| 邓先锐,宋应寒,杨 春,郑 磊,万 顷.老年男性腹股沟疝与肌肉质量、肌力及腹内压的相关性[J].,2023,(15):2951-2955 |
| 老年男性腹股沟疝与肌肉质量、肌力及腹内压的相关性 |
| Correlation of Inguinal Hernia with Muscle Mass, Muscle Strength and Intra-abdominal Pressure in Elderly Men |
| 投稿时间：2023-02-05 修订日期：2023-02-28 |
| DOI：10.13241/j.cnki.pmb.2023.15.029 |
| 中文关键词: 老年 男性 腹股沟疝 相关性 肌肉质量 肌力 腹内压 |
| 英文关键词: Elderly Male Inguinal hernia Relevant factors Muscle mass Muscle strength Intra-abdominal pressure |
| 基金项目:眉山市科技计划项目（kjzd202116） |
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| 中文摘要: |
| 摘要 目的：探讨老年男性腹股沟疝与肌肉质量、肌力及腹内压力（IAP）的相关性。方法：选取2021年1月-2023年1月在眉山市人民医院普外一科就诊的 86例老年男性腹股沟疝患者作为研究组，选取同期100名老年体检者作为对照组，对两组研究对象的腹部肌肉质量、肌力及IAP进行检测，并探讨其与腹股沟疝发病风险的相关性。结果：研究组患者腹部骨骼肌肉面积值（SMA）、骨骼肌指数（SMI）水平及右手握力、左手握力均低于对照组，腹内脂肪面积、SMI异常比例及直立加压时腹内压（OVIAP）、直立加压前后腹内压差（OVIAPD）、平卧与直立加压时腹内压差（OSVIAPD）均高于对照组，差异均有统计学意义（P<0.05）。Logistic多元回归模型分析结果显示，老年腹股沟疝的发生与SMI水平、SMI异常、右手握力、OVIAPD、OSVIAPD具有相关性（P<0.05）。结论：老年男性腹股沟疝患者存在腹部肌肉质量和肌力的下降，患者在直立做加压动作时可出现IAP水平的升高，上述指标均与腹股沟疝的发生具有相关性，临床可采用针对性的综合干预措施以降低老年男性人群腹股沟疝的发病风险。 |
| 英文摘要: |
| ABSTRACT Objective: To probe the correlation between inguinal hernia and muscle mass, muscle strength and intra-abdominal pressure (IAP) in elderly men. Methods: 86 elderly male patients with inguinal hernia who were treated in the First Department of General Surgery of Meishan People's Hospital from January 2021 to January 2023 were selected as a study group, and 100 elderly physical examiners in the same period were selected as a control group. The abdominal muscle mass, muscle strength and IAP between the subjects in the two groups were measured, and their correlation with the incidence risk of inguinal hernia was analyzed. Results: The level of abdominal skeletal muscle area (SMA), skeletal muscle index (SMI), right hand grip strength and left hand grip strength of patients in the study group were lower than those in the control group. The area of abdominal fat, the abnormal proportion of SMI, the orthostatic Valsava intra-abdominal pressure (OVIAP), the orthostatic Valsava intra-abdominal pressure difference (OVIAPD), and the orthostatic supine Valsava intra-abdominal pressure difference (OSVIAPD) were significantly higher than those in the control group, the differences were statistically significant (P<0.05). Logistic multiple regression model analysis showed that the incidence of inguinal hernia in the elderly was correlated with SMI level, SMI abnormality, right hand grip strength, OVIAPD, OSVIAPD (P<0.05). Conclusion: The elderly male patients with inguinal hernia have a decline in abdominal muscle mass and muscle strength, and the IAP level may increase when the patients do the compression action upright. The above indicators are related to the occurrence of inguinal hernia, and targeted comprehensive intervention measures can be taken to reduce the incidence risk of inguinal hernia in the elderly male population. |
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