论文部分内容阅读
[目的]调查门诊慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)患者的生活方式、个体疾病既往史以及精神心理等因素与CP/CPPS的关系。[方法]采用以医院为基础的病例对照研究方法,病例为2005年8月～2007年7月到临床泌尿外科门诊就诊并被确诊为CP/CPPS的612名男性患者,年龄为20～57岁;对照为同期入院,年龄相同的非CP/CPPS的612名门诊患者所组成。采用《美国国立卫生研究院慢性前列腺炎症状评分指数》(NIH-CPSI)评价患者对生活质量(QOL)的影响。应用多元Logistic模型计算出CP/CPPS与研究因素的比值比(OR)及其相对应的95%可信区间(CI)。[结果]QOL9～12分的397名患者中,324名为20～39岁,占81.61%。调整了年龄因素后,经多因素Logistic回归分析的结果表明:尿道炎、频繁手淫、无节制性生活、泌尿系外伤、固定体位、焦虑心理、长时间憋尿与CP发病有关联。[结论]大多数CP/CPPS患者生活质量受影响较大;随着年龄增长,患病人数逐渐减少。影响慢性前列腺炎发生的危险因素分别为尿道炎、无节制性生活、频繁手淫、泌尿外伤、固定体位(尤其是坐位/骑跨位)、焦虑心理和长时间憋尿。
[Objective] To investigate the relationship between CP / CPPS and life style of patients with chronic prostatitis / chronic pelvic pain syndrome (CP / CPPS) in outpatients, the past history of individual diseases and psychosocial factors. [Methods] A hospital-based case-control study was conducted in 612 male patients admitted to clinical urology clinics from August 2005 to July 2007 and aged from 20 to 57 years ; Control for the same period of admission, the same age non-CP / CPPS of 612 outpatient patients. The NIH-CPSI was used to evaluate the impact of patients on quality of life (QOL). The multivariate Logistic model was used to calculate the odds ratio (OR) between CP / CPPS and research factors and their 95% confidence intervals (CIs). [Results] Of 397 patients with QOL 9-12, 324 were 20-39 years old, accounting for 81.61%. Logistic regression analysis showed that urethritis, frequent masturbation, uncontrolled life, urinary trauma, fixed position, anxiety, long-term holding back urine were associated with the pathogenesis of CP after adjustment for age. [Conclusion] The quality of life of most CP / CPPS patients is greatly affected; with the increase of age, the number of patients gradually decreases. The risk factors affecting chronic prostatitis were urethritis, uncontrolled life, frequent masturbation, urinary trauma, fixed position (especially sitting / riding position), anxiety and prolonged holding back urine.