体检人群胃癌风险筛查结果分析及对策研究

Screening Results Analysis and CountermeasuresResearch on Gastric Cancer Risk of Population with Physical Examination

目的通过对体检人群进行胃癌风险筛查评估,探讨有效的预防策略,为胃癌早期防治提供实践指导。方法选取济南地区在山东电力中心医院健康管理中心2020年—2021年进行胃功能检测的40岁以上体检人群共11816人作为研究对象。应用中国新型胃癌筛查评分系统进行胃癌风险筛查,并采用SPSS22.0软件进行数据分析。结果根据胃癌风险评分占比情况分析,高危组<中危组<低危组。男性中高风险占比36.69%,女性中高风险占比仅1.11%,性别有显著性,差异有统计学意义(P<0.05)。40~49岁及69岁以上人群,低风险占比为主;50~69岁人群,中高风险占比随年龄增加逐渐增高,差异有统计学意义(P<0.05)。PGR由高到低依次为低危组>中危组>高危组,PGⅡ、G17水平由高到低依次为高危组>中危组>低危组,PGⅠ由高到低依次为中危组>低危组>高危组,差异有统计学意义(P<0.05)。结论针对体检人群开展有针对性的胃癌风险筛查具有重要意义。针对中高危胃癌风险人群,建议加强健康教育和宣传、加强胃癌筛查工作、推广幽门螺杆菌感染的检测和治疗、关注并干预家族胃癌史,并鼓励跨学科合作,共同努力降低胃癌发病率。

Objective To screen and evaluate gastric cancer risk of population with physical examination,and explore effective prevention strategies to provide practical guidance for early prevention and treatment of gastric cancer.Methods The paper chose 11816 people aged 40 and above with gastric function testing in Health Management Center of Shandong Electric Power Center Hospital from 2020 to 2021 as research subjects.Gastric cancer risk screening was carried out with the Chinese new gastric cancer screening scoring system,data were analyzed with SPSS 22.0 software.Results According to the analysis,proportion of gastric cancer risk scores of high-risk group<medium risk group<low risk group.The proportion of high-risk individuals of males was 36.69%,while that of females is only 1.11%,with significant gender difference(P<0.05).Population aged 40~49 and above had high proportion of low-risk individuals;proportion for medium to high risk of people aged 50~69 increased gradually with age,there was significant difference(P<0.05).PGR level in low risk group>medium risk group>high risk group.PGII and G17 levels in high risk group>medium risk group>low risk group.PGI level in medium risk group>low risk group>high risk group,with significant difference(P<0.05).Conclusion Targeted gastric cancer risk screening is of great significance for population with physical examination.It is suggested to strengthen health education and publicity,gastric cancer screening,promote detection and treatment of helicobacter pylori infection,intervene and pay attention to family history of gastric cancer,and encourage interdisciplinary cooperation to reduce incidence rate of gastric cancer.