2015年喀什地区食管癌流行病学分析

Epidemiological analysis of esophageal cancer in Kashgar region in 2015

目的探讨喀什地区食管癌的发病情况及流行特征，为制定食管癌综合防治措施提供理论依据。方法收集2015年间喀什地区诊断为食管癌的1815例患者病例资料，分析其发病特点，应用条件Logistic回归分析推断其发病影响因素。结果在1815例食管癌患者中，男女比例为2．4：1．0，男性多于女性（χ^2=5．90，P=0．015），发病年龄主要集中于51—70岁，疏勒县发病率最高。Logistic回归分析结果显示进食速度快（χ^2=17．756，P〈0．001）、热烫食品（χ^2=8．234，P=0．003）、胃病史（χ^2=14．421，P〈0．001）与食管癌发病相关。结论食管癌发病率在喀什地区仍然居高不下，这可能与当地居民的生活习惯及胃病史等因素相关，必须加强综合防治措施。

Objective To investigate the incidence and epidemiological characteristics of esophageal cancer in Kashgar region, and to provide theoretical basis for the comprehensive prevention and treatment of esophageal cancer. Methods A total of 1 815 cases of esophageal cancer were collected from January 2015 to December 2015. The morbid feature was analyzed and fitting-conditional Logistic model multivariate analysis was used to infer the influence factors. Results In 1 815 cases of esophageal cancer, the sex ratio was 2.4/1.0, and there were more men than women （χ^2=5.90, P =0. 015）. Age of onset was mainly focused on 51-70 years old. The incidence rate of Shule County was the highest. Logistic model multivariate analysis showed that esophageal cancer was closely related to the three factors ： fast food intaking speed （χ^2 = 17. 756, P 〈 0.001 ）, hot eating habit （χ^2 = 8. 234, P = 0.003） and history of stomach diseases （χ^2= 14.421, P 〈 0.001 ）. Condusion The morbidity of esophageal cancer maintains a high level in Kashgar region, which may be related to the local residents life habits, history of stomach diseases and other factors. Comprehensive strategy of prophylaxis and treatment must be taken.