Quality of life in patients with medium-to-large incisional hernia and its influencing factors

doi:10.3877/cma.j.issn.1674-392X.2026.02.006

Abstract

Abstract:

Objective

To investigate the current status of quality of life (QoL) in patients with medium-to-large incisional hernia and its influencing factors, and to provide evidence for improving patients' QoL.

Methods

A retrospective survey was conducted among 43 patients with incisional hernia admitted to Shandong Provincial Hospital Affiliated to Shandong First Medical University from January to December 2025. Data were collected using a general information questionnaire, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), the Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and the Sense of Coherence Scale (SOC-9). Rank-sum tests, Spearman correlation analysis, and multiple stepwise linear regression were used to identify factors influencing the QoL summary score.

Results

The median QoL summary score was 87.09 (75.00, 94.23) points. Multiple stepwise linear regression analysis showed that education level, frailty, and anxiety were independent influencing factors of QoL in patients with incisional hernia (P<0.05).

Conclusion

QoL in patients with incisional hernia is affected by multiple factors, including physiological, psychological, and social aspects. Healthcare professionals should emphasize frailty screening and psychological assessment, strengthen health education and psychological support, and implement comprehensive interventions such as prehabilitation to enhance physiological reserve and further improve patients' QoL.

Key words: Incisional hernia, medium-to-large, Quality of life, Influencing factor

Jingsi Li, Ronghua Zhang, Jinglei Liu, Huanyu Gao, Xuehui Mao, Yulong Shi. Quality of life in patients with medium-to-large incisional hernia and its influencing factors[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(02): 155-161.

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Figures/Tables 6

References 18

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项目		条目数	得分[M(Q₁,Q₃)]
生活质量	躯体功能	5	86.67(73.33,100.00)
	角色功能	2	100.00(66.67,100.00)
	情绪功能	4	83.33(66.67,100.00)
	认知功能	2	83.33(66.67,100.00)
	社会功能	2	83.33(66.67,100.00)
	总体健康状况/生活质量	2	75.00(58.33,83.33)
	疲乏	3	22.22(0.00,33.33)
	恶心呕吐	2	0.00(0.00,0.00)
	疼痛	2	16.67(0.00,33.33)
	气促	1	0.00(0.00,33.33)
	失眠	1	33.33(0.00,33.33)
	食欲减退	1	0.00(0.00,33.33)
	便秘	1	0.00(0.00,33.33)
	腹泻	1	0.00(0.00,33.33)
	经济困难	1	0.00(0.00,33.33)
	生活质量综合得分	27	87.09(75.00,94.23)
社会心理状态	焦虑	7	0.00(0.00,4.00)
	抑郁	9	1.00(0.00,3.00)
	心理一致感	9	58.00(50.00,63.00)

项目		条目数	得分[M(Q₁,Q₃)]
生活质量	躯体功能	5	86.67(73.33,100.00)
	角色功能	2	100.00(66.67,100.00)
	情绪功能	4	83.33(66.67,100.00)
	认知功能	2	83.33(66.67,100.00)
	社会功能	2	83.33(66.67,100.00)
	总体健康状况/生活质量	2	75.00(58.33,83.33)
	疲乏	3	22.22(0.00,33.33)
	恶心呕吐	2	0.00(0.00,0.00)
	疼痛	2	16.67(0.00,33.33)
	气促	1	0.00(0.00,33.33)
	失眠	1	33.33(0.00,33.33)
	食欲减退	1	0.00(0.00,33.33)
	便秘	1	0.00(0.00,33.33)
	腹泻	1	0.00(0.00,33.33)
	经济困难	1	0.00(0.00,33.33)
	生活质量综合得分	27	87.09(75.00,94.23)
社会心理状态	焦虑	7	0.00(0.00,4.00)
	抑郁	9	1.00(0.00,3.00)
	心理一致感	9	58.00(50.00,63.00)

