Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Prevalence of Lower Urinary Tract Symptoms and Association of Hypertension with I-PSS

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

  • Ha, Jee-Young (Department of Family Medicine, College of Medicine, Konkuk University) ;
  • Cho, Dong-Young (Department of Family Medicine, College of Medicine, Konkuk University) ;
  • Yang, Sang-Kuk (Department of Urology, College of Medicine, Konkuk University) ;
  • Chang, Soung-Hoon (Department of Preventive Medicine, College of Medicine, Konkuk University) ;
  • Lee, Kun-Sei (Department of Preventive Medicine, College of Medicine, Konkuk University) ;
  • Lee, Won-Jin (Department of Preventive Medicine, College of Medicine, Konkuk University) ;
  • Yu, Byung-Yeon (Department of Family Medicine, College of Medicine, Konyang University)
  • 하지영 (건국대학교 의과대학 가정의학과) ;
  • 조동영 (건국대학교 의과대학 가정의학과) ;
  • 양상국 (건국대학교 의과대학 비뇨기과) ;
  • 장성훈 (건국대학교 의과대학 예방의학교실) ;
  • 이건세 (건국대학교 의과대학 예방의학교실) ;
  • 이원진 (건국대학교 의과대학 예방의학교실) ;
  • 유병연 (건양대학교 의과대학 가정의학과)
  • Published : 2000.12.30
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Abstract

Benign prostatic hyperplasia (BPH) is a highly prevalent, age-related disorder in men which place 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 on questionnaire for I-PSS and were checked age, education, marital status, annual income, blood pressure. The mean age of subjects was 59.8 year old. The mean of I-PSS were increased by age decades(40~49, 50~59, 60~69, 70~86) and it's 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 hypertensive group and 8.39 in normotensive group but there was no statistically 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 casual. The need for high-quality epidemiological information and consequent increased prospects for prevention is obvious.

농촌 지역 사회의 40대 이상의 남성 300명을 대상으로, 번역의 타당성과 신뢰도가 검증된 국문 I-PSS를 이용하여, 하부요로 증상의 유병률, I-PSS와 혈압의 관계를 조사하여 다음과 같은 결론을 얻었다. 1. I-PSS를 이용한 증상접수 8이상인 하부 요로증상의 유병률은 40, 50, 60 및 70대에서 각각 20.5, 32.2, 40.6 및 72.0%로 관찰되었으며 증상점수 20 이상의 중증군은 각각 0.82, 5.6, 11.0%로 미국, 일본에 비하여 높게 나타났다. 2. 평균 I-PSS와 연령과의 관계는 연령이 증가함에 따라 증가하였으며(r=0.29, p=0.0001), 무학인 군이 전문대 이상인 군에 비하여 I-PSS가 유의하게 높게 관찰되었다(p<0.05). 3. 평균 I-PSS와 배뇨만족도 사이에는 유의한 상관관계(r=0.63, p=0.0001)를 보였으나 I-PSS(평균 8.2)에 비해 상대적으로 불편감이 없는 배뇨만족도(평균 1.9)를 나타내었다. 4. 고혈압군의 평균 I-PSS는 7.85이었으며 정상혈압군의 평균 I-PSS는 8.39이었으나 I-PSS와 혈압과의 관계는 고혈압군과 정상 혈압군 간에 유의한 차이를 보이지 않았다(p>0.05).

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