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[目的]探讨甘肃省山丹县40~69岁居民上消化道癌的发病现状及其相关影响因素。[方法 ]调查时间为2014年6月至2015年6月,采用分层整群随机抽样,以40~69岁常住居民为研究对象。采用集体宣教及问卷调查、内镜检查、病理学检查的方法普查该地区上消化道癌的高危人群。[结果]筛查总人数1500人,上消化道癌检出率为2.07%(31例),包括早期病例12例(38.70%)。吸烟、饮酒、饮茶、饮食习惯、家族史等对上消化道癌的发生都有一定影响,并且差异有统计学意义(P<0.05)。Logistic回归分析结果显示,年龄小、文化程度高及有胃十二指肠溃疡疾病史是上消化道癌发病的保护因素(P<0.05),而常吃腌晒食物、常吃油炸食物以及常吃烫热食物是上消化道癌发病的危险因素(P<0.05)。[结论]甘肃省山丹县40~69岁居民上消化道癌以胃癌为主,饮食习惯对其发病有一定影响。
[Objective] To investigate the incidence and related factors of upper gastrointestinal cancer in 40 ~ 69-year-old residents in Shandan County, Gansu Province. [Methods] The investigation time was from June 2014 to June 2015, stratified cluster random sampling was used to study the residents aged from 40 to 69 years. The use of collective mission and questionnaires, endoscopy, pathological screening method for screening of high-risk groups in the area of upper gastrointestinal cancer. [Results] The total number of screening 1,500 people, the detection rate of upper digestive tract cancer was 2.07% (31 cases), including 12 cases of early cases (38.70%). Smoking, drinking, drinking tea, eating habits and family history all had some effects on the occurrence of upper gastrointestinal cancer, and the difference was statistically significant (P <0.05). Logistic regression analysis showed that the younger age, higher education level and the history of gastroduodenal ulcer disease were protective factors of upper gastrointestinal cancer (P <0.05), while eating sun-cured foods, eating fried foods and Eating hot food is a risk factor for upper gastrointestinal cancer (P <0.05). [Conclusion] The incidence of upper gastrointestinal cancer in 40- to 69-year-old residents in Shandan County of Gansu Province is mainly gastric cancer, and their eating habits has some influence on the incidence.