项目	例(%)	躯体功能	角色功能	情绪功能	认知功能	社会功能	总体健康状况/生活质量	生活质量综合得分
性别
男性	20(46.5)	90.00(61.67,100.00)	83.33(70.83,100.00)	91.67(77.08,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	79.17(50.00,100.00)	87.73(75.60,94.13)
女性	23(53.5)	86.67(80.00,93.33)	100.00(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(58.33,83.33)	85.00(73.68,95.13)
Z值		-0.741	-0.771	-1.288	-0.077	-0.129	-0.602	-0.317
P值		0.458	0.441	0.198	0.939	0.897	0.547	0.752
年龄
<65岁	27(62.8)	86.67(80.00,100.00)	100.00(83.33,100.00)	83.33(75.00,100.00)	100.00(66.67,100.00)	100.00(66.67,100.00)	75.00(66.67,100.00)	90.85(76.41,95.13)
≥65岁	16(37.2)	86.67(56.67,93.33)	83.33(66.67,100.00)	87.50(66.67,100.00)	75.00(66.67,95.83)	83.33(66.67,100.00)	62.50(50.00,83.33)	80.68(69.12,89.79)
Z值		-1.084	-2.196	-0.217	-1.360	-0.666	-1.446	-1.897
P值		0.278	0.028^a	0.828	0.174	0.506	0.148	0.058
体重指数
18.5~<24.0 kg/m²	8(18.6)	83.33(60.00,91.67)	100.00(87.50,100.00)	79.17(68.75,91.67)	66.67(66.67,95.83)	66.67(66.67,79.17)	83.33(60.00,91.67)	100.00(87.50,100.00)
24.0~<28.0 kg/m²	15(34.9)	93.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	100.00(66.67,100.00)	93.33(66.67,100.00)	83.33(66.67,100.00)
≥28.0 kg/m²	20(46.5)	86.67(81.67,98.33)	91.67(70.83,100.00)	87.50(75.00,100.00)	91.67(66.67,100.00)	100.00(83.33,100.00)	86.67(81.67,98.33)	91.67(70.83,100.00)
H值		1.435	1.921	1.120	1.575	5.652	3.134	1.219
P值		0.488	0.383	0.571	0.455	0.059	0.209	0.543
婚姻状况
已婚	36(83.7)	86.67(75.00,100.00)	100.00(70.84,100.00)	83.33(68.75,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(52.08,83.33)	88.93(74.01,94.97)
未婚/离异/丧偶	7(16.3)	86.67(60.00,93.33)	83.33(66.67,100.00)	83.33(66.67,100.00)	66.67(66.67,100.00)	83.33(50.00,100.00)	66.67(58.33,75.00)	85.00(78.76,88.38)
Z值		-0.434	-0.521	-0.452	-1.314	-0.784	-0.681	-0.674
P值		0.687	0.640	0.664	0.223	0.468	0.508	0.508
文化程度
小学及以下	13(30.2)	66.67(53.33,86.67)	100.00(58.33,100.00)	75.00(66.67,95.84)	66.67(66.67,100.00)	66.67(66.67,100.00)	58.33(41.67,79.17)	71.84(67.26,92.14)
初中	12(27.9)	90.00(86.67,98.33)	83.33(66.67,100.00)	83.33(75.00,100.00)	83.33(66.67,95.83)	83.33(83.33,100.00)	79.17(60.42,97.92)	84.53(75.94,90.64)
高中或中专	8(18.6)	90.00(80.00,100.00)	100.00(83.33,100.00)	79.17(66.67,89.58)	83.33(66.67,95.83)	83.33(66.67,100.00)	79.17(68.75,95.83)	85.21(76.37,94.17)
大专及以上	10(23.3)	90.00(85.00,100.00)	100.00(83.33,100.00)	91.67(91.67,100.00)	100.00(100.00,100.00)	100.00(95.83,100.00)	79.17(62.50,87.50)	93.93(91.89,95.81)
H值		6.569	2.552	7.507	9.140	6.994	5.768	8.881
P值		0.087	0.466	0.057	0.027^a	0.072	0.123	0.031^a
家庭人均月收入
≤3000元	20(46.5)	86.67(55.00,98.33)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(50.00,83.33)	84.57(69.12,93.10)
3001~5000元	16(37.2)	86.67(81.67,98.33)	100.00(87.50,100.00)	87.50(75.00,97.92)	83.33(66.67,100.00)	100.00(83.33,100.00)	75.00(66.67,83.33)	89.62(79.22,96.09)
≥5001元	7(16.3)	86.67(80.00,100.00)	83.33(83.33,100.00)	91.67(75.00,100.00)	100.00(66.67,100.00)	83.33(66.67,100.00)	75.00(50.00,100.00)	88.72(73.68,95.00)
H值		1.836	4.814	1.044	1.504	3.752	0.564	2.850
P值		0.399	0.090	0.593	0.471	0.153	0.754	0.240
医疗付费方式
自费	4(9.3)	56.67(53.33,80.00)	66.67(56.67,91.67)	91.67(77.08,100.00)	83.33(56.67,100.00)	91.67(58.33,100.00)	66.67(52.08,81.25)	86.30(69.95,94.81)
职工医保	16(37.2)	86.67(86.67,100.00)	100.00(83.33,100.00)	91.67(83.33,100.00)	83.33(83.33,100.00)	100.00(83.33,100.00)	83.33(66.67,83.33)	90.00(80.60,95.00)
居民医保	23(53.5)	86.67(60.00,100.00)	83.33(66.67,100.00)	70.84(66.67,83.33)	66.67(66.67,100.00)	75.00(66.67,95.83)	58.33(43.75,100.00)	75.71(67.30,90.43)
H值		5.815	5.386	9.287	3.971	6.690	2.800	6.603
P值		0.055	0.068	0.010^a	0.137	0.035^a	0.247	0.037^a
吸烟史
有	16(37.2)	90.00(61.67,100.00)	91.67(70.83,100.00)	87.50(75.00,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(52.08,100.00)	86.24(75.60,94.13)
