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目的了解大肠癌患病率及年龄、性别分布和其心理健康情况,为实施针对性预防措施及心理干预提供参考。方法分析2007～2008年2 000例因肠道疾病行电子结肠镜检查结果及经病理检查确诊为大肠癌患者性别、年龄分布特点,采用症状自评量表(SCL-90)测评其心理健康状况。结果 2 000例中,确诊为大肠癌126例(6.30%),男女检出率分别为7.76%、4.90%,男女比例为1.52∶1;41～50岁组和>70岁组男性大肠癌的检出率显著高于同年龄段女性(均P<0.05);男性强迫症因子得分显著高于女性,女性抑郁因子得分显著高于男性(均P<0.05)。结论对40岁以上有肠道症状的人群,尤其是男性患者应加强大肠癌的一级预防;对不同性别的大肠癌患者心理干预应有侧重性,以降低大肠癌发生率。
Objective To understand the prevalence of colorectal cancer and its age, gender distribution and mental health status, and to provide reference for the implementation of targeted preventive measures and psychological intervention. Methods The data of 2 000 colonoscopy patients who were diagnosed as bowel disease from 2007 to 2008 were analyzed retrospectively. The gender and age distribution of patients with colorectal cancer confirmed by pathological examination were analyzed. The mental health status of the patients with colorectal cancer was assessed by using the Symptom Checklist 90 (SCL-90) . Results In 2 000 cases, 126 cases (6.30%) were diagnosed as colorectal cancer. The detection rates of male and female were 7.76% and 4.90%, respectively. The male-female ratio was 1.52:1. The incidence of colorectal cancer in male patients aged 41-50 years and> 70 years The detection rate was significantly higher than that of females in the same age group (all P <0.05). The score of male obsessive-compulsive disorder was significantly higher than that of females. The score of depression in females was significantly higher than that of males (all P <0.05). Conclusions The primary prevention of colorectal cancer should be strengthened in people over 40 years of age with intestinal symptoms, especially in male patients. Psychological intervention should be focused on patients with different sexes in order to reduce the incidence of colorectal cancer.