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하부요로증상과 고혈압의 관계: 유병률 및 증상 분석

Other Titles
 Relationship between Lower Urinary Tract Symptom and Hypertension: Coprevalence Rate and Symptom Severity 
 홍성준  ;  정현직  ;  나군호  ;  허영숙  ;  정병하  ;  정신호 
 Korean Journal of Urology (대한비뇨기과학회지), Vol.40(6) : 729-733, 1999 
Journal Title
 Korean Journal of Urology (대한비뇨기과학회지) 
Issue Date
BPH ; Hypertension ; Lower urinary tract symptom
Purpose: It Is presumed that lower urinary tract symptom(LUTS) and hypertension are related to th8 age-dependent sympathetic activity. Thus, the attempt to elucidate a correlation between these two conditions can be important in their management. We investigated the relationship between LUTS and hypertension. Materials and Methods: From 1995 to 1997, 1011 men(422 from routine physical checkup, 288 benign prostatic hyperplasia(BPH) patients, 301 hypertension patients) over 50 years were enrolled. The international prostate symptom score(IPSS) and blood pressure were recorded in all. 422 men from physical checkup were grouped into 4 categories according to the presence of LUTS(IPSS≥8) or hypertension(systolic≥ 140mmHg, diastolic >90mmHg). The prevalence of hypertension, and the degree of LUTS were evaluated. Statistical analysis was performed with t-test, chi-square test and Mantel-Haenszel test. Results: The prevalence of hypertension was not significantly different between the LUTS(n=177) and non-LUTS groups(n=245)(38.4% vs 35.9%, p=0.600) in men from physical checkup. There was no difference according to age(p=0.513). The prevalence of hypertension was 39.6% in the BPH group(N=288) and was not different compared to the non-LUTS group(n=245) (p=0.385). No significant difference in the prevalence of LUTS was seen between hypertensives(n=156) and normotensives(n=266)(53.2% vs 48.2%, p=0.447) in the physical checkup group. However, their mean IPSS(8.9±6.5 vs 7.6 ±5.6) were significantly different(p=0.030). The mean IPSS between hypertensives(15.21 ±4.5) and normotensives(12.75±5.0) from the LUTS group(n=178) were significantly different(p=0.002). The mean IPSS of the patients with hypertension(n=301, 9.6±5.9) was significantly higher than normotensive men(n=266, 7.6±5.6) from physical checkup(p=0.001). Conclusions: Hypertension and LUTS including BPH do not correlate prevalence wise, however, hypertension may affect the degree of IPSS.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Chung, Byung Ha(정병하) ORCID logo https://orcid.org/0000-0001-9817-3660
Hong, Sung Joon(홍성준) ORCID logo https://orcid.org/0000-0001-9869-065X
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