论文部分内容阅读
目的:探讨武威地区居民胃癌的影响因素。方法:选择2015年至2016年武威市肿瘤医院129例胃癌患者为观察组,按年龄、性别、民族和文化程度匹配选择社区居民244例为对照组,应用单因素Logistic回归对食管炎、慢性胃炎、胃溃疡、肝炎、消化系统疾病家族史、肿瘤疾病家族史、吸烟、饮酒、饮茶、冰箱使用、新鲜蔬菜消费、三餐不定时和暴饮暴食情况等因素进行筛选,进一步采用多因素logistic回归分析胃癌危险因素。结果:慢性胃炎(OR=9.343,95%CI:1.944~44.897)、胃溃疡(OR=26.117,95%CI:2.008~339.718)、吸烟(OR=7.409,95%CI:3.329~6.493)、三餐不定时(OR=51.369,95%CI:4.104~187.099)和暴饮暴食(OR=9.119,95%CI:1.532~54.260)可增加胃癌的风险,经常吃新鲜蔬菜(OR=0.195,95%CI:0.101~0.376)可降低胃癌的风险。结论:慢性胃炎、胃溃疡、吸烟、三餐不定时和暴饮暴食是胃癌的危险因素,经常吃新鲜蔬菜是胃癌的保护因素。
Objective: To investigate the influencing factors of gastric cancer in residents in Wuwei area. Methods: A total of 129 patients with gastric cancer from 2015 to 2016 in Wuwei Cancer Hospital were selected as the observation group. 244 community residents were selected as the control group according to their age, sex, ethnicity and educational level. Single factor Logistic regression was used to evaluate the effect of esophagitis, chronic gastritis , Gastric ulcer, hepatitis, family history of digestive system diseases, family history of tumor diseases, smoking, drinking, tea drinking, use of refrigerators, consumption of fresh vegetables, occasional meals and binge eating and so on. Furthermore, multivariate logistic Regression analysis of gastric cancer risk factors. Results: Chronic gastritis (OR = 9.343, 95% CI: 1.944-44.897), gastric ulcer (OR = 26.117, 95% CI: 2.008-339.718), smoking (OR = 7.409, 95% CI: 3.329-6.493) Irregular meals (OR = 51.369,95% CI: 4.104-187.099) and overeating (OR = 9.119,95% CI: 1.532-54.260) increased the risk of gastric cancer and often consumed fresh vegetables (OR = 0.195, 95% CI: 0.101 ~ 0.376) can reduce the risk of gastric cancer. Conclusion: Chronic gastritis, gastric ulcer, smoking, irregular meals and binge eating are the risk factors for gastric cancer. Eating fresh vegetables often is the protective factor of gastric cancer.