老年良性前列腺增生症合并糖尿病患者的尿流动力学改变分析

摘要

Objective:To investigate the urodynamic change significance of patients with benign prostat-ic hyperplasia ( BPH) complicated with diabetes.Method:90 cases of elderly patients with BPH complicat-ed with diabetes were divided into two groups.The observation group were 42 cases diabetic patients with BPH, and the control group were 48 cases pure BPH patients.And then compared the urodynamic change be-tween the two groups.Result: In the observation group, the detrusor instability was 76.19%, which was higher than that of the control group ( 56.25%);The low compliance bladder accounted for 30.95%, which was higher than that of the control group ( 18.75%); Impaired detrusor function accounted for 47.62%, which was higher than that of the control group ( 25%) , there was significant difference between two groups ( P<0.05) .In the observation group ,FDV was significantly higher than that of the control group, while the maximal urinary flow rate (Qmax) decreased significantly compared with the control group (P<0.05), the scores of IPSS were higher than that of control group.Conclusion:The urodynamic monitoring should be im-plemented for patients with BPH and DM as soon as possible,which has certain guiding sense to the clinical treatment scheme.%目的：探讨老年良性前列腺增生症（ BPH）合并糖尿病患者的尿流动力学的改变意义。方法：选择90例老年良性前列腺增生症患者，分为两组，BPH合并糖尿病42例为观察组，单纯BPH 48例为对照组，比较两组的尿流动力学改变。结果：观察组中逼尿肌不稳定达76．19％高于对照组的56．25％，低顺应性膀胱占30．95％高于对照组的18．75％，逼尿肌功能受损占47．62％高于对照组的25％，两组比较差异有统计学意义（ P＜0．05）。观察组FDV较对照组明显升高，而最大尿流率（ Qmax）较对照组明显降低（ P＜0．05），IPSS评分亦高于对照组。结论：对BPH合并DM患者应该尽早实行尿流动力学监测，对临床治疗方案具有一定的指导意义。