국제 전립선 증상 점수(I-PSS)를 이용한 하부요로증상의 유병률 및 고혈압과의 관계

초록

Benign prostatic hyperplasia (BPH) is a highly prevalent, age-related disorder in men which places a considerable burden on health care resources worldwide. While BPH and hypertension are apparently diverse disease processes, they have some features in common (e.g. underlying etiology of the sympathetic nervous system). The purpose of this study is to estimate the prevalence of lower urinary tract symptoms using I-PSS (International Prostate Symptom Score) and to investigate the association of hypertension with I-PSS. This study was carried out to 390 men (40–86 year old) at 3 Myun in Chungju City from July to August, 1997. Subjects answered a questionnaire for I-PSS and were checked for age, education, marital status, annual income, and blood pressure. The mean age of subjects was 59.8 years old. The mean of I-PSS increased by age decades (40–49, 50–59, 60–69, 70–86) and its scores were 4.4, 7.0, 8.2, 12.3 respectively. Strong correlations were observed between the I-PSS and the QUL (quality of life) (P = 0.0001). I-PSS (mean value) were 7.85 in the hypertensive group and 8.39 in the normotensive group, but there was no statistical significance between the two groups (P > 0.05). The proportion of mean scoring greater than 8 was 42.5%. There have been reports of association between lower urinary tract symptoms and hypertension, but there was no consistent suggestion that such an association could be causal. The need for high-quality epidemiological information and consequent increased prospects for prevention is obvious.

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