无	27(62.8)	86.67(80.00,93.33)	100.00(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(58.33,83.33)	88.72(73.68,95.00)
Z值		-0.650	-0.274	-0.716	-0.383	-0.572	-0.901	-0.565
P值		0.516	0.784	0.474	0.702	0.567	0.368	0.572
合并症
0个	22(51.2)	90.00(75.00,100.00)	100.00(83.33,100.00)	91.67(75.00,100.00)	83.33(66.67,100.00)	91.67(66.67,100.00)	75.00(56.25,83.33)	91.47(78.17,95.03)
1个	11(25.6)	86.67(53.33,86.67)	83.33(66.67,100.00)	75.00(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(58.33,91.67)	80.60(69.06,89.15)
≥2个	10(23.3)	90.00(71.67,100.00)	100.00(75.83,100.00)	83.33(79.17,100.00)	75.00(66.67,100.00)	91.67(79.17,100.00)	70.84(50.00,87.50)	84.53(68.74,95.19)
H值		3.443	2.184	1.257	0.155	0.927	0.651	2.667
P值		0.179	0.336	0.534	0.925	0.629	0.722	0.264
衰弱
是	17(39.5)	80.00(53.33,86.67)	83.33(66.67,100.00)	83.33(66.67,91.67)	66.67(66.67,91.67)	83.33(66.67,100.00)	58.33(50.00,79.17)	77.39(69.17,87.27)
否	26(60.5)	93.33(86.67,100.00)	100.00(83.33,100.00)	87.50(75.00,100.00)	100.00(66.67,100.00)	91.67(79.17,100.00)	83.33(66.67,100.00)	91.90(81.37,95.22)
Z值		-2.975	-1.180	-1.125	-1.892	-1.040	-2.446	-2.720
P值		0.003^b	0.238	0.261	0.058	0.298	0.014^a	0.007^b
是否为疝复发
是	6(14.0)	83.33(73.33,95.00)	91.67(79.16,100.00)	70.83(62.50,87.50)	83.34(66.67,100.00)	75.00(62.50,100.00)	70.83(58.33,81.25)	88.76(72.52,94.20)
否	37(86.0)	86.67(70.00,100.00)	100.00(66.67,100.00)	91.67(75.00,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(50.00,83.33)	85.38(75.19,94.62)
Z值		-0.551	0.000	-1.783	-0.092	-1.059	-0.212	-0.105
P值		0.596	1.000	0.083	0.932	0.327	0.851	0.932
切口疝病程
<6个月	28(65.1)	86.67(61.67,100.00)	100.00(66.67,100.00)	83.33(75.00,100.00)	91.67(66.67,100.00)	91.67(66.67,100.00)	66.67(58.33,89.58)	87.73(69.91,94.66)
6~12个月	6(14.0)	93.33(78.33,100.00)	91.67(66.67,100.00)	95.83(87.50,100.00)	91.67(75.00,100.00)	91.67(70.83,100.00)	83.33(81.25,100.00)	94.04(86.25,95.22)
>12个月	9(20.9)	86.67(76.67,93.33)	100.00(83.33,100.00)	66.67(66.67,87.50)	83.33(66.67,83.33)	83.33(66.67,100.00)	75.00(50.00,79.17)	79.32(74.53,88.12)
H值		0.985	0.229	4.670	1.776	0.424	5.443	2.702
P值		0.611	0.892	0.097	0.411	0.809	0.066	0.259
缺损部位
正中切口	22(51.2)	86.67(78.33,100.00)	100.00(79.17,100.00)	91.67(81.25,100.00)	100.00(66.67,100.00)	100.00(83.33,100.00)	75.00(56.25,87.50)	91.90(81.60,94.90)
侧方切口	21(48.8)	86.67(63.33,96.67)	83.33(66.67,100.00)	75.00(66.67,91.67)	83.33(66.67,100.00)	66.67(66.67,100.00)	75.00(54.17,83.33)	79.32(72.76,91.69)
Z值		-0.382	-0.969	-2.015	-1.596	-2.948	-0.650	-1.579
P值		0.702	0.333	0.044^a	0.111	0.003^b	0.516	0.114
缺损大小
中切口疝	21(48.8)	93.33(83.33,100.00)	100.00(83.33,100.00)	83.33(66.67,95.83)	83.33(66.67,100.00)	100.00(66.67,100.00)	75.00(58.33,100.00)	88.38(74.34,94.94)
大切口疝	22(51.2)	86.67(58.33,93.33)	91.67(66.67,100.00)	87.50(75.00,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	70.84(50.00,83.33)	85.19(75.27,93.88)
Z值		-1.726	-0.504	-0.841	-0.511	-0.644	-1.264	-0.255
P值		0.084	0.614	0.401	0.610	0.520	0.206	0.799
腹部手术次数
1次	26(60.5)	90.00(78.33,100.00)	100.00(83.33,100.00)	83.33(66.67,93.75)	100.00(66.67,100.00)	83.33(66.67,100.00)	79.17(50.00,100.00)	88.93(75.29,94.90)
≥2次	17(39.5)	86.67(56.67,90.00)	100.00(66.67,100.00)	83.33(70.84,100.00)	66.67(66.67,91.67)	83.33(83.33,100.00)	75.00(58.33,83.33)	83.68(69.17,92.35)
Z值		-1.702	-0.610	-0.379	-2.075	-0.698	-0.865	-1.031
P值		0.089	0.542	0.705	0.038^a	0.485	0.387	0.303
恶性肿瘤病史
有	33(76.7)	86.67 (73.33,93.33)	100.00 (75.00,100.00)	83.33 (70.84,100.00)	83.33 (66.67,100.00)	100.00 (66.67,100.00)	75.00 (54.17,83.33)	87.09(75.90,94.00)
无	10(23.3)	96.67 (70.00,100.00)	91.67 (62.50,100.00)	79.17 (66.67,91.67)	83.33 (66.67,100.00)	83.33 (50.00,100.00)	83.33(56.25,100.00)	85.85(72.59,96.29)
Z值		-1.182	-0.455	-1.024	-0.181	-1.386	-1.176	-0.172
P值		0.249	0.681	0.327	0.876	0.194	0.249	0.876

