Correlation Between Risk Factors Of Male Inguinal Hernia And Constitution Of Traditional Chinese Medicine

Objective:To analyze the correlation between male inguinal hernia and risk factors and constitution of traditional Chinese medicine,and further analyzes and discusses the correlation between risk factors and constitution type,so as to provide basis and new ideas for individual prevention and treatment of inguinal hernia in traditional Chinese medicine.Methods:The method is a case-control study.A total of 150 eligible male inguinal hernia patients in general surgery outpatient and inpatient department of Shanxi Hospital of Traditional Chinese Medicine from January 2019 to January 2020 were included in the case group,and 150 eligible male non-inguinal hernia healthy people in the physical examination center during the same period were included in the control group.The general conditions,risk factors of inguinal hernia and TCM constitution information of the two groups were collected through questionnaires.Chi-square test was used to analyze the risk factors and TCM constitution types of the two groups,and multivariate Logistic regression model was incorporated to analyze the correlation between male inguinal hernia and risk factors and TCM constitution.Statistical risk factors and TCM constitution types were included in Logistic regression analysis to explore the correlation between risk factors and TCM constitution types in male inguinal hernia patients.Result:In this study,300 eligible subjects were finally included,including 150 cases in the case group and 150 cases in the control group.1.General information:there were no statistically significant differences in age,occupation,education,marriage and residence distribution between the two groups(P>0.05),indicating comparability.2.Correlation between male inguinal hernia and risk factors:?BMI<18.5(OR=2.880,95%CI[1.186,6.993])and BMI>24(OR=3.317,95%CI[1.624,6.776])were statistically different from normal body mass index(reference category)(P<0.05),which were risk factors for inguinal hernia.?Mental labor(OR=0.387,95%CI[0.204,0.734])and physical brain labor(OR=0.361,95%CI[0.184,0.705])were statistically different from physical labor(reference category)(P<0.05),which were protective factors.?A family history of inguinal hernia(OR=4.927,95%CI[2.079,11.678])was 4.927 times higher than a family history of inguinal hernia(reference category).?There were statistically significant differences(P<0.05)between benign prostatic hyperplasia(OR=3.444,95%CI[1.822,6.510]),chronic cough(OR=2.591,95%CI[1.247,5.380]),chronic constipation(OR=2.841,95%CI[1.246,6.481])and no history of increased intra-abdominal pressure(reference category),which were risk factors for inguinal hernia.3.Correlation between male inguinal hernia and constitution of TCM:Qi deficiency(OR=2.496,95%CI[1.274,4.891]),Yang deficiency(OR=2.276,95%CI[1.119,4.630])and Phlegm-dampness(OR=2.352,95%CI[1.097,5.044])are the dangerous constitutions for male inguinal hernia,while mild(OR=0.254,95%CI[0.141,0.461])are the protective constitutions.4.Correlation between risk factors of male inguinal hernia and TCM constitution:?DOccupational nature and history of increased intra-abdominal pressure were associated with Qi deficiency in male inguinal hernia patients.Compared with physical labor(reference category),mental labor(OR=0.213,95%CI[0.081,0.564])and physical brain labor(OR=0.168,95%CI[0.056,0.505])had statistical differences(P<0.05),which were protective factors for the formation of Qi deficiency.Chronic cough(OR=5.151,95%CI[1.700,15.603])was significantly different from no history of intra-abdominal pressure increase(reference category)(P<0.05),which was a risk factor for Qi deficiency and mass formation.?Family history of inguinal hernia(OR=3.126,95%CI[1.313,7.446])is a risk factor for Yang deficiency in male inguinal hernia patients.?Body mass index was associated with the formation of Phlegm dampness in men with inguinal hernia.BMI>24(OR=2.929,95%CI[1.168,7.343])was statistically different from 18.5<BMI<24(reference category)(P<0.05),which was a risk factor for Phlegm dampness formation.Conclusion:1.BMI<18.5,BMI>24,family history of inguinal hernia,hyperplasia of prostate,chronic cough and chronic constipation are the risk factors for male inguinal hernia,while non-physical labor is the protective factor.2.Qi deficiency,Yang deficiency and Phlegm dampness are the dangerous constitutions for the development of inguinal hernia.3.Non-physical labor is a protective factor for Qi deficiency and mass formation in male inguinal hernia patients,and chronic cough is a risk factor.Family history of inguinal hernia is a risk factor for Yang deficiency in male inguinal hernia patients.BMI>24 is a risk factor for Phlegm dampness formation in male inguinal hernia patients.