新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2015年
4期
458-462
,共5页
赛福丁·司马义%阿里木·太%早木来提·图尔逊%阿丽娅·吉%克力木·阿不都热依木%任风英
賽福丁·司馬義%阿裏木·太%早木來提·圖爾遜%阿麗婭·吉%剋力木·阿不都熱依木%任風英
새복정·사마의%아리목·태%조목래제·도이손%아려아·길%극력목·아불도열의목%임풍영
维吾尔族小儿%腹股沟斜疝%患病率%危险因素
維吾爾族小兒%腹股溝斜疝%患病率%危險因素
유오이족소인%복고구사산%환병솔%위험인소
Uyghur children%inguinal hernia%prevalence%risky factors
目的：了解新疆维吾尔族小儿腹股沟斜疝患病率及其危险因素。方法采用普查方式，对新疆乌鲁木齐市、克拉玛依市、喀什地区、和田地区、吐鲁番地区的24所幼儿园、18所小学及9所初中4～14岁的儿童进行医学体检，对患腹股沟斜疝或曾做过斜疝手术的小儿进行登记问卷调查，设立对照组，分析发病危险因素。结果共体检19132名4～14岁的儿童，其中男童9670名，女童9462名，总计小儿腹股沟斜疝患儿498例，其中男性368例，女性130例，男性患病率为3．81％，女性患病率为1．37％；平均患病率为2．60％，男童患病率高于女童，差异有统计学意义（χ2＝111．543，P ＜0．05），男性发病年龄早于女性，差异有统计学意义（χ2＝17．33，P ＜0．05）；不同地区小儿腹股沟斜疝患病率差异有统计学意义，吐鲁番地区男童患病率为6．0％，女童患病率为2．4％，平均患病率为4．25％，均高于其他地区，差异有统计学意义（χ2＝75．347，P ＜0．05）；患病组中有家族史的发生率为38．3％，有啼哭史的发生率为42．4％，母亲怀孕及患儿有被动吸烟史的发生率为45．1％，与对照组比较差异均有统计学意义（P ＜0．05）。结论维吾尔族小儿腹股沟斜疝患病率男性高于女性，男性发病年龄早于女性，吐鲁番地区的患病率高于其他地区，家族史、啼哭史及被动吸烟史是小儿腹股沟斜疝发生的主要危险因素。
目的：瞭解新疆維吾爾族小兒腹股溝斜疝患病率及其危險因素。方法採用普查方式，對新疆烏魯木齊市、剋拉瑪依市、喀什地區、和田地區、吐魯番地區的24所幼兒園、18所小學及9所初中4～14歲的兒童進行醫學體檢，對患腹股溝斜疝或曾做過斜疝手術的小兒進行登記問捲調查，設立對照組，分析髮病危險因素。結果共體檢19132名4～14歲的兒童，其中男童9670名，女童9462名，總計小兒腹股溝斜疝患兒498例，其中男性368例，女性130例，男性患病率為3．81％，女性患病率為1．37％；平均患病率為2．60％，男童患病率高于女童，差異有統計學意義（χ2＝111．543，P ＜0．05），男性髮病年齡早于女性，差異有統計學意義（χ2＝17．33，P ＜0．05）；不同地區小兒腹股溝斜疝患病率差異有統計學意義，吐魯番地區男童患病率為6．0％，女童患病率為2．4％，平均患病率為4．25％，均高于其他地區，差異有統計學意義（χ2＝75．347，P ＜0．05）；患病組中有傢族史的髮生率為38．3％，有啼哭史的髮生率為42．4％，母親懷孕及患兒有被動吸煙史的髮生率為45．1％，與對照組比較差異均有統計學意義（P ＜0．05）。結論維吾爾族小兒腹股溝斜疝患病率男性高于女性，男性髮病年齡早于女性，吐魯番地區的患病率高于其他地區，傢族史、啼哭史及被動吸煙史是小兒腹股溝斜疝髮生的主要危險因素。
목적：료해신강유오이족소인복고구사산환병솔급기위험인소。방법채용보사방식，대신강오로목제시、극랍마의시、객십지구、화전지구、토로번지구적24소유인완、18소소학급9소초중4～14세적인동진행의학체검，대환복고구사산혹증주과사산수술적소인진행등기문권조사，설립대조조，분석발병위험인소。결과공체검19132명4～14세적인동，기중남동9670명，녀동9462명，총계소인복고구사산환인498례，기중남성368례，녀성130례，남성환병솔위3．81％，녀성환병솔위1．37％；평균환병솔위2．60％，남동환병솔고우녀동，차이유통계학의의（χ2＝111．543，P ＜0．05），남성발병년령조우녀성，차이유통계학의의（χ2＝17．33，P ＜0．05）；불동지구소인복고구사산환병솔차이유통계학의의，토로번지구남동환병솔위6．0％，녀동환병솔위2．4％，평균환병솔위4．25％，균고우기타지구，차이유통계학의의（χ2＝75．347，P ＜0．05）；환병조중유가족사적발생솔위38．3％，유제곡사적발생솔위42．4％，모친부잉급환인유피동흡연사적발생솔위45．1％，여대조조비교차이균유통계학의의（P ＜0．05）。결론유오이족소인복고구사산환병솔남성고우녀성，남성발병년령조우녀성，토로번지구적환병솔고우기타지구，가족사、제곡사급피동흡연사시소인복고구사산발생적주요위험인소。
Objective To investigate the prevalence and risky factors of pediatric inguinal hernia in Xinjiang. Methods A survey was conducted among children aged 4-14 in 24 kindergartens,8 primary schools and 9 junior high schools in Urumqi,Karamay,Kashgar,Hotan and Turpan to find out the patients with in-guinal hernia and hernia surgery by medical checkup.A control group was divided for risky factors analysis.Results 19 132 children,aged 4-14,including 9 670 males,9 462 females were physically ex-amined,and 498 children were found inguinal hernia,with 368 male cases,130female cases.The preva-lence in males was 3.81%,1.37% in females.The average prevalence rate was 2.60%.The male prevalence was higher than that of females,with significant differences in two groups(χ2 =111.543,P <0.05 )male onset age was earlier than that of females,with significant differences in two groups(χ2 = 17.33,P <0.05).There are differences in prevalence in different geographical environments,especially in Turpan Re-gion,with prevalence rate of 4.25% higher than that in other regions,with statistical differences(χ2 =75.347,P <0.05).There was an incident rate of 38.3% in case group with a family history;with an inci-dence rate of 42.4% with crying history,an incident rate of 45.1% among pregnant mothers and children with a history of acceptance of passive smoking,which was significantly different (P <0.05).Conclusion There was a higher prevalence of inguinal hernia in male Uyghur children than that in female ones,males′onset age was earlier than that of females.The prevalence in Turpan Region was higher than that in other regions.Family history,history of crying and passive smoking were major risky factors for pediatric ingui-nal hernia.
