儿童腹股沟疝发病危险因素的配对病例-对照研究  

A 1:1 Matched Case-control Study on the Risk Factors for Inguinal Hernia in Children

作　　者：张琰[1] 黄民主[2] 易华云 吴心音[2] 

机构地区：[1]宁波市疾病预防控制中心性病艾滋病防制科,浙江宁波315010 [2]中南大学公共卫生学院,湖南长沙410078 [3]宁波市镇海区卫生监督所,浙江宁波315200

出　　处：《中国慢性病预防与控制》2008年第6期564-567,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：湖南省计划生育委员会重点资助项目(2002-04)

摘　　要：目的探讨儿童腹股沟疝发生的主要危险因素。方法采用1:1配对病例一对照研究方法,对201例0～6岁腹股沟疝患儿与对照儿童的父母进行问卷调查,采用条件Logistic 回归对所收集资料进行单因素及多因素分析,计算OR值及OR值的95%CI。结果多因素分析结果表明,儿童便秘史(OR=3.520,95%CI:1.238～10.015)、啼哭不安史(OR=6.532,95%CI:2.651～16.091)、母亲孕前1个月和孕期前3个月腌制品摄入史(OR=2.529,95%CI:1.271～5.031)及贫血史(OR=6.809,95%CI:2.530～18.322)、儿童腹股沟疝家族史(OR=11.250,95%CI:4.766～26.553)与儿童腹股沟疝的发病存在显著联系。结论儿童便秘史、儿童啼哭不安史、腹股沟疝家族史、母亲孕前1个月和孕期前3个月贫血史及腌制品摄入史是儿童腹股沟疝发生的危险因素。Objective To explore the risk factors for inguinal hernia in children. Methods A 1：1 matched case-control study which based on hospital group data was carried out. 201 cases aged 0~6 years with inguinal hernia and controls were enrolled, and their parents were investigated with questionaire. Conditional logistic regression model was used for single factor and multivariate factor analysis to estimate odds ratios （OR） and the 95% confidence interval （95% C/）. Results Inguinal hernia was related to children＇ s constipation （0R=3.520, 95%CI： 1.238~10.015）, children＇s cry （0R=6.532, 95%CI： 2.651-16.091）, mother ate pickles （OR=2.529, 95%CI： 1.271~5.031） and maternal anemia （0R=6.809, 95%CI： 2.530-18.322） during the period of one month before pregnancy and the first 3 months of gestation, the children＇ s family history of inguinal hernia （OR=I 1.250, 95%CI： 4.766-26.553）. Conclusion Children＇ s constipation, children＇ s cry, maternal anemia and eating pickles during the period of one month before pregnancy and the first 3 months of gestation, children＇ s family history of inguinal hernia are the risk factors for children＇ s inguinal hernia.

关 键 词：疝 腹股沟 儿童 危险因素 配对病例对照研究 

分 类 号：R726[医药卫生—儿科]