Title北京地区人群夜尿患病率风险因素及相关生活质量调查
Other TitlesInvestigation in nocturia prevalence, risk factors and quality of life in the Beijing population
Authors刘士军
张晓威
张健
陈捷
张春芳
李清
徐涛
王晓峰
Affiliation北京大学人民医院泌尿外科,100044
Keywords夜尿
流行病学研究
Nocturia
Epidemiologic studies
Issue Date2010
Publisher中华泌尿外科杂志
Citation中华泌尿外科杂志.2010,31,(9),632-635.
Abstract目的 探讨北京地区人群夜尿患病率、风险因素及夜尿相关生活质量状况.方法 2008年10月至2009年2月分层整群抽取北京市西城区、昌平区和延庆县7个社区,采用自行设计问卷及夜尿相关生活质量表对社区家庭中1~3位年龄>30岁受访者进行问卷调查.Logistic分析评价风险因素,包括年龄、高血压病、糖尿病、心血管疾病、BPH、饮酒和吸烟.多元线性回归分析影响生活质量评分的独立因素.结果 1198名年龄>30岁的受访者纳入研究,主诉夜间至少2次夜尿者411人(34.3%).夜尿发生率随年龄增长而增加,<40岁者为8.6%,≥70岁者为67.7%.高血压病(OR 2.322;95%CI:1.387~3.887)、糖尿病(OR 2.298;95%CI:1.066~4.954)和BPH(OR3.900;95%CI:1.890~8.049)为夜尿风险因素.性别与夜尿无明显相关性(P>0.05).夜尿次数增加(回归系数:-2.564;95%CI:-3.080~-2.049)和总睡眠时间减少(回归系数:1.738;95%CI:0.948~2.527)是预测夜尿相关生活质量分数降低的独立因素.结果 北京地区人群夜尿患病率较高,高血压病、糖尿病和BPH是夜尿主要风险因素,每晚夜尿>2次对生活质量影响较为显著.
Objective To evaluate the prevalence, risk factors of nocturia and nocturia-related quality of life in Beijing area. Methods Age, hypertension, cardiovascular disease, diabetes mellitus, benign prostatic hyperplasia (BPH), alcohol abuse and smoking and nocturia status were analyzed using Logistic analysis. Multiple linear regression analysis was used to identify factors predicting the Nocturia-Quality of Life score. Results 1198 adults completed this query. 411 individuals (34.3%) answered that they arose for urination during night at least twice. The nocturia incidence increased with age from 8.6% in individuals younger than 40 to 67.7% in those older than 70. Hypertension (OR 2.322;95%CI:1.387,3.887) and diabetes (OR 2. 298;95%CI:1. 066,4. 954) were possible risk factors for nocturia. In male individuals, BPH (OR 3.900;95% CI: 1.890,8.049) was another risk factor. Gender was not found associated with nocturia. Increasing nocturia episodes (regression coefficient: - 2. 564; 95% CI:-3.08,-2.049) and decreasing total sleeping hours (regression coefficient: 1.738;95 %CI:0.948,2.527) were independent factors predicting a significantly lower N-QOL score. Conclusions Hypertension, diabetes and BPH are associated with nocturia, suggesting that multiple approaches are needed for the treatment of patients with nocturia. Nocturia has significant impact on N-QOL when the patient has two or more episodes per night.
URIhttp://hdl.handle.net/20.500.11897/135549
ISSN1000-6702
DOI10.3760/cma.j.issn.1000-6702.2010.09.020
Indexed中文核心期刊要目总览(PKU)
中国科技核心期刊(ISTIC)
中国科学引文数据库(CSCD)
Appears in Collections:人民医院

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