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米登海, 罗好曾, 陈学鹏, 张文华, 陈瑞萍. 肝癌遗传模式与危险因素病例-对照研究[J]. 中国公共卫生, 2006, 22(7): 849-850. DOI: 10.11847/zgggws2006-22-07-49
引用本文: 米登海, 罗好曾, 陈学鹏, 张文华, 陈瑞萍. 肝癌遗传模式与危险因素病例-对照研究[J]. 中国公共卫生, 2006, 22(7): 849-850. DOI: 10.11847/zgggws2006-22-07-49
MI Denghai, LUO Haozeng, CHEN Xuepeng, . A case-control study on heritability pattern and risk factors of Hepatoma[J]. Chinese Journal of Public Health, 2006, 22(7): 849-850. DOI: 10.11847/zgggws2006-22-07-49
Citation: MI Denghai, LUO Haozeng, CHEN Xuepeng, . A case-control study on heritability pattern and risk factors of Hepatoma[J]. Chinese Journal of Public Health, 2006, 22(7): 849-850. DOI: 10.11847/zgggws2006-22-07-49

肝癌遗传模式与危险因素病例-对照研究

A case-control study on heritability pattern and risk factors of Hepatoma

  • 摘要:
      目的   探讨肝癌的危险因素及遗传模式, 为肝癌的预防提供科学依据。
      方法   采用病例-对照研究, 以98例肝癌病例和196名健康对照作为研究对象, 询问其暴露史; 采用Penrose法、简单分离分析和Falconer法对98例原发性肝癌家系资料进行遗传流行病学研究。
      结果   乙肝病史、亲属肿瘤史、食用盐腌食品史、肝硬化病史、饮用地表水与浅井水、饮酒等因素的比值比分别为5.18, 8.40, 2.16, 9.33, 2.56, 2.61;单基因显性简单分离分析(分离比1/2)χ2=219.44, P < 0.01;单基因隐性简单分离分析(分离比1/4)χ2=67.74, P < 0.01;应用Penros法计算同胞肝癌发生率, 一般人群肝癌发生率(s/q)接近1/q1/2; 先证者一级亲属的遗传度为(58.74±5.43)%。
      结论   乙肝病史、亲属肿瘤史、食用盐腌食品史、肝硬化病史、饮用地表水与浅井水、饮酒等是武威市肝癌发病的危险因素; 先证者肝癌遗传不符合单基因显性和隐性遗传而是属于多基因遗传, 遗传因素对肝癌的发病具有一定的贡献, 约占整个危险因素的3/5。

     

    Abstract:
      Objective   To afford scientific basis on the prevention of hepatoma by exploring the risk factors of hepatoma in and studying on heritability pattern of hepatoma.
      Methods   98 hepatoma cases and 196 health people with controls were interviewed by case-control study and theirex posure history were asked.It was studied on the hereditary epidemiology of genealogy of 98 hepatoma cases by using Penrose method, simple segregation analysis method and Falconer method.
      Results   The ratio ratio were respectively 5.18, 8.40, 2.16, 9.33, 2.56 and 2.61 of history of hepatitis Bdisease, history of relative's sumor, history of eating salt bloating foo d, history of hepatocirrhosis, drinking surface water and shallow water, and drinking.Monogenic doinant simple segregation analysis(Segregation ratio was 0.5)χ2 =219144, P < 0.01.Monogenic dominant recessive segregation analysis(Segregation ratio was 0.25)χ2=67.74, P < 0.01.Using Penrose method to calculate the hepatoma occurring ratio of brethren, the hepatoma occurring ratio of everyman(s/q)was close to 1/q 1/2.The hereditary degree of class Ikinfolks of proband was 58.74% ±5.43%.
      Conclusion   History of hepat itis Bdisease, history of relative's tumor, history of eating salt bloating food, history of hepato cirrhosis, drinking surface water and shallow shallow water, and drinking were the risk factors of hepatoma in WuWei.Hereditary of proband hepatoma was polyg ene.Hereditary factor was 0.60 of total risk factors of hepatoma.

     

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