摘要
目的分析我国慢性前列腺炎患病的危险因素。方法在中国期刊全文数据库、万方医学信息数据库、中国生物医学文献数据库、维普中文科技期刊全文数据库和Pubmed中搜索有关慢性前列腺炎患病危险因素的病例对照研究文献,采用Stata11.0统计软件对符合纳入标准的文献资料进行Meta分析。结果通过检索并经过纳入和排除标准筛选出文献10篇,共9248例患者,病例组4804例,对照组4444例。Meta分析结果显示,我国慢性前列腺炎的主要危险因素为饮酒（OR=2.13,95%CI：1.41~3.23）、辛辣食物（OR=2.53,95%CI：0.98~6.55）、尿道炎（OR=5.56,95%CI：3.80~8.13）、频繁手淫（OR=3.55,95%CI：2.72~4.63）、无节制性生活（OR=2.85,95%CI：2.29~3.56）、长时间固定体位（久坐、久骑）（OR=2.94,95%CI：2.33~3.73）、长时间憋尿（OR=2.71,95%CI：1.44~5.09）、焦虑（OR=1.85,95%CI：1.33~2.58）等,另外吸烟、泌尿外伤、寒冷环境等因素也是我国慢性前列腺炎的危险因素。结论慢性前列腺炎与饮食习惯、个人生活方式、心理因素以及环境因素相关;应针对相应的危险因素制订防治措施,减少慢性前列腺炎的发病,并进一步开展相关的队列研究,以获得慢性前列腺炎发病危险因素的更有力证据。
Objective To analyze the risk factors of chronic prostatitis in China. Methods Meta-analysis method was conducted to retrieve the databases of CBM, VIP, CNKI, Wangfang med online and Pubmed using Stata 11.0 for Meta analysis. Results A total of 10 studies were included according to the including and excluding criterions with 9248 subjects. 4804 cases were in the case group and 4444 cases in the control group. Results Meta-analysis showed statistical differences between drinking（OR=3.15, 95%CI：2.43-4.08）, spicy food（OR=2.53, 95%CI：0.98-6.55）, urethritis（OR=5.56, 95%CI：3.80-8.13）, frequent masturbation（OR=3.55, 95%CI：2.72-4.63）, unrestrained sexual activity（OR=2.85, 95% CI：2.29-3.56）, long-time fixed position（sitting/riding）（OR=2.94, 95% CI：2.33-3.73）, long-time holding urine（OR=2.71, 95%CI：1.44-5.09）, anxiety（OR=1.85, 95%CI：1.33-2.58）. Other factors were also related to chronic prostatitis, which include smoking, urinary trauma, cold environment and so on. Conclusion Chronic prostatitis is related to eating habits, life style, psychological factors and environmental factors. The corresponding measures should be taken to reduce the incidence of chronic prostatitis, and prospective cohort studies are needed to provide better evidence for risk factors of chronic prostatitis.
出处
《中国医药导报》
CAS
2015年第9期85-89,93,共6页
China Medical Herald
