【摘要翻译】亚洲人患有膀胱过度活动:一项流行病学调查
亚洲人患有膀胱过度活动:一项流行病学调查
[来源]British Journal of Urology.
[年、卷、期、页]2004 ;93(4):528-31.
[作者]MOORTHY, P.*; LAPITAN, M. C.†; QUEK, P. L.C.; LIM, P. H.C.
[原文摘要]
Abstract
OBJECTIVE: To study the epidemiology of overactive bladder (OAB) and the influence of demographic factors on its incidence in Asian men.
SUBJECTS AND METHODS: A survey based on a self-administered questionnaire (locally translated in participating countries) was conducted between March 1998 and May 1998 to quantify the prevalence of OAB in a random sample of men (2369, aged 18–70+ years) visiting other than urology clinics in 26 centres in 11 Asian countries. The questionnaire was divided into two parts, i.e. social and demographic factors, and OAB symptoms. For OAB the questionnaire primarily focused on symptoms, degree of bother and treatment measures. The degree of bother was quantified by classifying it as mild, moderate and severe. The statistical relationship between demographics and OAB was assessed using the chi-square independent test.
RESULTS: The prevalence of OAB was 29.9% (709 men); OAB was more common in professional workers (43%), the high-income group (26%, income of > US$ 800) and urban dwellers (64%). With increasing age the incidence of OAB increased, i.e. the prevalence was 53% in men aged > 70 years; the family history and type of toilets used had some relationship with OAB. Frequency (37%), urgency (34%), and frequency and urgency (10%) were the most common symptoms of OAB. Urge incontinence symptoms were reported by 13%. Some degree of bother was recorded in 32% of those with OAB, of whom only 5.9% received treatment for their OAB, with general practitioners and specialists being preferred equally.
CONCLUSIONS: The prevalence of OAB in Asian men is high and more common in older patients. The treatment rate for the symptoms was much lower than in western countries, suggesting a need for better education of patients and more research for effectively managing the OAB.
中文翻译:
目的:调查膀胱过度活动的流行病学和人口因素对亚洲男性膀胱过度活动(OAB)发生率的影响
材料和方法:依据自身实施的调查表(译成了当地调查国的语言),在1998年3月和5月间随机调查了11个亚洲国家26个中心的随访患者(2369个年龄为18->70岁患者)而不是泌尿学诊断过的患者,通过定量诊断OAB。调查表分成两部分,例社会与人口因素及OAB症状。对膀胱过度活动(OAB)患者,调查表主要关注症状,痛苦程度和治疗措施。痛苦程度用轻、中、重来定量。人口因素与OAB之间的统计关系通过卡方检验来统计。
结果:29.9%(709例)存在OAB;OAB在产业工人(43%)、高收入人群(26%,收入大于800美元)和城市居民(64%)中更常见。随着年龄的增加OAB发生率增加,例:年龄大于70岁的患者53%出现OAB,家族史和厕所的类型与OAB有某些联系。13%出现急迫性尿失禁的症状。伴有OAB患者32%出现不同程度的症状,其中只有5.9%伴有OAB的患者因OAB接受了治疗,包括普通的OAB患者和完全了解OAB的患者。
结论:亚洲老年男性出现高的OAB,且较常见。与西方国家比较,亚洲国家对OAB引起的症状接受治疗是很低的,暗示对OAB患者进行良好的宣传和更多的有效治疗OAB的临床研究。
个人短评:
膀胱过度活动(OAB)是产生下尿路症状的原因之一,发病率较高,影响人们的生活质量,但目前有关OAB的发病机理还不太清楚,因此,也没有特效治疗OAB的药物。
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