目的 了解武警军人慢性前列腺炎样症状的发病情况并研究在部队特殊环境下的发病因素,为进一步探讨其发病机制与针对性治疗提供依据。方法 应用自制问卷和美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)对301名武警某部军人进行调查。结果 (1)慢性前列腺炎样症状阳性率为23.6%。(2)单因素分析结果,年龄、BMI、入伍前性行为、遗精、体能锻炼量、工作压力、喝水习惯等对阳性率无影响。(3)多因素分析结果:经常憋尿的比没有或偶尔憋尿的军人发生慢性前列腺炎样症状的概率高11.64倍;服役2~5年的比服役2年内的高1.31倍,服役5年以上比服役2年内的高4.68倍;城镇或城市来源的比农村来源的高1.01倍。是否经常熬夜和担负勤务(全训或执勤为主)对慢性前列腺炎样症状的发生均无显著性影响。结论 武警军人慢性前列腺炎样症状阳性率处于较高水平,经常憋尿、服役年限长、城镇或城市生长环境是其发生的独立危险因素。
Abstract
Objective To find out about the incidence of chronic prostatitis in Armed Police servicemen and study the etiological factors so as to provide data for future research on pathogenesis and targeted treatment.Methods A total of 301 servicemen were investigated by a self-made questionnaire and NIH-CPSI.Results (1) The incidence of prostatitis-like symptoms was 23.6%.(2)Univariate analysis showed that age,BMI,sexual behavior before enlistment,spermatorrhea,amounts of physical training,work stress,and habits of drinking water had no effect on the positive rate.(3) Multivariate analysis showed that the incidence of prostatitis-like symptoms among those who often suppressed urination was 12.64 times as high as among those who rarely did.Those who had served for 2 to 5 years were 2.31 times as vulnerable as those who had served for less than 2 years,while those who had served for more than 5 years were 5.68 times as likely to develop such symptoms as those who had served for less than 2 years.The incidence among servicemen from cities and towns was 2.01 times as high as among those from rural areas.(4) Staying up late and performing daily tasks (fulltime training or patrol)had no effect on the incidence of prostatitis-like symptoms (P>0.05).Conclusions The incidence of prostatitis-like symptoms among Armed Police servicemen is high.Habitual suppression of urination,a long service time and former residence in cities and towns are independent risk factors.
关键词
慢性前列腺炎 /
前列腺炎样症状 /
慢性前列腺炎症状指数 /
二元logistic回归分析
Key words
chronic prostatitis /
prostatitis-like symptoms /
NIH-CPSI /
binary logistic regression
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