兰溪市肺癌高危人群分布及影响因素分析  

作　　者：施昕 朱梦 叶青 诸葛文嵩 王英臣 胡立翔 陈慧卿 郑慧君 吴夏秋[2] 郑卫方 

机构地区：[1]浙江省兰溪市中医院,321100 [2]浙江中医药大学,310053

出　　处：《浙江临床医学》2025年第1期127-128,131,共3页Zhejiang Clinical Medical Journal

基　　金：金华市中医药科技计划项目(金卫【2021】89号);浙江省医药卫生科技计划项目(2024XY193)。

摘　　要：目的 调查兰溪市6个村肺癌高危人群的分布,分析影响因素。方法 2023年1月至2023年12月采取整群抽样方法,在兰溪市6个村庄抽取≥45岁的2360例居民进行问卷调查,通过Logistic回归分析,亚组分析、敏感性分析,分析肺癌高危人群分布及影响因素。结果 调查者中肺癌高危人数662例,其中女290例,男372例。Logistic回归分析显示,年龄、腰围、BMI、运动、吸烟、慢性肺病、高血脂、癌症家族史、幽门螺旋杆菌(HP)感染、脾虚等是肺癌危险因素。女性年龄每增加1岁,肺癌高危风险增加4%;男性中吸烟者肺癌高危风险是非吸烟者1.67倍。结论 肺癌高危影响因素较多,明确肺癌高危因素,有望提高肺癌早期筛查准确性和临床干预有效性。Objective To investigate the distribution of high-risk population for lung cancer in Lanxi City and analyze the influencing factors.Methods From January 2023 to December 2023,a cluster sampling method was adopted to select 2360 residents aged≥45 from 6 villages in Lanxi City for questionnaire survey.Logistic regression analysis,subgroup analysis,and sensitivity analysis were used to analyze the distribution and influencing factors of high-risk populations for lung cancer.Results Among the subjects,there were 662 high-risk individuals,including 290 femalesand 372 males.Logistic Regression analysis showed that age,waist circumference,body mass index(BMI),sports,smoking,chronic lung disease,hyperlipidemia,family history of cancer,helicobacter pylori(HP)infection,spleen deficiency were all risk factors for lung cancer.For every one year increased in female age,the risk of lung cancer increased by 4%.The risk of lung cancer among male smokers was 1.67 times higher than that of non-smokers.Conclusion There are many high-risk factors for lung cancer,and identifying these factors is expected to improve the accuracy of early screening for lung cancer and the effectiveness of clinical interventions.

关 键 词：肺癌 多癌筛查 高危人群 兰溪 影响因素 

分 类 号：R73[医药卫生—肿瘤]