男童包皮发育及父母对环切术接受情况的调查  

Investigation of boy's foreskin growth and parents' acceptance of circumcision

作　　者：于宝华[1] 刘丽[1] 孙劲松[1] 封林[1] 

机构地区：[1]济宁医学院附属医院小儿外科,山东济宁272000

出　　处：《中国妇幼健康研究》2016年第9期1044-1046,共3页Chinese Journal of Woman and Child Health Research

基　　金：济宁市科技计划资助项目(项目编号:2013jnwk41)

摘　　要：目的对鲁西南地区男童包皮发育情况及父母对包皮环切接受情况进行调查研究。方法选取山东省枣庄、济宁以及菏泽等鲁西南地区的婴幼儿和中小学在校学生作为研究对象,将年龄介于0~3岁,4~6岁,7~10岁,11~14岁以及15~18岁研究对象分为5组,分别为第一到第五组,每组选取200名儿童调查其包皮发育情况,并分别对5组研究对象的家长做包皮环切术接受度的调查;其中包皮上翻程度分为Ⅰ度至Ⅶ度,家长接受情况分为接受、不接受和不清楚3种,并对结果进行分析。结果在5组研究对象中,随着年龄的增长其平均包皮长度逐渐增长（t=16.729,P=0.000〈0.05）。在1 000例研究对象中,有534例（53.4%）存在包茎,随着年龄的增长包茎发病逐渐减少（χ~2=119.963,P=0.000〈0.05）;有182例（18.2%）存在包皮过长,随着年龄增长包皮过长发病也逐渐减少（χ~2=44.054,P=0.000〈0.05）;有70例（7.0%）人存在包皮口狭窄,但发病与年龄无关（χ~2=1.382,P=0.847〉0.05）。家长对包皮环切接受率由低年龄儿童到高年龄逐渐增加（χ~2=0.000,P=1.000〉0.05）,但接受率均少于30%。结论研究表明调查对象包皮过长以及包茎现象较为严重,但随着年龄的增长逐渐好转,包茎率逐渐降低,并且随着年龄的增长,家长对儿子进行包皮环切的接受度也逐渐增高,但总体而言对男童进行包皮环切术接受率较低。Objective To analyze the boy＇ s foreskin development in southwest of Shandong Province and their parents＂ acceptance of circumcision. Methods Infants and students in primary school and middle school in southwest of Shandong Province （ Zaozhuang, Jining and Heze） were selected as research subjects, and they were divided into five groups according to ages： children aged 0-3 years （group 1 ）, 3-6 years （ group 2 ）, 7-10 years （ group 3 ）, 11-14 years （ group 4 ）, 15-18 years （ group 5 ） with 200 cases in each group. A survey of willingness of accepting circumcision was carried out among their parents. Upturning was grouped into I to VII degree, and parents＇ accepting situation included acceptance, reject and unclear attitude. Results In 5 groups, the average length of the foreskin gradually increased with age （ t = 16. 729, P = 0. 000 〈 0.05 ）. In 1 000 participants, there were 534 （ 53.4% ） cases of phimosis, and the incidence of phimosis decreased with age increasing （X2 = 119.963, P = 0.000 〈 O. 05 ）. There were 182 （ 18.2% ） cases of redundant prepuce, and with age increasing the incidence reduced （X2 = 44. 054, P = 0. 000 〈 O. 05 ）. Totally 70 （ 7.0% ） cases were found with narrow foreskin ring, but the incidence had nothing to do with age （X2 = 1. 382, P = 0. 847 〉 0.05 ）. Circumcision acceptance rate of parents of young children was higher than that of parents of infants （X2 = 0.000, P = 1. 000 〉 0.05 ）, but the acceptance rate was less than 30%. Conclusion Redundant prepuce and phimosis are predominant among subjects, and the incidence decreases with age increasing. Parents＇ willingness of accepting circumcision increases with age of their sons. Generally speaking, the willingness of accepting circumcision bv narents is low.

关 键 词：鲁西南地区 包皮发育 包皮环切 接受率 

分 类 号：R174[医药卫生—妇幼卫生保健]