一项基于人群的研究表明，吸烟与腹股沟疝修补术无关。
Tobacco use is not associated with groin hernia repair, a population-based study.
作者信息
Hemberg A, Holmberg H, Norberg M, Nordin P
机构信息
Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
, Viskgatan 2c, 252 47, Helsingborg, Sweden.
出版信息
Hernia. 2017 Aug;21(4):517-523. doi: 10.1007/s10029-017-1617-8. Epub 2017 May 11.
PURPOSE
The pathogenesis of groin hernia is not fully understood and some suggested risk factors are debatable. This population-based study evaluates the association between groin hernia repair and tobacco use.
METHOD
An observational study based on register linkage between the Swedish Hernia Register and the Västerbotten Intervention Program (VIP). All primary groin hernia repairs performed from 2001 to 2013 in the county of Västerbotten, Sweden, were included.
RESULTS
VIP provided data on the use of tobacco in 102,857 individuals. Neither smoking nor the use of snus, increased the risk for requiring a groin hernia repair. On the contrary, heavy smoking decreased the risk for men, HR 0.75 (95% CI 0.58-0.96), as did having a BMI over 30 kg/m HR (men) 0.33 (95% CI 0.27-0.40).
CONCLUSION
Tobacco use is not a risk factor for requiring a groin hernia repair, whereas having a low BMI significantly increases the risk.
目的
腹股沟疝的发病机制尚未完全明了，一些提示的危险因素存在争议。这项基于人群的研究评估腹股沟疝修补术与烟草使用之间的关联。
方法
一项基于瑞典疝登记册与韦斯特博滕干预计划（VIP）之间登记关联的观察性研究。纳入了2001年至2013年在瑞典韦斯特博滕县进行的所有原发性腹股沟疝修补术。
结果
VIP提供了102,857人的烟草使用数据。吸烟和使用鼻烟均未增加需要进行腹股沟疝修补术的风险。相反，重度吸烟降低了男性的风险，风险比（HR）为0.75（95%置信区间[CI]为0.58 - 0.96），体重指数（BMI）超过30 kg/m²时也降低了男性的风险，HR（男性）为0.33（95% CI为0.27 - 0.40）。
结论
烟草使用不是需要进行腹股沟疝修补术的危险因素，而低BMI则显著增加风险。
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