慢性前列腺炎影响生活质量的关键症状及发生部位研究

目的调查和分析特定人群慢性前列腺炎(CP)影响生活质量的关键症状及其发生部位,为提高其生活质量提供诊疗依据。方法采用随机整群抽样选取不同地区的特定人群,使用问卷调查的形式了解其慢性前列腺炎样症状发病情况,并通过多种统计学方法分析疼痛、排尿相关等症状及其发生部位与生活质量的相关性。结果共发放问卷2000份,其中1639份问卷填写有效,7.9%的受访者具有CP样症状。其关键症状及发生比例依次为排尿痛10.7%、腰骶膀胱痛10.6%、尿频10.6%、尿不尽10.1%、会阴痛7.2%。具有CP样症状的受访者81%对症状感到不适甚至难受,尿频、尿不尽对其生活质量影响最大,其次是疼痛的频率、强度,疼痛的发生部位对生活质量影响相对较小,且不同的疼痛部位之间无明显区别。结论慢性前列腺炎在该特定人群很常见,严重影响其生活质量,排尿相关的功能性损害较疼痛更影响其生活质量,疼痛强度较疼痛部位更重要。因此,这些关键症状可以代表对该特定人群患者治疗的靶标。

Study on the key symptom and location of chronic prostatitis affecting quality of life

Objective To investigate and analyze the key symptoms of chronic prostatitis(CP)affecting the quality of life of a specific population so as to provide diagnosis and treatment basis for improving their quality of life.Methods Selected a certain group of people from different places by random cluster sampling,and investigated the symptoms of chronic prostatitis by means of questionnaire survey.The correlation between pain,urinary symptoms,location of symptoms and quality of life were analyzed by a variety of statistical methods.Results A total of 2000 questionnaires were issued,of which 1639 were valid,and 7.9%of the respondents had CP-like symptoms.The key symptoms and incidence rate were urodynia 10.7%,lumbosacral and bladder pain 10.6%,frequent urination 10.6%,incomplete bladder emptying 10.1%,perineal pain 7.2%,etc.About 81%of the respondents with CP-like symptoms were not satisfied with the symptoms or even felt uncomfortable.Frequent urination and incomplete bladder emptying had the greatest impact on quality of life,followed by the frequency and intensity of pain.The location of pain had relatively little impact on quality of life,and there was no significant difference between different pain sites.Conclusion Chronic prostatitis was very common in this particular population and severely affected their quality of life.Functional impairment affected quality of life more than pain,and the severity of pain was more important than the location of pain.So,these key symptoms represent the target for treatment of patients in that particular population.