山西省偏关县与太原富士康成人腹股沟疝患病情况调查及危险因索分析

发布时间：2018-04-09 05:40

  本文选题：腹股沟疝　切入点：流行病学　出处：《山西医科大学》2015年硕士论文

【摘要】：目的:了解山西部分地区或人群成人腹股沟疝发病情况及其变化规律,查明病因或寻找病因线索及危险因素为进一步调查提供科学依据,控制疾病的进一步发展,调查疾病的分布情况及其发展趋势,评价控制措施效果,为进一步加强已有监测系统或建立新的监测系统提供依据,为扩大现场调查提供恰当的调查方法,从而降低疾病的发生率,改善患者生活质量。方法:选择山西省有职业代表性的群体或地区,以人群为基础进行随机抽样和分层抽样,调查对象为抽样地区18岁以上本地户籍,居住超过2年的本地居民,或有职业代表性的群体,然后按性别和年龄进行等比例分层,样本含量大于1000例。编制统一的腹股沟疝流行病学调查表,采用面访式问卷调查,收集可引起腹股沟疝发病的危险因素如性别、年龄、职业、吸烟、家族史等。由持有职业医师资格证的专科医师进行检查,可疑病例行腹股沟区彩超鉴别。整理录入调查资料并应用SPSS18.0软件进行统计学分析,定性资料采用百分比表示,率的比较采用χ2检验,危险因素分析采用多因素Logistic回归分析,P0.05有统计学意义。结果:目前调查地区包括山西省忻州市偏关县以及太原市个别工人群体。偏关县共调查5091人,合格数5064例,占99.47%,其中腹股沟疝患者29例,患病率5.73‰,男性患病率8.74‰,女性1.44‰。斜疝21例,直疝6例,股疝2例,从职业分布来看,农民患病率5.5‰,工人患病率9.6‰,专职干部患病率16.5‰,中小学教师21.7‰,轻体力劳动者23.7‰,重体力劳动者9.9‰,社区居民17.0‰。太原富士康共调查人数1943例,其中男性979例,女性964例,腹股沟疝患者5例,患病率2.6‰。结论:本调查中偏关县腹股沟疝患病率男性明显高于女性,性别、年龄、吸烟、家族史及腹内压增高史是引起腹股沟疝的危险因素。对太原富士康调查群体的性别、年龄、体重、腹内压增高史、吸烟史进行二项Logistic分析,均不能认为是引起腹股沟疝的危险因素。
[Abstract]:Objective: to investigate the incidence of adult inguinal hernia in some areas or populations of Shanxi Province, and to find out the etiology or search for etiological clues and risk factors to provide scientific basis for further investigation and to control the further development of the disease.To investigate the distribution of diseases and their development trends, to evaluate the effectiveness of control measures, to provide the basis for further strengthening existing surveillance systems or the establishment of new surveillance systems, and to provide appropriate methods of investigation for the expansion of field investigations,In order to reduce the incidence of disease, improve the quality of life of patients.Methods: selected groups or regions with occupational representation in Shanxi Province were randomly sampled and stratified on the basis of population. The subjects were local residents who were over 18 years old and lived for more than 2 years in the sample area.Then the sample size was more than 1000 cases according to sex and age.To compile a unified epidemiological questionnaire for inguinal hernia and to collect the risk factors such as sex, age, occupation, smoking, family history and so on.The suspected cases were identified by the inguinal area color Doppler ultrasound.The data were collected and analyzed by SPSS18.0 software. The qualitative data were expressed as percentage, the rate was analyzed by 蠂 2 test, and the risk factors were analyzed by multivariate Logistic regression analysis (P0.05).Results: the investigation areas include Xiguan County, Xinzhou City, Shanxi Province and individual workers in Taiyuan City.A total of 5091 people were investigated in Xiguan County, 5064 of whom were qualified, accounting for 99.477.Of them, 29 were inguinal hernia patients, the prevalence rate was 5.73 鈥，

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