论文部分内容阅读
目的为完成国家“九五”科技攻关计划──胃癌高发现场高危人群综合防治研究,对庄河地区16个村镇约5万自然人口进行了胃癌普查.方法普查对象为35岁以上,有胃病史及胃癌家族史者.普查方法包括临床流行病学调查,X-ray气钡双重造影,血清胃蛋白酶原检测,内镜及粘膜活检病理检查.结果实际接受各种检查者总计为3303人.结果发现,各型胃病患者检出率占受检入群的81.84%.查出胃癌患者32例,检出率为1.06%,其中早期胃癌18例,占胃癌检出总数的56.25%.经确诊的胃癌患者尤其是早期胃癌患者已陆续接受旱期治疗.除胃癌外,查出一批不同类型的胃病患者,包括胃粘膜上皮异型增生,肠上皮化生,萎缩性胃炎,浅表性胃炎,糜烂性胃炎及溃疡等,为下一步分组投药,干预治疗打下了良好基础.本次普查结果发现,庄河居民食用成猪肉相当普遍,食用者达93.97%.特别是在偏远山区,几乎达到100%,且持续数年受检群众冒粘膜幽门螺杆菌感染率60%以上结论庄河地区胃病及胃癌高发,庄河居民食用成猪肉及胃粘膜幽门螺杆菌感染相当普遍,针对上述胃癌危险因素进行行为干预及综合防治,切实可行.
Objective To complete the national “Ninth Five-Year” scientific and technological project ─ ─ high risk population at high incidence of gastric cancer prevention and control of population in Zhuanghe 16 villages and towns about 50,000 natural population for gastric cancer screening. Methods Census of 35 years of age or older, with a history of stomach and gastric cancer family history. Census methods include clinical epidemiological investigation, X-ray barium double contrast, serum pepsinogen detection, endoscopic and mucosal biopsy pathological examination. As a result, the actual number of examiners accepted totaled 3,303. The results showed that the detection rate of various types of stomach patients accounted for 81.84% of the subjects admitted group. 32 cases of gastric cancer were detected, the detection rate was 1.06%, of which 18 cases of early gastric cancer, accounting for 56.25% of the total number of gastric cancer detected. The diagnosis of gastric cancer patients, especially early gastric cancer patients have gradually received dry treatment. In addition to gastric cancer, a group of patients with different types of gastric diseases, including gastric dysplasia, intestinal metaplasia, atrophic gastritis, superficial gastritis, erosive gastritis and ulcer, were identified for the next group of patients for treatment and intervention Laid a good foundation. The census found that residents of Zhuanghe into a very common pork, eaters up to 93.97%. Especially in remote mountainous areas, almost 100%, and continued for several years to detect the population mucosal Helicobacter pylori infection rate of 60% Conclusion Zhuanghe stomach and stomach cancer, Zhuanghe residents into pork and gastric mucosa Helicobacter pylori infection Very common, for the above risk factors for gastric cancer behavior intervention and comprehensive prevention and control, feasible.