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| 題 名 | Relationships between American Urological Association Symptom Index, Prostate Volume, and Disease-Specific Quality of Life Question in Patients with Benign Prostatic Hyperplasia=美國泌尿科協會症狀指數,攝護腺體積與疾病特定生活品質指數在良性攝護腺肥大病人間的關聯性 |
|---|---|
| 作 者 | 劉家駒; 王起杰; 黃書彬; 周以和; 吳文正; 黃俊雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
| 卷 期 | 20:6 2004.06[民93.06] |
| 頁 次 | 頁273-278 |
| 分類號 | 415.863 |
| 關鍵詞 | 良性攝護腺肥大; 超音波; 症狀; 老年化; Benign prostatic hyperplasia; Ultrasonography; Symptoms; Aging; |
| 語 文 | 英文(English) |
| 中文摘要 | 美國泌尿科協會症狀指數已被證實在分辨出那些病人其良性攝護腺肥大是須要接受治療的,與監視其對治療的反應上具有其效力及可信度。本篇研究嘗試去探討在良性攝護腺肥大病人其美國泌尿科協會症狀指數,攝護腺體積與疾病特定生活品質指數間的相關聯性。在 2002 年 10 月至 2003 年 6 月總共有 100 位因下泌尿道症狀至高雄醫學大學附設醫院就診並被診斷為良性攝護腺肥大的病人納入本篇研究。所有的病人都接受經直腸超音波、美國泌尿科協會症狀指數以及疾病特定生活品質指數等檢查。結果發現疾病特定生活品質指數與美國泌尿科協會症狀指數有很好的相關聯性 (r = 0.815, p < 0.01),但與攝護腺體積 (r = 0.225, p < 0.05) 及年齡 (r = 0.274, p < 0.05) 的關聯性則較弱。攝護腺體積與美國泌尿科協會症狀指數(r = 0.251, p < 0.05) 或年齡 (r = 0.472, p < 0.01) 的關聯性較弱,但與血清中攝護腺特異抗原濃度 (r = 0.638, p < 0.01) 的關聯性則較好。在臨床上處理良性攝護腺肥大的病人,我們建議除了美國泌尿科協會症狀指數外,可加上疾病特定生活品質指數來評估病人的生活品質及其對治療的反應。此外,在治療時應注重的是良性攝護腺肥大所帶來的症狀影響,而非單純只是攝護腺體積的增加。 |
| 英文摘要 | The American Urological Association (AUA) symptom index is both valid and reliable in identifying the need to treat patients with benign prostatic hyperplasia (BPH) and in monitoring their response to therapy. We evaluated the relationships between AUA symptom index, disease-specific quality of life question, and prostate volume in patients with BPH. A total of 100 patients who came to Kaohsiung Medical University Hospital, Taiwan, for help due to lower urinary tract symptoms (LUTS) and who were diagnosed with BPH between October 2002 and June 2003 were included in the study. All patients were evaluated using transrectal ultrasonography, AUA symptom index, and disease-specific quality of life question. The disease-specific quality of life question showed good correlation with AUA symptom score (r = 0.815, p < 0.01), but weak correlation with prostate volume (r = 0.225, p < 0.05) and age (r = 0.274, p < 0.05). Prostate volume had weak correlation with AUA symptom score (r = 0.251, p < 0.05) and age (r = 0.472, p < 0.01), but good correlation with prostate specific antigen (r = 0.638, p < 0.01). In addition to AUA symptom index, we suggest using the disease-specific quality of life question to evaluate the influence on quality of life and response to treatment in clinical practice. Moreover, we should assess the impact of BPH symptoms rather than the increase in prostate volume during the management of BPH. |
本系統中英文摘要資訊取自各篇刊載內容。