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丁建华, 李苏平, 高长明, 周建农, 苏平, 吴建中, 臧宇, 刘燕婷, 周学富, 丁保国, 王如鸿. 以全人群为基础的上消化道癌病例对照研究[J]. 中国公共卫生, 2001, 17(4): 319-320. DOI: 10.11847/zgggws2001-17-04-22
引用本文: 丁建华, 李苏平, 高长明, 周建农, 苏平, 吴建中, 臧宇, 刘燕婷, 周学富, 丁保国, 王如鸿. 以全人群为基础的上消化道癌病例对照研究[J]. 中国公共卫生, 2001, 17(4): 319-320. DOI: 10.11847/zgggws2001-17-04-22
DING Jian-hua, . On Population Based Case-Control Study of Upper Digestive Tract Cancer[J]. Chinese Journal of Public Health, 2001, 17(4): 319-320. DOI: 10.11847/zgggws2001-17-04-22
Citation: DING Jian-hua, . On Population Based Case-Control Study of Upper Digestive Tract Cancer[J]. Chinese Journal of Public Health, 2001, 17(4): 319-320. DOI: 10.11847/zgggws2001-17-04-22

以全人群为基础的上消化道癌病例对照研究

On Population Based Case-Control Study of Upper Digestive Tract Cancer

  • 摘要: 目的 探索泰兴市上消化道癌的病因.方法 选择591例食道癌、360例肝癌和430例胃癌新发病例按年龄、性别和居住地进行以人群为基础1:1配对的病例对照研究.结果 多因素Logistic回归分析结果显示,泰兴市上消化道癌共同的危险因素是饮酒和各癌症部位的相关病变(胃癌与慢性胃炎和胃溃疡、食道癌与食道上皮细胞增生和化生、肝癌与慢性肝炎和肝硬化).此外还发现食道癌危险性与性格忧郁、长期处于压抑状态、喜爱吃烫食、口味嗜咸和家族食道癌史有关,HBsAg阳性和家族肝癌史可增加患肝癌的危险,而胃癌的危险因素则为性格忧郁、长期处于压抑状态和新鲜蔬菜少.结论 在当地针对上述危险因素进行预防十分必要.

     

    Abstract: Objective In order to investigate the aetiological factors of upper dig estive tract cancer in Taixing area.Methods On population based a case-control study including 591 cases of esophageal cancer,360 cases of liver cancer,430 cases of stomach cancer newly diagnotised and controls matches with age,sex and resident area was carried out.Results Multiple logistic regression analysis show that common risk factors of upper digestive tract cancer in Taixing Area are higher comsumption of alcohol and related diseases(chronic gastritis,gastriculcer and stomach cancer; pathological change of esophagus and esophageal cancer;chronic hepatitis cir rhosis and liver cancer).Other wise,it was found that increased risk for esophageal cancer was associated with the feel constrained.long-term melancholy,family history of esophagus cancer,like eating salty food and ove-rhot diet,HBsAg positive and family history of liver cancer can increased risk for liver cancer,while risk factors of stomach cancer are feel constrained and longterm melancholy,less eating fresh veg etables.Conclusion It is necessary to prevent such as above risk factors in Taixing Area.

     

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