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尿PSA与其他危险因素交互作用对老年前列腺增生的预警作用研究

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目的 分析尿前列腺特异性抗原(PSA)与其他危险因素交互作用对老年前列腺增生的预警作用研究.方法 选取2021年5月至2023年5月在白山市中心医院收治的97例老年前列腺增生患者为研究组,另选取84例正常老年人为对照组,检测两组患者氧化应激标志物、尿PSA、血清PSA水平,分析老年前列腺增生的危险因素及尿PSA与危险因素的交互作用.结果 与对照组相比,研究组患者超氧化物歧化酶(SOD)、总抗氧化物(TAS)表达水平降低,尿PSA、血清PSA、丙二醛(MDA)表达水平升高(P<0.05).单因素分析显示,老年前列腺增生的发生与年龄、高脂血症、生长因子、肉眼血尿病史、泌尿系感染无关(P>0.05);与肥胖、逼尿肌功能异常、高血压、雄激素水平升高、糖尿病、膀胱颈纤维化、高盐饮食、前列腺炎症有关(P<0.05).以老年前列腺增生为因变量(未发生=0;发生=1),多因素Logistics回归分析结果显示,肥胖(体质指数≥28 kg/m2)、逼尿肌功能异常、高血压、雄激素水平升高、糖尿病、膀胱颈纤维化、高盐饮食、前列腺炎症、尿PSA、血清PSA为影响老年前列腺增生的危险因素(P<0.05).尿PSA与危险因素对老年患者前列腺增生存在乘积交互作用(P<0.05).结论 尿PSA与其他危险因素交互作用对老年前列腺增生具有预警作用.
Study on early warning effect of interaction between urinary PSA and other risk factors on prostatic hyperplasia in elderly patients
Objective Analysis of the interaction between urinary prostate specific antigen(PSA)and other risk factors on prostatic hyperplasia in elderly patients.Methods From May 2021,97 elderly patients with prostatic hyperplasia admitted in May 2023 were selected as study group,and 84 normal elderly pa-tients were selected as control group.The oxidative stress markers,urinary PSA and serum PSA levels in the 2 groups were detected,and the risk factors of elderly prostatic hyperplasia and the interaction between urinary PSA and risk factors were analyzed.Results Compared with control group,the study patients had decreased expression levels of superoxide dismutase(SOD),antioxidant status(TAS),and increased uri-nary PSA,serum PSA and malondialdehyde(MDA)(P<0.05).Univariate analysis showed that the oc-currence of prostatic hyperplasia in the elderly was unrelated to age,hyperlipidemia,growth factors,his-tory of gross hematuria and urinary tract infection(P>0.05),and obesity,abnormal detrusor function,hypertension,diabetes,androgens,bladder neck fibrosis,diet and inflammation(P<0.05).With senile prostatic hyperplasia as the dependent variable(no occurrence=0;occurrence=1),multivariate Logistics regression analysis,the results showed that obesity 28 kg/m2,abnormal detrusor function,hypertension,androgen,diabetes,bladder neck fibrosis,diet,inflammation,urinary PSA and serum PSA were risk fac-tors affecting prostatic hyperplasia in the elderly(P<0.05).Analyzing the effect of the interaction be-tween urinary PSA and other risk factors on prostatic hyperplasia in elderly patients,the results showed that there was a product interaction between urinary PSA and depressive symptoms on prostatic hyperpla-sia in elderly patients(P<0.05).Conclusion The interaction between urinary PSA and risk factors have an early warning effect on prostatic hyperplasia in the elderly.

prostatic hyperplasia in the elderlyurinary prostate-specific antigeninteractionrisk factorsearly warning

卢晓霞、庄茂军、李健

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吉林省白山市中心医院检验科,吉林 白山 134300

吉林省白山市中心医院心内科,吉林 白山 134300

吉林省白山市中心医院泌尿科,吉林 白山 134300

老年前列腺增生 尿前列腺特异性抗原 交互作用 危险因素 预警

国家重点研发计划重点专项课题

2021YFC2009300

2024

新疆医科大学学报
新疆医科大学

新疆医科大学学报

CSTPCD
影响因子:0.76
ISSN:1009-5551
年,卷(期):2024.47(2)
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