徐州地区213例胃癌患者临床流行病学调查

Clinical investigation on 213 cases of gastric cancer in Xuzhou City

目的通过调查找出徐州地区胃癌患者特征。方法通过自制调查问卷调查2006～2007年在徐州市各大医院就诊经病理确诊为胃癌的患者。结果胃癌患者中男女性别比2.7∶1,男性与女性在年龄分布上差异有统计学意义(P<0.05),职业分布中农民和管理工作者较多,收入分布中低收入患者较多。胃体癌占23.47%、胃窦癌占44.4%、贲门癌占32.39%,胃癌各部位在NSAIDs服用史、HP感染中构成差异有统计学意义,而性别、年龄的构成差异无统计学意义。结论不同性别、年龄段胃癌患者具有不同的发病状况且不同NSAIDs服用史、HP感染状态与不同胃癌部位有关,可能存在不同的发病机制和预后。

Objective To identify the characteristics of patients with gastric cancer in Xuzhou Coty. Methods The patients with gastric cancer diagnosed pathologically were investigated with the questionnaire self-designed in major hospitals of Xuzhou from 2006 to 2007. Results The sex ratio of patients with gastric cancer was 2.7：1 （male ： female）, and there was a significant difference between the age distribution in the male and female, P 〈 0.05. In occupational distribution, farmers and administer staff were more than others. In income distribution, the persons with low-income were more than others. Carcinoma of sinus ventriculi accounted for 44.13%, carcinoma of gastric cardia accounted for 23.47 %, and carcinoma of corpus gastricum accounted for 32.39 %. There were significant differences in NSAIDs history and HP infection constituents in different parts of gastric cancer, but no significant differences in sex and age. Conclusions Different sexes, ages of gastric cancer patients has different incidences, and there were correlations between NSAIDs history and lip infection and different parts of gastric cancer, respectively.