本文選題：腹股溝疝　切入點：流行病學　出處：《山西醫(yī)科大學》2015年碩士論文

【摘要】：目的:了解山西部分地區(qū)或人群成人腹股溝疝發(fā)病情況及其變化規(guī)律,查明病因或?qū)ふ也∫蚓�索及危險因素為進一步調(diào)查提供科學依據(jù),控制疾病的進一步發(fā)展,調(diào)查疾病的分布情況及其發(fā)展趨勢,評價控制措施效果,為進一步加強已有監(jiān)測系統(tǒng)或建立新的監(jiān)測系統(tǒng)提供依據(jù),為擴大現(xiàn)場調(diào)查提供恰當?shù)恼{(diào)查方法,從而降低疾病的發(fā)生率,改善患者生活質(zhì)量。方法:選擇山西省有職業(yè)代表性的群體或地區(qū),以人群為基礎(chǔ)進行隨機抽樣和分層抽樣,調(diào)查對象為抽樣地區(qū)18歲以上本地戶籍,居住超過2年的本地居民,或有職業(yè)代表性的群體,然后按性別和年齡進行等比例分層,樣本含量大于1000例。編制統(tǒng)一的腹股溝疝流行病學調(diào)查表,采用面訪式問卷調(diào)查,收集可引起腹股溝疝發(fā)病的危險因素如性別、年齡、職業(yè)、吸煙、家族史等。由持有職業(yè)醫(yī)師資格證的�？漆t(yī)師進行檢查,可疑病例行腹股溝區(qū)彩超鑒別。整理錄入調(diào)查資料并應(yīng)用SPSS18.0軟件進行統(tǒng)計學分析,定性資料采用百分比表示,率的比較采用χ2檢驗,危險因素分析采用多因素Logistic回歸分析,P0.05有統(tǒng)計學意義。結(jié)果:目前調(diào)查地區(qū)包括山西省忻州市偏關(guān)縣以及太原市個別工人群體。偏關(guān)縣共調(diào)查5091人,合格數(shù)5064例,占99.47%,其中腹股溝疝患者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,從職業(yè)分布來看,農(nóng)民患病率5.5‰,工人患病率9.6‰,專職干部患病率16.5‰,中小學教師21.7‰,輕體力勞動者23.7‰,重體力勞動者9.9‰,社區(qū)居民17.0‰。太原富士康共調(diào)查人數(shù)1943例,其中男性979例,女性964例,腹股溝疝患者5例,患病率2.6‰。結(jié)論:本調(diào)查中偏關(guān)縣腹股溝疝患病率男性明顯高于女性,性別、年齡、吸煙、家族史及腹內(nèi)壓增高史是引起腹股溝疝的危險因素。對太原富士康調(diào)查群體的性別、年齡、體重、腹內(nèi)壓增高史、吸煙史進行二項Logistic分析,均不能認為是引起腹股溝疝的危險因素。
[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，

本文編號：1725130