萍乡市老年男性高血压人群夜尿患病现状及分析

目的：探讨萍乡市老年男性高血压人群夜尿患病现状。方法随机抽取萍乡市≥60岁的老年男性人群（高血压夜尿组）为研究对象，选择1172例健康体检者（健康组）并与高血压夜尿组进行临床对比。调查流程包括问卷调查和临床检查两部分。结果共调查了1783例老年男性患者，其中1172例属于高血压合并夜尿患者，患病率为65.73%。高血压夜尿组的SCr、BUN、cystatin C水平高于健康组，差异有统计学意义（P＜0.01）。高血压夜尿组的IPSS评分高于健康组、前列腺体积大于健康组、残余尿量多于健康组、最大尿流量低于健康组，两组比较，差异有统计学意义（P＜0.01）。高血压夜尿组的膀胱过度活动症（OAB）合并率为36.01%，高于健康组的25.00%，差异有统计学意义（P＜0.01）。随着年龄的上升和IPSS评分的提高，老年男性高血压夜尿的患病率逐渐提高，不同年龄段和不同IPSS评分范围内老年男性人群的高血压夜尿的患病率差异有统计学意义（P＜0.05）。结论高血压夜尿现象在萍乡市老年男性人群中十分常见，对患者的生活质量产生极大的威胁，需要引起临床的高度重视。

Current situation and analysis of nocturia prevalence of hypertension in elderly men in Pingxiang city

Objective To discuss the current situation of nocturia prevalence of hypertension in elderly men in Pingxi-ang city. Methods The elderly men （≥60 years old） in Pingxiang city （the nocturnal hypertension group） were random-ly sampled as the subjects,1172 people with health examination （the health group） and the two groups were compared clinically. Results A total of 1783 cases of senile male patients were investigated,among them 1172 cases belonged to the patients with hypertensive complicated with nocturia,the prevalence rate was 65.73%.SCr,BUN,cystatin C level of the nocturnal hypertension group was higher than that in the health group,and there was a statistical difference （P〈0.01）. IPSS score in the nocturnal hypertension group was higher than that in the health group,prostate volume in the nocturnal hypertension group was larger than that in the health group,the residual urine volume in the nocturnal hy-pertension group was more than that in the health group,the maximal urinary flow in the nocturnal hypertension group was lower than that in the health group,and there was a statistical difference of the two groups （P〈0.01）.The consolida-tion rate of overactive bladder （OAB） in the nocturnal hypertension group （36.01%） was higher than that in the health group （P〈0.01）.With the rise of the age and the improvement of IPSS score,the prevalence rate of nocturia of hyperten-sion in elderly men increased gradually,there was a statistical difference of the prevalence rate in elderly men in differ-ent ages and different IPSS score range （P〈0.05）. Conclusion Hypertension nocturia phenomenon is very common in the elderly population in Pingxiang city,and it can produce a great threat to the patient’s quality of life and needs to be paid great attention clinically.