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梁志明, 王国栋, 李佩珍, 韩小立, 兰向昀, 梁小波, 李跃平. 山西省结直肠癌P53蛋白异常表达危险因素的病例-病例研究[J]. 中国公共卫生, 2000, 16(8): 705-706. DOI: 10.11847/zgggws2000-16-08-20
引用本文: 梁志明, 王国栋, 李佩珍, 韩小立, 兰向昀, 梁小波, 李跃平. 山西省结直肠癌P53蛋白异常表达危险因素的病例-病例研究[J]. 中国公共卫生, 2000, 16(8): 705-706. DOI: 10.11847/zgggws2000-16-08-20
Liang Zhiming, . A Case-case Study on Risk Factorsof P53 Protein Overexpression of Colorectal Cancer in ShanXi province[J]. Chinese Journal of Public Health, 2000, 16(8): 705-706. DOI: 10.11847/zgggws2000-16-08-20
Citation: Liang Zhiming, . A Case-case Study on Risk Factorsof P53 Protein Overexpression of Colorectal Cancer in ShanXi province[J]. Chinese Journal of Public Health, 2000, 16(8): 705-706. DOI: 10.11847/zgggws2000-16-08-20

山西省结直肠癌P53蛋白异常表达危险因素的病例-病例研究

A Case-case Study on Risk Factorsof P53 Protein Overexpression of Colorectal Cancer in ShanXi province

  • 摘要: 为探讨结直肠癌P53蛋白异常表达的危险因素,对121例原发性结直肠癌病人手术切除癌组织进行S-P免疫组化检测,将病例划分为P53异常表达阳性组和阴性组,应用病例-病例研究方法及SAS软件进行因素分析.结果表明,P53异常表达阳性组病人72例,阳性率5950%;单因素分析,有5个因素与P53异常表达有联系,它们是吸烟(OR=2.095)、接触毒物(OR=2.180)、家人吸烟(OR=3.096)、自感生活压抑(OR=2300)、食醋(OR=0.800);多因素非条件Logistic回归分析(a=0.05),有家人吸烟、食醋2个因素引入模型,OR(95%CI)分别为3467(1.519,7.915)和0.774(0.622,0.964);按男女分层进行多因素分析(α=0.05),男性的吸烟被引入模型,OR=5.338(1.476,19.301);女性的家人吸烟被引入模型,OR=6.564(1.501,28.697).结果提示吸烟及食醋两个因素与结直肠癌P53异常表达有关.

     

    Abstract: Approaching the risk factor of P53 protein overexpression to provide a molecular basis for the etiology of colorectal cancer(CRC).The tumor tissues of 121 CRC surgical patients were detected by SP immunohistochemistry.The correspond patients were divided into p53 overexpression positive group and negative group.Apply the case-case study and SAS software to factor analysis.The P53 overexpression positive rate was 59.50%(72/121);There are five factors associated with P53 overexpression by univariate analysis,they are smoking(OR=2.095),toxic contacting(OR=2.180),smoking of family member(OR=3.09),self-depression(OR=2.300)and vinegar eating(OR=0.800);Moreover,smoking of family member and vinegar eating factors were introduced to multiple non condition logistic regression analysis model(a=0.05),the OR were 3.476 and 0.774 respectively;The special risk factor was smoking for male and smoking of family member for female by sex-stratification multiple analysis.The results showed that the P53 overexpression is related to the smoking and vinegar.

     

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