马鞍山市社区肺癌高危人群肺结节流行现况及其影响因素分析  

Prevalence and influencing factors of pulmonary nodules among community residents with high risk of lung cancer in Maanshan City

作　　者：刘孟钰 胡明军 何家镠 朱金亮 黄芬[1] 吕剑剑 秦其荣[1,2] LIU Mengyu;HU Mingjun;HE Jialiu;ZHU Jinliang;HUANG Fen;LV Jianjian;QIN Qirong(School of Public Health,Anhui Medical University,Hefei 230032,China;Maanshan Center for Disease Control and Prevention)

机构地区：[1]安徽医科大学公共卫生学院,安徽合肥230032 [2]马鞍山市疾病预防控制中心

出　　处：《华南预防医学》2023年第6期729-733,738,共6页South China Journal of Preventive Medicine

基　　金：安徽省科技惠民示范工程专项(202007d07050008);安徽省卫生健康委科研项目(AHWJ2021a026);马鞍山市科技局资助项目(YL-2021-028)。

摘　　要：目的分析马鞍山市社区肺癌高危人群肺结节的流行现状和影响因素,为马鞍山市肺癌防治工作提供科学依据。方法选取于2020年6—11月参加马鞍山市肺癌高危评估且接受肺部低剂量螺旋计算机断层扫描(LDCT)的社区人群作为研究对象。采用单因素分析法对肺结节的流行现状进行统计描述,运用多因素logistic回归分析法筛选肺结节检出的影响因素。结果本研究纳入2289名受检者,男性1581人(69.07%),检出肺结节者839例,检出率为36.65%。阳性结节293例(12.80%),其中疑似肺癌24例(1.05%)。检出肺结节者中,男性(38.02%)阳性结节检出率高于女性(28.14%)(P<0.05);阳性结节检出率随年龄有升高趋势(P<0.05);有焚香习惯者阳性结节检出率(46.81%)高于无焚香习惯者(33.42%)(P<0.01)。多因素logistic回归结果显示,有焚香习惯(OR=1.361)、室外体育锻炼(OR=1.238)和有机溶剂接触者(OR=2.107)更容易检测出肺结节。结论马鞍山市肺癌高危人群肺结节检出率较高,不同年龄和性别肺结节流行现状不同。有焚香习惯、接触有机溶剂、参加室外体育锻炼等因素与人群发生肺结节密切相关,针对危险因素需采取必要的干预措施。Objective To analyze the prevalence and influencing factors of pulmonary nodules among community residents with high risk of lung cancer in Maanshan City,and to provide a scientific basis for the prevention and treatment of lung cancer in Maanshan City.Methods From June to November 2020,the community residents who participated in the high risk assessment of lung cancer in Maanshan City and underwent low-dose spiral computed tomography(LDCT)of lung were selected as the subjects.The prevalence of pulmonary nodules was statistically described by a univariate analysis,and the influencing factors of pulmonary nodules were screened by a multivariate logistic regression analysis.Results In this study,2289 subjects were included,including 1581 males(69.07%),and 839 cases of pulmonary nodules were detected,with a detection rate of 36.65%.There were 293 cases of positive nodules(12.80%),including 24 cases of suspected lung cancer(1.05%).The detection rate of positive nodules was higher in males(38.02%)than in females(28.14%)(P<0.05).The detection rate of positive nodules increased with age(P<0.05).The detection rate of positive nodules was higher in those with incense burning habits(46.81%)than in those without incense burning habits(33.42%)(P<0.01).Multivariate logistic regression analysis showed that pulmonary nodules were more likely to be detected in those with incense burning habits(OR=1.361),outdoor physical activity(OR=1.238),and organic solvent exposure(OR=2.107).Conclusions The detection rate of pulmonary nodules in high-risk groups of lung cancer is higher in Maanshan City,and the prevalence of pulmonary nodules varies across ages and genders.Incense burning habits,exposure to organic solvents,participation in outdoor physical activity,and other factors are strongly associated with pulmonary nodules and risk factors should be addressed with necessary interventions.

关 键 词：肺结节 低剂量螺旋计算机断层扫描 流行现状 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]