赤峰市敖汉旗肝癌危险因素分析

Analysis on liver cancer risk factors in Aohan of Chifeng city

目的探讨赤峰市敖汉旗肝癌主要危险因素,为开展敖汉旗肝癌的防治工作提供科学依据。方法采用病例对照研究方法,按1∶1配比选取符合条件的病例与对照194对进行问卷调查,采用SAS9.13软件进行条件Logistic回归分析,趋势检验采用2χ检验法。结果既往史方面,两组间差异有统计学意义(2χ=12.54,P<0.05)。经常饮酒增加肝癌发生的危险(2χ=9.21,P<0.05)。新鲜蔬菜、水果等食物可降低危险性。随着食用熏制、腌制食品的增加,肝癌发生的危险性上升(2χ=25.43,P<0.05)。精神压力大、较大的精神创伤等均增加肝癌的危险性(2χ=10.54,P<0.05)。随着饮用水的量的增加,肝癌发生的危险性降低(2χ=9.78,P<0.05)。结论肝癌的主要危险因素为慢性肝病史,饮酒,缺少新鲜蔬菜、水果、肉蛋制品,精神压力大,较大的精神创伤,性格要强。

Objective To study the risk factors of liver cancer in Aohan,and provide scientific basis for carrying out prevention and control work.Method Using case control method,194 cases in 1：1 paired were developed questionnaire survey,adopted SAS9.13 to carry on conditional logistic regression analysis,χ2 test method was used for tendency test.Results There were significantly different between the two groups in past history（χ2=12.54,P0.05）.Conclusions drinking could increased the risk of liver cancer（χ2=9.21,P0.05）,but fresh vegetables,fruits and other food can reduce.With eating more smoked,salted food can increase the dangerous of liver cancer（χ2=25.43,P0.05）.high stress levels,greater mental scar can increase the risk of liver cancer too（χ2=10.54,P0.05）.With the water depth increasing the risk of liver cancer decreased（χ2=9.78,P0.05）.Conclusion The main risk factors of liver cancer were chronic liver diseases history,drinking,lack of fresh vegetables,fruits,meat and eggs products,high stress levels,greater mental scar and strong mind.