项目	例(%)	躯体功能	角色功能	情绪功能	认知功能	社会功能	总体健康状况/生活质量	生活质量综合得分
性别
男性	20(46.5)	90.00(61.67,100.00)	83.33(70.83,100.00)	91.67(77.08,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	79.17(50.00,100.00)	87.73(75.60,94.13)
女性	23(53.5)	86.67(80.00,93.33)	100.00(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(58.33,83.33)	85.00(73.68,95.13)
Z值		-0.741	-0.771	-1.288	-0.077	-0.129	-0.602	-0.317
P值		0.458	0.441	0.198	0.939	0.897	0.547	0.752
年龄
<65岁	27(62.8)	86.67(80.00,100.00)	100.00(83.33,100.00)	83.33(75.00,100.00)	100.00(66.67,100.00)	100.00(66.67,100.00)	75.00(66.67,100.00)	90.85(76.41,95.13)
≥65岁	16(37.2)	86.67(56.67,93.33)	83.33(66.67,100.00)	87.50(66.67,100.00)	75.00(66.67,95.83)	83.33(66.67,100.00)	62.50(50.00,83.33)	80.68(69.12,89.79)
Z值		-1.084	-2.196	-0.217	-1.360	-0.666	-1.446	-1.897
P值		0.278	0.028^a	0.828	0.174	0.506	0.148	0.058
体重指数
18.5~<24.0 kg/m²	8(18.6)	83.33(60.00,91.67)	100.00(87.50,100.00)	79.17(68.75,91.67)	66.67(66.67,95.83)	66.67(66.67,79.17)	83.33(60.00,91.67)	100.00(87.50,100.00)
24.0~<28.0 kg/m²	15(34.9)	93.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	100.00(66.67,100.00)	93.33(66.67,100.00)	83.33(66.67,100.00)
≥28.0 kg/m²	20(46.5)	86.67(81.67,98.33)	91.67(70.83,100.00)	87.50(75.00,100.00)	91.67(66.67,100.00)	100.00(83.33,100.00)	86.67(81.67,98.33)	91.67(70.83,100.00)
H值		1.435	1.921	1.120	1.575	5.652	3.134	1.219
P值		0.488	0.383	0.571	0.455	0.059	0.209	0.543
婚姻状况
已婚	36(83.7)	86.67(75.00,100.00)	100.00(70.84,100.00)	83.33(68.75,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(52.08,83.33)	88.93(74.01,94.97)
未婚/离异/丧偶	7(16.3)	86.67(60.00,93.33)	83.33(66.67,100.00)	83.33(66.67,100.00)	66.67(66.67,100.00)	83.33(50.00,100.00)	66.67(58.33,75.00)	85.00(78.76,88.38)
Z值		-0.434	-0.521	-0.452	-1.314	-0.784	-0.681	-0.674
P值		0.687	0.640	0.664	0.223	0.468	0.508	0.508
文化程度
小学及以下	13(30.2)	66.67(53.33,86.67)	100.00(58.33,100.00)	75.00(66.67,95.84)	66.67(66.67,100.00)	66.67(66.67,100.00)	58.33(41.67,79.17)	71.84(67.26,92.14)
初中	12(27.9)	90.00(86.67,98.33)	83.33(66.67,100.00)	83.33(75.00,100.00)	83.33(66.67,95.83)	83.33(83.33,100.00)	79.17(60.42,97.92)	84.53(75.94,90.64)
高中或中专	8(18.6)	90.00(80.00,100.00)	100.00(83.33,100.00)	79.17(66.67,89.58)	83.33(66.67,95.83)	83.33(66.67,100.00)	79.17(68.75,95.83)	85.21(76.37,94.17)
大专及以上	10(23.3)	90.00(85.00,100.00)	100.00(83.33,100.00)	91.67(91.67,100.00)	100.00(100.00,100.00)	100.00(95.83,100.00)	79.17(62.50,87.50)	93.93(91.89,95.81)
H值		6.569	2.552	7.507	9.140	6.994	5.768	8.881
P值		0.087	0.466	0.057	0.027^a	0.072	0.123	0.031^a
