江苏省扬中市居民上消化道癌及癌前病变筛查结果及影响因素分析

Screening of Upper Gastrointestinal Cancer and Precancerous Lesions in Yangzhong City of Jiangsu Province

[目的]了解扬中市居民上消化道癌及癌前病变的检出情况,探讨其影响因素。[方法]采用整群抽样的方法确定调查对象。采用问卷调查、体格检查、内窥镜检查和病理学检查对调查对象进行上消化道癌及癌前病变的筛查。[结果]筛查总人数2591人,共检出阳性病例228例,检出率8.80%,其中男性128例(11.24%),女性100例(6.89%),差异有统计学意义(P<0.001)。多因素Logistic回归分析显示,年龄(50~岁:OR=2.948,95%CI:1.671~5.199;60~岁:OR=7.846,95%CI:4.538~13.567),吸烟(OR=1.738,95%CI:1.301~2.321),深度油炸食品(OR=2.549,95%CI:1.223~5.311),幽门螺旋杆菌(OR=1.585,95%CI:1.194~2.103)是上消化道癌及癌前病变的独立影响因素。[结论]年龄大、吸烟、经常食用深度油炸食品、感染幽门螺旋杆菌是扬中市居民患上消化道癌及癌前病变的危险因素。

[Purpose]To analyze the results of screening for upper gastrointestinal cancer and precancerous lesions in Yangzhong City.[Methods]A screening program for gastrointestinal cancer and precancerous lesions was conducted in 2 townships of Jiangsu Yangzhong City in 2018;participants were selected by cluster sampling method.The subjects were screened by using questionnaires,physical examination,endoscopy and pathology.[Results]Two hundred and twenty-eight of2591 participants were positive in screening with a detection rate of 8.80%.The detection rate of males and females was 11.24%and 6.89%,respectively(P<0.001).Multivariate logistic regression analysis showed that the age(50~:OR=2.948,95%CI:1.671~5.199;60~:OR=7.846,95%CI:4.538~13.567),smoking(OR=1.738,95%CI:1.301~2.321),deep-fried food(OR=2.549,95%CI:1.223~5.311)and Helicobacter pylori(Hp)infection(OR=1.585,95%CI:1.194~2.103)were risk factors of upper gastrointestinal cancer and precancerous.[Conclusion]Older age,smoking,deepfried food,and Helicobacter pylori infection may increase the risk of upper gastrointestinal cancer and precancerous lesions.