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马莉, 高晓虹, 王猛, 李晓枫. 肺癌影响因素病例对照研究[J]. 中国公共卫生, 2012, 28(1): 90-91. DOI: 10.11847/zgggws2012-28-01-38
引用本文: 马莉, 高晓虹, 王猛, 李晓枫. 肺癌影响因素病例对照研究[J]. 中国公共卫生, 2012, 28(1): 90-91. DOI: 10.11847/zgggws2012-28-01-38
MA Li, GAO Xiao-hong, WANG Meng, . Familial and occupational factors and primary lung cancer:a case-control study[J]. Chinese Journal of Public Health, 2012, 28(1): 90-91. DOI: 10.11847/zgggws2012-28-01-38
Citation: MA Li, GAO Xiao-hong, WANG Meng, . Familial and occupational factors and primary lung cancer:a case-control study[J]. Chinese Journal of Public Health, 2012, 28(1): 90-91. DOI: 10.11847/zgggws2012-28-01-38

肺癌影响因素病例对照研究

Familial and occupational factors and primary lung cancer:a case-control study

  • 摘要: 目的通过对原发性肺癌相关职业暴露、家族史等危险因素的调查分析,探讨影响原发性肺癌发病的相关因素,为原发性肺癌的预防和控制提供依据。方法采用1:1配对的病例对照研究,病例选择新入院的经病理诊断确诊为原发性肺癌患者200例;同时在同期住院的非肿瘤、非呼吸道疾病的患者中选择对照200例。调查因素主要包括:一般情况、职业暴露史、疾病史等,所获资料采用SPSS13.0和SAS8.2统计软件进行分析,单因素分析主要根据资料的类型采用χ2检验和单因素条件Logistic回归分析,并采用多因素条件Logistic回归模型进行多因素分析。结果研究结果表明职业有毒有害物质暴露可增加患肺癌的危险性(OR=9.625,95%CI=4.647~19.934),进一步分析发现工作环境中接触石棉、苯、金属粉末和粉尘与肺癌发生具有关联性;胸部放射线检查史、癌症家族史是肺癌发生的危险因素,而感冒次数少是肺癌发生的保护因素;多因素条件logistic回归分析结果显示,工作中接触有毒有害物质、有胸部放射线检查史及肿瘤家族史是肺癌发生的危险因素。结论职业有害因素暴露、肿瘤家族史、胸部放射线检查史是肺癌发生的危险因素。提示对肺癌的预防和控制应采取综合措施。

     

    Abstract: ObjectiveTo investigate the family history and occupational factors related to primary lung cancer and to provide scientific basis for the prevention of primary lung cancer.MethodsA 1:1 matched case-control study was carried out among 200 cases and 200 controls in general hospitals in Dalian city.The main contents of the investigation included general health,occupational exposure,disease history,and family history of cancer.Data were analyzed with Chi-square test and the conditional logistic regression with SPSS 13.0 and SAS 8.2.ResultsThe results indicated that occupational hazards expoure increased the risk of primary lung cancer(odds ratio=9.625,95% confidence interval:4 647-19.934). Multivariate logistic regression analyeses showed that occupational hazardous exposure,thoracic x-ray examination and familial cancer history were risk factors of primary lung cancer.ConclusionThe incidence of lung cancer is related to many kinds of factors including occupational exposure and family history of cancer.

     

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