承德地区188例中青年胃癌患者发病危险因素分析  

Risk Factors Analysis of 188 Cases of Young and Middle-aged Patients with Gastric Cancer in Chengde Area

作　　者：郝欣[1] 王荣升[1] 苏彬[1] 刘伟[1] 田新春 玄小玉 付爱琳 李建辉[1] HAO Xin;WANG Rongsheng;SU Bin(The Central Hospital of Chengde,Hebei Chengde 067000,China)

机构地区：[1]河北省承德市中心医院,河北承德067000

出　　处：《河北医学》2018年第7期1226-1230,共5页Hebei Medicine

基　　金：河北省承德市科学技术研究与发展计划项目;(编号:201801A005)

摘　　要：目的:探讨承德地区居民胃癌的影响因素,为采取科学有效的预防措施提供依据。方法:选取承德市中心医院2015年11月至2017年11月收治的188例中青年胃癌患者为研究对象,采用问卷调查获取研究对象的人口学特征、饮食习惯、家族史、行为生活方式、既往疾病史、Hp感染情况以及心理因素等,应用条件Logistic回归进行单因素分析和多因素分析筛选胃癌的影响因素。结果:进食油炸烧烤食物、进食腌制食物、酗酒、慢性胃炎胃溃疡病史、直系亲属胃癌病史、Hp感染以及情绪抑郁(OR分别为3.574、4.135、10.632、7.214、13.245、9.420、5.341)是承德地区居民胃癌的独立危险因素。结论:减少进食油炸烧烤食物和腌制食物,少酗酒,及早治疗慢性胃炎和胃溃疡等慢性胃部疾病,有效的抑制Hp感染的发生,保持心情愉悦有助于预防胃癌发生。Objective:To explore the influencing factors of gastric cancer in chengde area and provide the basis for scientific and effective preventive measures.Methods:188 young and middle-aged gastric cancer patients admitted by chengde central hospital from November 2015 to November 2017 were selected as the study subjects.Demographic characteristics,dietary habits,family history,behavioral lifestyle,previous disease history,Hp infection and psychological factors were obtained by questionnaire.Univariate analysis and multivariate analysis of conditional logistic regression were used to screen the influencing factors of gastric cancer.Results:Eating fried barbecue food,eating pickled food,drink,chronic gastritis,gastric ulcer history,immediate family history of gastric cancer,Hp infection and depressed(OR were 3.574,4.135,10.632,7.214,13.245,9.420,5.341)is the independent risk factors of gastric cancer of the chengde area residents.Conclusion:Eating less fried or barbecue food,eating less pickled food,drinking less,early treatment of chronic stomach diseases such as chronic gastritis and gastric ulcer,effectively inhibiting the occurrence of Hp infection,maintaining the mood and pleasure can help prevent gastric cancer.

关 键 词：胃癌 危险因素 分析 

分 类 号：R735.2[医药卫生—肿瘤]