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庞轶, 李卉, 雷放鸣, 王远萍, 李佳圆, 郭洁. 妇女生殖生育因素与乳腺癌病例对照研究[J]. 中国公共卫生, 2009, 25(10): 1172-1174. DOI: 10.11847/zgggws2009-25-10-11
引用本文: 庞轶, 李卉, 雷放鸣, 王远萍, 李佳圆, 郭洁. 妇女生殖生育因素与乳腺癌病例对照研究[J]. 中国公共卫生, 2009, 25(10): 1172-1174. DOI: 10.11847/zgggws2009-25-10-11
PANG Yi, LI Hui, LEI Fang-ming, . A case control study on association between reproductive factors and risk of breast cancer[J]. Chinese Journal of Public Health, 2009, 25(10): 1172-1174. DOI: 10.11847/zgggws2009-25-10-11
Citation: PANG Yi, LI Hui, LEI Fang-ming, . A case control study on association between reproductive factors and risk of breast cancer[J]. Chinese Journal of Public Health, 2009, 25(10): 1172-1174. DOI: 10.11847/zgggws2009-25-10-11

妇女生殖生育因素与乳腺癌病例对照研究

A case control study on association between reproductive factors and risk of breast cancer

  • 摘要: 目的探讨妇女生殖生育有关因素与乳腺癌的关系。方法2007年5月-2008年4月共收集119对病例和对照,病例来源于四川省肿瘤医院,对照来源于成都363医院,以按年龄±1~2岁匹配,进行1:1病例对照研究,应用条件/非条件Logistic回归模型进行分析。结果119例乳腺癌患者中,流产数≥3个为31例,占26.1%;对照组为6人,占5.0%,差异有统计学意义(χ2=21.483,P<0.05);病例组雌激素使用时间≥1年为24例,占20.2%;对照组为11人,占9.2%(χ2=5.181,P<0.05);多因素条件Logistics回归分析结果显示,流产数≥3个是总体乳腺癌的重要危险因素,OR=6.10,95%CI=1.79~20.76;非条件Logistic回归分析结果显示,在绝经前组,流产数(OR=4.69,95%CI=1.10~19.91)、雌激素使用时间≥1年(OR=3.69,95%CI=1.12~12.15),是绝经前组乳腺癌的危险因素(均P<0.05)。结论多次流产是乳腺癌的危险因素,使用雌激素时间≥1年会增加绝经前妇女患乳腺癌的风险。

     

    Abstract: ObjectiveTo explore the association between reproductive factors and breast cancer.MethodsA matched case-control study was conducted from May 2007 to Apr 2008 Overall 119 new diagnosed breast cancer patients in Sichuan Cancer Hospital and 119 health female physical exanainees matched with age were enrolled in the study Reproductive and menstrual factors were investigated with a questionnaire.The data were processed with EPI data 3.0 software, and conditional and un-conditional logistic regression analysis were conducted with EPI Info 2002 software. Results The major risk factor of breast cancer for the cases was the number of miscarriage≥3 (OR=6.10, 95% CI=1.79-20.76, conditional logistic regression).In pre-menopausal sub-group, the OR (95% CI) of the number of miscarriage ≥3 was 4.69(1.10-19.91, unconditional logistic regression).Taking estrogen more than one year was another risk factor for breast cancer in pre-menopausal sub-group (OR=3.69, 95% CI=1.12-12.15, unconditional logistic regression).ConclusionMiscarriage may increase the risk of breast cancer, and taking estrogenic dnzg may increase the risk of breast cancer in pre-menopausal women.

     

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