社区大肠癌筛查结果与危险因素分析

Screening results and risk factors of colorectal cancer in community

目的 探讨社区大肠癌筛查的结果与危险因素.方法 在2018年2月~2018年8月期间,以问卷调查形式对本社区居住、年龄在65~74岁的受检者开展大肠癌筛查,均予以其问卷调查、化学法大便潜血检测(FOBT),然后对其危险因素进行临床分析.结果 收回400份有效问卷,阳性检出率为21.50%(86/400);其中,有86例大肠癌患者参与进一步肠镜筛查,结果显示大肠癌3例(3.49%),大肠炎性病变19例(22.09%),大肠息肉性病变23例(26.74%),其他18例(20.94%),无异常者23例(26.74%);危险因素分析中,性别、吸烟史、上腹不适、精神刺激史会提高患者病发率,且呈正相关关系,P<0.05;其中,年龄、性别在患者危险因素分析中占据比例最高.结论 落实社区大肠癌筛查工作,发现中老年阶段群体是病症高发群体,且男性患者发病率显著高于女性患者,吸烟、饮酒、精神刺激、上腹长期不适都会致使患者病发,若受检者FOBT呈现阳性反应,需及时至医院就诊,做到病情早期发现、早期治疗,提高自身生存质量,日常要有意识落实病症防控工作,以降低病发率.

0bjective To analyze the.screening results and risk factors of colorectal cancer in community.Methods From February 2018 to August 2018,the subjects who lived in the community in the form of questionnaire survey and aged from 65 to.74 were screened for colorectal cancer.All,the subjects were given questionnaire survey and chemical fecal occult blood test(FOBT),and then the risk factors were analyzed.Results 400 valid questionnaires were collected,and the positive detection rate was 21.50%(86/400).Among them,86 patients with colorectal cancer participated in further colonoscopy screening.The results showed that there were 3 cases of coloreetal cancer(3.49%),19 cases of colitis(22.09%),23 cases of colorectal polyps(26.74%).18 cases of others(20.94%),and 23 e cases;of no abnormality(26.74%)Upper abdominal discomfort,mental stimulation history,fecal occult blood positive reaction will increase the incidence rate of patients,and there is a positive correlation,P<0.05;among them,age and gender account for the highest proportion in the analysis of risk factors.Conc lusion The implementation of community screening for colorectal cancer,found that the elderly group is 8 high incidence of disease groups,and the incidence rate of male patients is significantly higher than that of female patients.Smoking,drinking,mental stimulation,upper abdominal discomfort and fecal oceult blod are pusitive reaetions,which can cause patients to develop.If the FOBT positive reaction occurs,they need to be treated in time to the hospital,so that the disease can be detected early.Early lreatment,improve their quality of life,daily conscious implementation of disease prevention and control work,reduce the ineidence of disease,hope tn adopl.