摘要
目的：调查河南省太康县（平原地区、农村）腹股沟疝的发病状况。方法采用统一的流行病学调查方法，对河南省太康县转楼乡（平原地区、农村）60683口自然人群进行面访问卷调查。结果共调查60683人，腹股沟疝患者398例，患病率为0．7％；男性患病率为1．1％，女性患病率为0．2％，男女患病率之比为5．5∶1。腹股沟疝发病人群集中在0-3岁和70-79岁阶段，患病率分别为3．3％和1．3％。20-29岁、30-39岁及40-49岁阶段腹股沟疝患者较少，患病率分别为0．2％、0．2％和0．3％。有家族史、吸烟史、慢性咳嗽、排尿困难、便秘等危险因素者，腹股沟疝患者明显增多，与无上述危险因素者相比，患病率差异有统计学意义（χ2＝390．560、29．381、55．676、646．853、90．627，P均＝0．000）。398例腹股沟疝患者中，接受手术治疗的260例，占65．3％。结论河南省太康县（平原地区、农村）自然人群调查结果表明，腹股沟疝患病率为0．7％；男女患病率之比为5．5∶1；腹股沟疝在0-3岁和70-79岁阶段患病率较高，20-49岁阶段患病率较低；腹股沟疝的发生与家族史、吸烟史、腹内压增高等因素密切相关；有65．3％的腹股沟疝患者接受了手术治疗。
Objective To investigate the prevalence of inguinal hernia in Taikang County （plain area,village）of Henan Province.Methods A standardized questionnaire was conducted and completed in 60683 patients of Zhuanlou township Taikang County Henan Province,through a face-to-face method. Results A total of 60683 people participated in this study.The incidence of groin hernia was 0.7%（398 cases）,1 .1% in male and 0.2%in female（the ratio about 5.5：1 in men and women）,respectively. Inguinal hernia was more common in 0 to 3 years old （3.3%）and 70 to 79 years old （1 .3%）,while it was lower in the 20 to 29 years old （0.2%）,30 to 39 years old （0.2%）and 40 to 49 yearsold （0.3%）.The results showed that family history,smoking,chronic cough,dysuria and constipation,were the risk factors for inguinal hernia.The prevalence of groin hernia in people with these factors was significantly higher in people without these factors（χ2 =390.560,29.381 ,55.676,646.853,90.627,all P=0.000）.In 398 cases of inguinal hernia,260 cases of them received the operation （65 .3%）.Conclusions The prevalence of groin hernia was 0.7% in Taikang County of Henan Province,as the sexual ratio was 5.5：1 .The prevalence of groin hernia was higher in 0 to 3 years old and 70 to 79 years old,while lower in 20 to 49 years old;and the occurrence of inguinal hernia was well-associated with family history,smoking,history of increased intra-abdominal pressure.In this area,operation rate of patients was 65 .3%.
出处
《中华疝和腹壁外科杂志（电子版）》
2014年第5期20-22,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
患病率
危险因素
Hernia,inguinal
Prevalence
Risk factor
