经尿道前列腺切除术对良性前列腺增生患者夜尿及睡眠质量的影响

Q4 Medicine

中华泌尿外科杂志 Pub Date : 2020-03-15 DOI:10.3760/CMA.J.CN112330-20190919-00414

Jie Xiong, Hao Hu, Weiyu Zhang, Huanrui Wang, Xianhui Liu, Tao Wang, Kexin Xu

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The preoperative IPSS score was (20.5±5.5) points, the number of nocturia events(assessed by the seventh question of IPSS) was (4.4±1.9) times, hours of undisturbed sleep (HUS) was (1.7±1.0) h, 110 cases with HUS 200 ml with nocturia (4.5±1.9) times, 9 cases had a maximum bladder capacity ≤200 ml with nocturia (4.7±1.7) times. All 122 patients were treated with TURP. \n \n \nResult \n122 patients were followed up for 3-20 months. After operation the number of nocturia significantly decreased to (1.9±1.23) times (P 200 ml. The nocturia did not improve significantly after surgery (P>0.05) in the group with a maximum bladder volume ≤200 ml, and the nocturia in the group with a maximum bladder capacity >200 ml had significantly improvement (P 200 ml, and there was significant difference compared with before surgery (P<0.05). \n \n \nConclusion \nTURP can significantly prolong the HUS of BPH patients with nocturia, and improve the life and sleep quality of patients. 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引用次数: 0

摘要

目的探讨经尿道前列腺切除术对良性前列腺增生患者夜尿及睡眠质量的影响。方法回顾性研究2016年12月至2018年12月期间接受经尿道前列腺切除术治疗BPH(良性前列腺增生)的122例患者。年龄(69.7±7.9)岁。糖尿病20例，高血压40例。术前平均前列腺体积为(64.4±41.2)ml，平均BMI为(24.3±2.7)kg/m2。术前IPSS评分为(20.5±5.5)分，夜尿事件数(以IPSS第7题评估)为(4.4±1.9)次，未受干扰睡眠时间(HUS)为(1.7±1.0)h, 110例HUS 200 ml伴夜尿(4.5±1.9)次，9例最大膀胱容量≤200 ml伴夜尿(4.7±1.7)次。所有122例患者均接受TURP治疗。结果122例患者随访3 ~ 20个月。术后夜尿次数明显减少至(1.9±1.23)次(P 200 ml)，最大膀胱容量≤200 ml组夜尿无明显改善(P>0.05)，最大膀胱容量>200 ml组夜尿明显改善(P 200 ml，与术前比较差异有统计学意义(P<0.05)。结论TURP可明显延长BPH合并夜尿症患者的HUS，改善患者的生活和睡眠质量。TURP在一定程度上减少了夜尿的发生，但仍有部分患者术后出现夜尿。术前IPSS总分高、膀胱最大容积≤200 ml是术后夜尿的危险因素。关键词:良性前列腺增生;夜尿症;睡眠;经尿道前列腺切除术

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Effect of transurethral resection of the prostate on nocturia and sleep quality in men with benign prostatic hyperplasia

Objective To evaluate the effect of transurethral resection of the prostate on nocturia and sleep quality in men with benign prostatic hyperplasia. Methods This retrospective study included 122 patients who underwent TURP(transurethral resection of the prostate) for BPH(benign prostatic hyperplasia)from December 2016 to December 2018.The age was(69.7±7.9)years old. There was 20 cases with diabetes and 40 cases with hypertension. The preoperative mean prostate volume was (64.4±41.2)ml and mean BMI was (24.3±2.7)kg/m2. The preoperative IPSS score was (20.5±5.5) points, the number of nocturia events(assessed by the seventh question of IPSS) was (4.4±1.9) times, hours of undisturbed sleep (HUS) was (1.7±1.0) h, 110 cases with HUS 200 ml with nocturia (4.5±1.9) times, 9 cases had a maximum bladder capacity ≤200 ml with nocturia (4.7±1.7) times. All 122 patients were treated with TURP. Result 122 patients were followed up for 3-20 months. After operation the number of nocturia significantly decreased to (1.9±1.23) times (P 200 ml. The nocturia did not improve significantly after surgery (P>0.05) in the group with a maximum bladder volume ≤200 ml, and the nocturia in the group with a maximum bladder capacity >200 ml had significantly improvement (P 200 ml, and there was significant difference compared with before surgery (P<0.05). Conclusion TURP can significantly prolong the HUS of BPH patients with nocturia, and improve the life and sleep quality of patients. TURP partly reduces the number of nocturia, but some patients still suffer from nocturia after operation. The high total score of IPSS before operation and the maximum bladder volume ≤200 ml are the risk factors for nocturia after operation. Key words: Benign prostatic hyperplasia; Nocturia; Sleep; Transurethral resection of the prostate

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来源期刊

中华泌尿外科杂志 Medicine-Nephrology

CiteScore

0.10

自引率

0.00%

发文量

14180

期刊介绍： Chinese Journal of Urology (monthly) was founded in 1980. It is a publicly issued academic journal supervised by the China Association for Science and Technology and sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. This journal mainly reports on the latest scientific research results and clinical diagnosis and treatment experience in the professional field of urology at home and abroad, as well as basic theoretical research results closely related to clinical practice. The journal has columns such as treatises, abstracts of treatises, experimental studies, case reports, experience exchanges, reviews, reviews, lectures, etc. Chinese Journal of Urology has been included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Chinese Science Citation Database Source Journal (including extended version), and also included in American Chemical Abstracts (CA). The journal has been rated as a quality journal by the Association for Science and Technology and as an excellent journal by the Chinese Medical Association.