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目的探讨滕州市居民胃癌发病的危险因素,为制定干预对策与措施提供依据。方法 2009年5月至2012年6月,对滕州市中心人民医院经临床病理检查确诊的原发性胃癌住院患者及1∶1配对的同期住院的非肿瘤疾病史患者资料89对进行调查,并进行影响胃癌患病的条件Logistic回归分析。结果在α=0.05的水平上,进入多因素条件Logistic回归模型的有7个因素,即多食新鲜蔬菜、多食水果者不易患胃癌(OR值分别为0.438、0.322),有家族肿瘤史、有不良饮食习惯、有胃慢性疾病史、多食腌制食品、吸烟者易患胃癌(OR值分别为5.312、4.899、4.187、3.014、1.744)。结论家族肿瘤史、不良饮食习惯、胃慢性疾病史、多食腌渍食品、吸烟是本地胃癌发生的主要危险因素。
Objective To investigate the risk factors of gastric cancer in residents of Tengzhou and provide basis for formulating intervention measures and measures. Methods From May 2009 to June 2012, 89 patients with primary gastric cancer admitted to Tengzhou Central People’s Hospital who had been diagnosed by clinical pathology and 89 patients with non-neoplastic disease history of 1: 1 paired in the same period were investigated. Logistic regression analysis was performed to determine the prevalence of gastric cancer. Results At the level of α = 0.05, there were 7 factors in the multivariate conditional Logistic regression model, that is, eating more fresh vegetables and eating more fruits were not easy to suffer from gastric cancer (OR = 0.438,0.322, respectively) Have bad eating habits, history of chronic gastric diseases, eat more pickled foods, smokers susceptible to gastric cancer (OR values were 5.312,4.899,4.187,3.014,1.744). Conclusion The family history of cancer, poor diet, history of chronic gastric diseases, eating more pickled foods and smoking are the main risk factors of local gastric cancer.