urologist questionnaires and 4253 completed patient questionnaires showed that 98. 6% of urologists agreed that BPH was a progressive disease but there were still some differences in understanding the risk factors for BPH progression. Additionally, 98. 1% of patients were diagnosed to be moderate or severe BPH, nocturia was the most frequent symptom. In the treatment for BPH, both the urologists and patients concerned about how to improve the system rapidly. Conclusions This study is the first questionnaires specifically to the urologists and BPH patients, the results would reflect the situations of BPH diagnosis and treatment in China and would be helpful to the development of BPH guideline.
Keywords:Prostatic hyperplnsia  Questionnaires  Physicians  Patients
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