环境温度与睾丸扭转发生的相关性分析研究

Correlation of environment temperature with the incidence of testicular torsion

目的:探讨环境温度是否为睾丸扭转发生的影响因素。方法:收集河北医科大学第二医院2013年12月至2020年12月确诊为睾丸扭转患者的具体临床数据。根据其发病时间在国家气象科学数据中心(http://data.cma.cn/)查询当天当地的气温。将其分为0℃以下组、0~10℃组、10~20℃组、20℃以上组。根据各个分组睾丸扭转的发生数量,通过相关性分析,获得研究结果。结果:172例睾丸扭转患者中,发生率最高的温度区间是0~10℃组(35.5%)。12.8%的病例发生在0℃以下;34.9%的病例发生在10~20℃;16.9%的病例发生在20℃以上。不同温度区间睾丸扭转的发病率比较,差异有统计学意义(χ^(2)=29.07,P<0.001)。Spearman检验提示不同温度区间与睾丸扭转患病率呈负相关(r=-0.261,P<0.01)。不同季节之间发病率比较差异无统计学意义(χ^(2)=5.349,P>0.05),但睾丸扭转的发病仍主要集中在秋冬季。结论:睾丸扭转的患病率与环境温度之间存在负相关趋势,环境温度降低时,睾丸扭转的患者会相对增加。不同季节之间睾丸扭转发病率无明显差别,但睾丸扭转的发病仍主要集中在秋冬季,提示临床秋冬季时要更加注意睾丸扭转的诊治。

Objective:To explore the influence of environment temperature on the incidence of testicular torsion.Methods:We collected the clinical data on 172 cases of testicular torsion diagnosed in the Second Hospital of Hebei Medical University from December 2013 to December 2020.According to the local environment temperature on the day of onset,we divided the patients into groups A(below 0℃),B(0-10℃),C(10-20℃)and D(above 20℃),and compared the incidence rates of testicular torsion among the four groups,followed by correlation analysis.Results:The incidence rate of testicular torsion was 12.8%(n=22)in group A,35.5%(n=61)in B,34.9%(n=60)in C and 16.9%(n=29)in D,the highest at 0-10℃in group B,with statistically significant difference among the four groups(χ^(2)=29.07,P<0.001).Spearman correlation analysis indicated that the incidence of testicular torsion was negatively correlated with the environment temperature(r=-0.261,P<0.01),with no statistically significant difference among different seasons(χ^(2)=5.349,P>0.05),but higher in autumn and winter than in the other two seasons.Conclusion:The incidence of testicular torsion is negatively correlated with the environment temperature,elevated when the temperature decreases,but has no statistically significant difference among different seasons,though relatively higher in autumn and winter.