School of nursing, Wenzhou Medical university, University Town, Chashan, Wenzhou, Zhejiang, China.
School of Software Engineering, Xi'an Jiaotong University, Xi'an, China.
Hernia. 2024 Nov 27;29(1):31. doi: 10.1007/s10029-024-03225-3.
This observational study aimed to investigate the prevalence of DRA, ascertain the possible risk factors and analyse the adverse outcomes of DRA among men. Moreover, the reasonable diagnostic criterion was further explored.
1575 men aged 18 years or older were recruited from a Grade III A Hospital. Data were obtained by electronic medical record, subsequent unified questionnaire and clinical examinations. Possible risk factors of DRA were confirmed in the univariate analysis and multivariate analysis. Based on two diagnostic criteria, Chi square test and Wilcoxon rank sum test were used to compare the difference of adverse outcomes among men with and without DRA.
The prevalence of DRA in men was 29.78% when IRD > 2 cm was used as a diagnostic criterion, but decreased to 10.16% when IRD > 3 cm as a criterion. Age, BMI, smoking and physical exercise were proved as influencing factors for DRA. No association was found between DRA and abdominal wall muscle function, low back pain, and quality of life. But hernia was significant with DRA, when IRD>3 cm as diagnostic criterion.
Prevalence of DRA in male is high and taking measure on losing weight, giving up smoking and exercising properly may prevent DRA, along with reducing the possibility of DRA-related hernias. To be important, IRD>3 cm as the reasonable diagnostic criterion was proposed.
本观察性研究旨在调查男性 DRA 的患病率，确定可能的危险因素，并分析 DRA 的不良结局。此外，还进一步探讨了合理的诊断标准。
从一家三级 A 医院招募了 1575 名年龄在 18 岁及以上的男性。通过电子病历、后续统一的问卷和临床检查获得数据。在单因素和多因素分析中确定了 DRA 的可能危险因素。基于两种诊断标准，使用卡方检验和 Wilcoxon 秩和检验比较了有和无 DRA 的男性不良结局的差异。
当以 IRD>2cm 作为诊断标准时，男性 DRA 的患病率为 29.78%，但当以 IRD>3cm 作为标准时，患病率降至 10.16%。年龄、BMI、吸烟和体育锻炼被证明是 DRA 的影响因素。DRA 与腹壁肌肉功能、腰痛和生活质量之间没有关联。但是，当以 IRD>3cm 作为诊断标准时，DRA 与疝有关。
男性 DRA 的患病率较高，采取减肥、戒烟和适当运动等措施可能预防 DRA，并降低 DRA 相关疝的可能性。重要的是，提出了 IRD>3cm 作为合理的诊断标准。