家庭人均月收入
≤3000元	20(46.5)	86.67(55.00,98.33)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(50.00,83.33)	84.57(69.12,93.10)
3001~5000元	16(37.2)	86.67(81.67,98.33)	100.00(87.50,100.00)	87.50(75.00,97.92)	83.33(66.67,100.00)	100.00(83.33,100.00)	75.00(66.67,83.33)	89.62(79.22,96.09)
≥5001元	7(16.3)	86.67(80.00,100.00)	83.33(83.33,100.00)	91.67(75.00,100.00)	100.00(66.67,100.00)	83.33(66.67,100.00)	75.00(50.00,100.00)	88.72(73.68,95.00)
H值		1.836	4.814	1.044	1.504	3.752	0.564	2.850
P值		0.399	0.090	0.593	0.471	0.153	0.754	0.240
医疗付费方式
自费	4(9.3)	56.67(53.33,80.00)	66.67(56.67,91.67)	91.67(77.08,100.00)	83.33(56.67,100.00)	91.67(58.33,100.00)	66.67(52.08,81.25)	86.30(69.95,94.81)
职工医保	16(37.2)	86.67(86.67,100.00)	100.00(83.33,100.00)	91.67(83.33,100.00)	83.33(83.33,100.00)	100.00(83.33,100.00)	83.33(66.67,83.33)	90.00(80.60,95.00)
居民医保	23(53.5)	86.67(60.00,100.00)	83.33(66.67,100.00)	70.84(66.67,83.33)	66.67(66.67,100.00)	75.00(66.67,95.83)	58.33(43.75,100.00)	75.71(67.30,90.43)
H值		5.815	5.386	9.287	3.971	6.690	2.800	6.603
P值		0.055	0.068	0.010^a	0.137	0.035^a	0.247	0.037^a
吸烟史
有	16(37.2)	90.00(61.67,100.00)	91.67(70.83,100.00)	87.50(75.00,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(52.08,100.00)	86.24(75.60,94.13)
无	27(62.8)	86.67(80.00,93.33)	100.00(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(58.33,83.33)	88.72(73.68,95.00)
Z值		-0.650	-0.274	-0.716	-0.383	-0.572	-0.901	-0.565
P值		0.516	0.784	0.474	0.702	0.567	0.368	0.572
合并症
0个	22(51.2)	90.00(75.00,100.00)	100.00(83.33,100.00)	91.67(75.00,100.00)	83.33(66.67,100.00)	91.67(66.67,100.00)	75.00(56.25,83.33)	91.47(78.17,95.03)
1个	11(25.6)	86.67(53.33,86.67)	83.33(66.67,100.00)	75.00(66.67,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(58.33,91.67)	80.60(69.06,89.15)
≥2个	10(23.3)	90.00(71.67,100.00)	100.00(75.83,100.00)	83.33(79.17,100.00)	75.00(66.67,100.00)	91.67(79.17,100.00)	70.84(50.00,87.50)	84.53(68.74,95.19)
H值		3.443	2.184	1.257	0.155	0.927	0.651	2.667
P值		0.179	0.336	0.534	0.925	0.629	0.722	0.264
衰弱
是	17(39.5)	80.00(53.33,86.67)	83.33(66.67,100.00)	83.33(66.67,91.67)	66.67(66.67,91.67)	83.33(66.67,100.00)	58.33(50.00,79.17)	77.39(69.17,87.27)
否	26(60.5)	93.33(86.67,100.00)	100.00(83.33,100.00)	87.50(75.00,100.00)	100.00(66.67,100.00)	91.67(79.17,100.00)	83.33(66.67,100.00)	91.90(81.37,95.22)
Z值		-2.975	-1.180	-1.125	-1.892	-1.040	-2.446	-2.720
P值		0.003^b	0.238	0.261	0.058	0.298	0.014^a	0.007^b
是否为疝复发
是	6(14.0)	83.33(73.33,95.00)	91.67(79.16,100.00)	70.83(62.50,87.50)	83.34(66.67,100.00)	75.00(62.50,100.00)	70.83(58.33,81.25)	88.76(72.52,94.20)
