对129名慢性前列腺炎患者症状差异的调查和原因分析

目的:调查不同发病危险因素下慢性前列腺炎患者的症状差异.方法:建立以NIH-CPSI为基础的症状问卷,加入对慢性前列腺炎发病危险因素的调查;我们在一个网上论坛"前列腺炎患者自助中心"对慢性前列腺炎患者投放问卷,经电子邮件回收.将筛选后的129份问卷按照发病危险因素不同分为3组进行症状差异分析.结果:三个症状群的出现率在三组间有较明显的差异:会阴/肛门坠胀(P1,2＜0.05;P1,3＜0.05)、尿道内刺痒/刺痛(P1,2＜0.005;P1,3＜0.005)和尿频/尿急/尿不尽/排尿无力(P12=0.069;P1.3=0.052).结论:不同发病危险因素下的前列腺炎患者在一些症状上存在差异,考察这些差异与其相应危险因素(如频繁射精)的关系将为该病的病因学研究提供线索.

Analysis on the symptom discrepancies in 129 patients with chronic prostatitis

Objective; To analyze the symptom discrepancies of chronic prostatitis under different risk factors. Methods; The questionnaires were made by combining a series of modified questions on the basis of NIH - CPSI with other four carefully designed questions o-riented to trace the risk factors of chronic prostatitis. The questionnaires were published on a cyber - forum named " help center of prostatitis" and the answers were collected by e - mails from the patients. The validated answers were catalogued into three groups according to the risk factors they were undertaken. Results: Three symptom groups were within or around the margin of statistically - significant line, which were "Discomfort in (around) the Perineum and anus region" (which can not be explained as pain) (P1,2 <0.05; P1, 3 < 0.05 );"Itching or pain within the urethra (P1,2<0.005; P1,3 <0. 005) "and "Voiding symptoms" (P1, 2 =0.069; P1, 3 =0.052). Conclusion; Patients under different risk factors display different symptoms. Moreover, those distinctive symptoms together with their corresponding risk factors (etc. frequent ejaculation) give us a clue to trace the true origin of this disease.