食管癌患者延迟诊断的相关因素分析  

Influential factors of patient-related delay in esophageal carcinoma

作　　者：马建华[1] 范育伟[2] 

机构地区：[1]连云港市第一人民医院东方医院肿瘤科,连云港222000 [2]连云港市第一人民医院肿瘤科

出　　处：《山西医科大学学报》2011年第4期321-323,共3页Journal of Shanxi Medical University

摘　　要：目的探讨食管癌患者相关性延迟诊断的相关因素,从而缩短延迟诊断的时间。方法回顾性分析167例食管癌患者的临床资料,包括患者年龄、性别、受教育水平、吸烟饮酒史、首发症状和病变部位,分析其与延迟诊断间的关系。患者相关性延迟诊断被定义为首次出现症状到就诊医生的时间间隔。结果患者相关性延迟诊断与患者性别、首发症状无关,差异无统计学意义(P>0.05),但与患者的年龄(χ2=7.798,P=0.020)、是否有吸烟饮酒史(χ2=10.536,P=0.005)、受教育水平的高低(χ2=7.922,P=0.019)及病变部位(χ2=7.680,P=0.021)相关。年龄≥65岁、受教育水平低、有吸烟饮酒史、病变位于食管中、下段的患者易诊断延迟。结论应对有诊断延迟相关因素的患者加强健康宣传,争取早期诊断和早期治疗。Objective To explore the influential factors of patient-related delay in patients with esophageal carcinoma for shortening the delay time.Methods A total of 167 patients with esophageal carcinoma were enrolled.The clinical data,including patient age,gender,education experience,symptoms,drinking and smoking habits and cancer sites were retrospectively analyzed.Patient-related delay in diagnosis（PRDD） was defined as the time interval from onset of the first symptoms to the first contact with a doctor.Results The PRDD was not statistically correlated with patient gender and initial symptoms（P〉0.05﹚.But PRDD was significantly correlated with patient age（χ2=7.798,P=0.020）,drinking and smoking habits（χ2=10.536,P=0.005）,education experience（χ2=7.922,P=0.019）and cancer sites（χ2=7.680,P=0.021）.The patients above 65 years old,having a low level of education,having a history of smoking and drinking,or with lower esophageal carcinoma were prone to delayed diagnosis.Conclusion It is required to strengthen the health promotion in these patients with the risk factors of patient-related delay for early diagnosis and early treatment.

关 键 词：食管肿瘤 患者相关性延迟诊断 流行病学 

分 类 号：R735.1[医药卫生—肿瘤]