否	37(86.0)	86.67(70.00,100.00)	100.00(66.67,100.00)	91.67(75.00,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	75.00(50.00,83.33)	85.38(75.19,94.62)
Z值		-0.551	0.000	-1.783	-0.092	-1.059	-0.212	-0.105
P值		0.596	1.000	0.083	0.932	0.327	0.851	0.932
切口疝病程
<6个月	28(65.1)	86.67(61.67,100.00)	100.00(66.67,100.00)	83.33(75.00,100.00)	91.67(66.67,100.00)	91.67(66.67,100.00)	66.67(58.33,89.58)	87.73(69.91,94.66)
6~12个月	6(14.0)	93.33(78.33,100.00)	91.67(66.67,100.00)	95.83(87.50,100.00)	91.67(75.00,100.00)	91.67(70.83,100.00)	83.33(81.25,100.00)	94.04(86.25,95.22)
>12个月	9(20.9)	86.67(76.67,93.33)	100.00(83.33,100.00)	66.67(66.67,87.50)	83.33(66.67,83.33)	83.33(66.67,100.00)	75.00(50.00,79.17)	79.32(74.53,88.12)
H值		0.985	0.229	4.670	1.776	0.424	5.443	2.702
P值		0.611	0.892	0.097	0.411	0.809	0.066	0.259
缺损部位
正中切口	22(51.2)	86.67(78.33,100.00)	100.00(79.17,100.00)	91.67(81.25,100.00)	100.00(66.67,100.00)	100.00(83.33,100.00)	75.00(56.25,87.50)	91.90(81.60,94.90)
侧方切口	21(48.8)	86.67(63.33,96.67)	83.33(66.67,100.00)	75.00(66.67,91.67)	83.33(66.67,100.00)	66.67(66.67,100.00)	75.00(54.17,83.33)	79.32(72.76,91.69)
Z值		-0.382	-0.969	-2.015	-1.596	-2.948	-0.650	-1.579
P值		0.702	0.333	0.044^a	0.111	0.003^b	0.516	0.114
缺损大小
中切口疝	21(48.8)	93.33(83.33,100.00)	100.00(83.33,100.00)	83.33(66.67,95.83)	83.33(66.67,100.00)	100.00(66.67,100.00)	75.00(58.33,100.00)	88.38(74.34,94.94)
大切口疝	22(51.2)	86.67(58.33,93.33)	91.67(66.67,100.00)	87.50(75.00,100.00)	83.33(66.67,100.00)	83.33(66.67,100.00)	70.84(50.00,83.33)	85.19(75.27,93.88)
Z值		-1.726	-0.504	-0.841	-0.511	-0.644	-1.264	-0.255
P值		0.084	0.614	0.401	0.610	0.520	0.206	0.799
腹部手术次数
1次	26(60.5)	90.00(78.33,100.00)	100.00(83.33,100.00)	83.33(66.67,93.75)	100.00(66.67,100.00)	83.33(66.67,100.00)	79.17(50.00,100.00)	88.93(75.29,94.90)
≥2次	17(39.5)	86.67(56.67,90.00)	100.00(66.67,100.00)	83.33(70.84,100.00)	66.67(66.67,91.67)	83.33(83.33,100.00)	75.00(58.33,83.33)	83.68(69.17,92.35)
Z值		-1.702	-0.610	-0.379	-2.075	-0.698	-0.865	-1.031
P值		0.089	0.542	0.705	0.038^a	0.485	0.387	0.303
恶性肿瘤病史
有	33(76.7)	86.67 (73.33,93.33)	100.00 (75.00,100.00)	83.33 (70.84,100.00)	83.33 (66.67,100.00)	100.00 (66.67,100.00)	75.00 (54.17,83.33)	87.09(75.90,94.00)
无	10(23.3)	96.67 (70.00,100.00)	91.67 (62.50,100.00)	79.17 (66.67,91.67)	83.33 (66.67,100.00)	83.33 (50.00,100.00)	83.33(56.25,100.00)	85.85(72.59,96.29)
Z值		-1.182	-0.455	-1.024	-0.181	-1.386	-1.176	-0.172
P值		0.249	0.681	0.327	0.876	0.194	0.249	0.876

