论文部分内容阅读
目的:了解胃癌患者诊断延迟的流行病学现状,分析诊断延迟的高危因素。方法:收集衢州市人民医院2002年1月至2006年12月间收治的胃癌患者232例,分析其诊断延迟及影响因素。结果:胃癌患者的平均诊断延迟时间是3.6月(0.5月~36月),其中短期延迟119例,中期延迟57例,长期延迟56例。单因素分析显示,年龄(P=0.028)、居住地(P=0.000)、文化程度(P=0.026)、症状多少(P=0.000)是影响胃癌患者诊断延迟的因素;多因素分析显示,65岁以上、小学及其以下文化程度、既往无就医史、多发症状患者发生长期延迟的危险性高(P<0.05)。结论:低文化程度、老年、既往无就医史等三类人群胃癌的诊断延迟情况较严重,应当有针对性地加强胃癌早期诊断的宣教。
Objective: To understand the epidemiological status of delayed diagnosis of gastric cancer and to analyze the risk factors of delayed diagnosis. Methods: 232 cases of gastric cancer admitted to Quzhou People’s Hospital from January 2002 to December 2006 were collected, and their diagnostic delay and influencing factors were analyzed. Results: The average diagnosis delay time of patients with gastric cancer was 3.6 months (range 0.5-5 months), of which 119 cases were short-term delayed, 57 delayed mid-term and 56 delayed long-term. Univariate analysis showed that age (P = 0.028), place of residence (P = 0.000), education level (P = 0.026) and symptom number (P = 0.000) were the factors influencing the diagnosis delay of gastric cancer patients.Multivariate analysis showed that 65 There is a high risk of long-term delay in the development of multiple symptoms among those with years of age or older, primary education or below, and no medical history (P <0.05). Conclusion: The diagnosis delay of gastric cancer is more serious in three kinds of people, such as low education level, old age and no previous medical history, and should be targeted to strengthen the missionary diagnosis of early gastric cancer.