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中老年人夜尿增多流行病学调查 被引量:11

An epidemiological survey of nocturia in Chinese people aged 40 years and over
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摘要 目的了解郑州市40岁及以上人群夜尿增多的患病率及其相关因素。方法2010年6月至2011年2月采用多级分层随机抽样、横断面现场调查的方法抽取10160例郑州市40岁以上常住居民(居住年限≥5年)进行夜尿增多问卷调查。对夜尿增多相关因素包括年龄、性别、糖尿病等进行统计分析,同时对夜尿次数增多进行国际前列腺症状评分(IPSS)比较。结果40岁及以上的受访者9880例纳入统计分析,夜尿≥2次者占31.5%;随着年龄增大夜尿增多患病率增加(OR=1.05,95%CI:1.04~1.05,P〈O.01),70岁以上老年人患病率高达(48.9%);糖尿病组夜尿增多患病率高于非糖尿病组(43.1%比29.7%,OR—1.51,95%CI:1.34~1.71,P〈O.01)。夜尿增多组前列腺症状评分高于无夜尿增多组(5.1±5.3比1.7±2.7,f=-23.562,P〈0.01)。结论40岁及以上人群夜尿增多患病率与年龄、糖尿病和前列腺疾病相关。为减少夜尿增多对40岁及以上人群生活质量的影响,应加强夜尿增多的评估和治疗。 Objective To investigate the prevalence and risk factors of nocturia in people aged 40 years and over. Methods From June 2010 to February 2011, a randomized, community-based, cross-sectional study was performed on 10160 Chinese inhabitants (living over 5 years) aged over 40 years in Zhengzhou. All subjects were assessed by questionnaires. Subjects were divided into nocturia group and non-noeturia group. The risk factors for nocturia including age, sex, diabetes mellitus (DM) were analyzed, and the international prostate symptom score (IPSS) were compared between groups. Results Among 10160 people receiving questionnaires, 9880 (96.5%) people were qualified to enter the final statistical analysis. The total prevalence of nocturia was 31.5% (3117/ 9880). The prevalence rate of nocturia was increased with age (OR= 1.05, 95%CI=1. 04-1. 05, P% 0.01), and it reached to 48.9% (642/1311) in people over 70 years. The prevalence rate of nocturia was higher in DM subjects than in non-DM subjects (43.1% vs. 29.7~/oo, OR= 1. 514, 95%CI = 1.34-1.71, P'〈0.01). IPSS was higher in nocturia group than in non-nocturia group [(5. 1+_5.3) vs. (1.7+2.7), t =-23. 562,P〈0.01). Conclusions Nocturia is significantly associated with age, diabetes and benign prostatic hyperplasia (BPH) in people aged 40 years and over in China's Mainland. The evaluation and treatment of nocturia should be strengthened in order to reduce the impact of nocturia on quality of life in aged 40 years and over.
出处 《中华老年医学杂志》 CAS CSCD 北大核心 2013年第10期1120-1122,共3页 Chinese Journal of Geriatrics
关键词 夜尿 数据收集 Nocturia Survey
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