项目	疲乏	恶心呕吐	疼痛	气促	失眠	食欲减退	便秘	腹泻	经济困难
性别
男性	11.11(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,16.67)	0.00(0.00,0.00)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,33.33)
女性	33.33(13.89,52.78)	0.00(0.00,0.00)	16.67(4.17,33.33)	16.66(0.00,33.33)	16.66(0.00,33.33)	0.00(0.00,33.33)	33.32(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
Z值	-0.335	0.000	-0.788	-0.211	-1.376	-1.05	-0.744	-0.077	-1.188
P值	0.738	1.000	0.431	0.833	0.169	0.294	0.457	0.938	0.235
年龄
<65岁	11.11(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,16.67)	0.00(0.00,0.00)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,33.33)
≥65岁	33.33(13.89,52.78)	0.00(0.00,0.00)	16.67(4.17,33.33)	16.66(0.00,33.33)	16.66(0.00,33.33)	0.00(0.00,33.33)	33.32(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
Z值	-2.289	-0.111	-1.839	-1.806	-0.601	-0.586	-0.938	-1.195	-0.268
P值	0.022^a	0.912	0.066	0.071	0.548	0.558	0.348	0.232	0.789
体重指数
18.5~<24.0 kg/m²	33.32(13.89,44.44)	0.00(0.00,0.00)	16.67(4.17,50.00)	0.00(0.00,33.33)	16.67(0.00,58.33)	16.66(0.00,33.33)	16.67(0.00,33.33)	0.00(0.00,25.00)	33.33(0.00,91.67)
24.0~<28.0 kg/m²	22.22(0.00,33.33)	0.00(0.00,16.67)	0.00(0.00,33.33)	0.00(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
≥28.0 kg/m²	16.67(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,29.16)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,33.33)
H值	2.060	0.954	1.695	0.375	2.549	0.246	0.911	1.483	2.202
P值	0.357	0.621	0.429	0.829	0.280	0.884	0.634	0.476	0.333
婚姻状况
已婚	22.22(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,33.33)	0.00(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
未婚/离异/丧偶	33.33(11.11,44.44)	0.00(0.00,0.00)	16.67(0.00,50.00)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
Z值	-0.820	-0.436	-0.314	-0.020	-0.769	-0.537	-0.130	-0.918	-0.074
P值	0.429	0.784	0.784	0.987	0.488	0.664	0.910	0.488	0.962
文化程度
小学及以下	33.33(11.11,55.56)	0.00(0.00,16.67)	16.67(8.34,50.00)	0.00(0.00,33.33)	33.33(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,50.00)	33.33(0.00,83.33)
初中	27.78(13.89,41.67)	0.00(0.00,12.50)	8.34(0.00,33.33)	0.00(0.00,25.00)	0.00(0.00,58.33)	0.00(0.00,33.33)	16.65(0.00,58.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
高中或中专	16.67(0.00,30.56)	0.00(0.00,0.00)	16.67(0.00,29.17)	0.00(0.00,33.33)	33.33(8.33,33.33)	16.67(0.00,33.33)	16.67(0.00,33.33)	0.00(0.00,25.00)	0.00(0.00,33.33)
大专及以上	0.00(0.00,16.67)	0.00(0.00,0.00)	0.00(0.00,16.67)	0.00(0.00,8.33)	0.00(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,8.33)	0.00(0.00,8.33)	0.00(0.00,0.00)
H值	8.571	4.011	7.787	1.233	3.891	5.137	2.837	0.811	7.581
P值	0.036^a	0.260	0.051	0.745	0.273	0.162	0.418	0.847	0.056
家庭人均月收入
≤3000元	33.32(11.11,41.66)	0.00(0.00,12.50)	16.67(0.00,33.33)	0.00(0.00,25.00)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	33.33(0.00,58.33)
3001~5000元	16.67(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,16.67)	0.00(0.00,33.33)	0.00(0.00,58.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,25.00)	0.00(0.00,25.00)
≥5001元	11.11(0.00,22.22)	0.00(0.00,0.00)	16.67(0.00,33.33)	33.33(0.00,33.33)	33.33(0.00,33.33)	33.33(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,66.67)
H值	2.256	0.811	2.781	0.673	0.072	4.838	0.901	0.335	3.543
P值	0.324	0.667	0.249	0.714	0.964	0.089	0.637	0.846	0.170
医疗付费方式
自费	22.22(0.00,52.78)	0.00(0.00,0.00)	25.00(4.17,45.83)	0.00(0.00,25.00)	0.00(0.00,0.00)	0.00(0.00,25.00)	16.65(0.00,33.33)	0.00(0.00,50.00)	16.67(0.00,83.33)
职工医保	11.11(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,16.67)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,0.00)
居民医保	33.32(11.11,44.44)	0.00(0.00,16.67)	16.67(0.00,45.83)	0.00(0.00,33.33)	33.33(8.33,58.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,25.00)	33.33(8.33,91.67)
H值	3.365	5.142	3.707	0.256	7.244	7.936	0.423	0.022	14.923
P值	0.186	0.076	0.157	0.880	0.027^a	0.019^a	0.809	0.989	0.001^b
吸烟史
有	33.33(2.78,41.67)	0.00(0.00,0.00)	16.67(0.00,50.00)	0.00(0.00,25.00)	0.00(0.00,33.33)	0.00(0.00,33.33)	16.67(0.00,33.33)	0.00(0.00,25.00)	33.33(0.00,83.33)
无	22.22(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,16.67)	0.00(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
Z值	-0.984	-0.111	-1.439	-0.623	-0.724	-0.981	-0.867	-0.143	-1.564
P值	0.325	0.912	0.150	0.533	0.469	0.326	0.386	0.886	0.118
合并症
0个	16.67(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,66.67)
1个	22.22(11.11,44.44)	0.00(0.00,16.67)	16.67(0.00,16.67)	0.00(0.00,33.33)	33.33(0.00,66.67)	0.00(0.00,33.33)	33.33(0.00,66.67)	0.00(0.00,0.00)	0.00(0.00,33.33)
≥2个	27.78(0.00,55.56)	0.00(0.00,20.84)	0.00(0.00,37.50)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	33.32(0.00,33.33)	33.33(0.00,41.67)	33.33(0.00,33.33)
H值	0.661	3.277	0.076	3.668	3.283	0.908	4.020	6.337	0.796
P值	0.718	0.194	0.963	0.160	0.194	0.635	0.134	0.042^a	0.672
衰弱
是	33.33(16.67,50.00)	0.00(0.00,0.00)	16.67(0.00,50.00)	33.33(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	33.30(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
否	11.11(0.00,33.31)	0.00(0.00,0.00)	8.34(0.00,16.67)	0.00(0.00,0.00)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
Z值	-3.248	-0.037	-1.594	-2.278	-1.687	-0.145	-1.194	-0.993	-0.529
P值	0.001^b	0.971	0.111	0.023^a	0.092	0.885	0.232	0.321	0.597
是否为疝复发
是	11.11(0.00,30.56)	0.00(0.00,0.00)	8.34(0.00,41.67)	0.00(0.00,8.33)	16.67(0.00,33.33)	16.67(0.00,33.33)	0.00(0.00,33.33)	16.67(0.00,33.33)	0.00(0.00,50.00)
否	22.22(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,33.33)	0.00(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,16.67)	0.00(0.00,33.33)
Z值	-0.910	-1.240	-0.019	-0.717	-0.400	-0.245	-0.178	-1.067	-0.295
P值	0.381	0.420	0.986	0.572	0.720	0.851	0.878	0.420	0.798
切口疝病程
<6个月	11.11(0.00,44.44)	0.00(0.00,0.00)	16.67(0.00,33.33)	0.00(0.00,25.00)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
6~12个月	16.67(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,20.84)	0.00(0.00,0.00)	0.00(0.00,41.67)	0.00(0.00,8.33)	0.00(0.00,8.33)	0.00(0.00,0.00)	0.00(0.00,50.00)
>12个月	22.22(22.22,33.33)	0.00(0.00,8.34)	16.67(0.00,33.33)	33.33(0.00,33.33)	33.33(16.67,33.33)	33.33(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	33.33(0.00,33.33)
H值	1.111	1.572	0.016	9.101	1.409	1.413	1.950	2.826	0.208
P值	0.574	0.456	0.992	0.011^a	0.494	0.493	0.377	0.243	0.901
缺损部位
正中切口	16.67(0.00,33.33)	0.00(0.00,0.00)	0.00(0.00,16.67)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
侧方切口	22.22(5.56,44.44)	0.00(0.00,0.00)	16.67(0.00,41.67)	33.33(0.00,33.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	33.33(0.00,50.00)
Z值	-0.964	-0.143	-2.384	-0.075	-1.531	-1.997	-0.825	-1.064	-1.444
P值	0.335	0.886	0.017^a	0.940	0.126	0.046^a	0.410	0.288	0.149
缺损大小
中切口疝	11.11(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,25.00)	0.00(0.00,33.33)	33.33(0.00,66.67)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,16.67)	0.00(0.00,33.33)
大切口疝	27.78(0.00,44.44)	0.00(0.00,0.00)	16.67(0.00,37.50)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,41.67)
Z值	-0.816	-0.072	-0.734	-0.452	-2.218	-0.198	-0.289	-0.570	-0.082
P值	0.415	0.943	0.463	0.652	0.027^a	0.843	0.773	0.568	0.935
腹部手术次数
1次	11.11(0.00,33.33)	0.00(0.00,4.17)	0.00(0.00,33.33)	0.00(0.00,8.33)	16.67(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	16.67(0.00,33.33)
≥2次	22.22(11.11,38.89)	0.00(0.00,0.00)	16.67(0.00,33.33)	0.00(0.00,33.33)	33.33(0.00,50.00)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,16.67)	0.00(0.00,33.33)
Z值	-0.796	-0.732	-1.054	-1.416	-0.621	-0.275	-0.646	-0.362	-1.114
P值	0.426	0.464	0.292	0.157	0.535	0.783	0.518	0.717	0.265
恶性肿瘤病史
有	22.22(0.00,33.33)	0.00(0.00,0.00)	16.67(0.00,16.67)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)
无	16.67(0.00,47.22)	0.00(0.00,16.67)	25.00(0.00,37.50)	0.00(0.00,8.33)	33.33(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	0.00(0.00,33.33)	33.33(0.00,100.00)
Z值	-0.044	-0.805	-0.854	-0.926	-0.109	-0.134	-1.024	-0.018	-2.208
P值	0.966	0.600	0.435	0.470	0.921	0.921	0.371	0.989	0.048^a

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