Chinese General Practice ›› 2024, Vol. 27 ›› Issue (09): 1042-1047.DOI: 10.12114/j.issn.1007-9572.2023.0252
Special Issue: 肿瘤最新文章合辑; 消化系统疾病最新文章合辑
• Original Research • Previous Articles Next Articles
Received:
2023-04-25
Revised:
2023-05-29
Published:
2024-03-20
Online:
2023-12-19
Contact:
LYU Shengxiang
通讯作者:
吕胜祥
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0252
肿瘤性病变 | 人数 | 检出率(%) |
---|---|---|
上消化道 | ||
低级别上皮内瘤变 | 166 | 1.94 |
早期癌 | 102 | 1.19 |
进展期癌 | 253 | 2.95 |
食管 | ||
低级别上皮内瘤变 | 56 | 0.65 |
早期癌 | 56 | 0.65 |
进展期癌 | 116 | 1.35 |
贲门 | ||
低级别上皮内瘤变 | 6 | 0.07 |
早期癌 | 4 | 0.05 |
进展期癌 | 15 | 0.18 |
胃 | ||
低级别上皮内瘤变 | 104 | 1.21 |
早期癌 | 42 | 0.49 |
进展期癌 | 122 | 1.42 |
Table 1 Detection of neoplastic lesions in population at high risk for upper gastrointestinal cancer in rural areas
肿瘤性病变 | 人数 | 检出率(%) |
---|---|---|
上消化道 | ||
低级别上皮内瘤变 | 166 | 1.94 |
早期癌 | 102 | 1.19 |
进展期癌 | 253 | 2.95 |
食管 | ||
低级别上皮内瘤变 | 56 | 0.65 |
早期癌 | 56 | 0.65 |
进展期癌 | 116 | 1.35 |
贲门 | ||
低级别上皮内瘤变 | 6 | 0.07 |
早期癌 | 4 | 0.05 |
进展期癌 | 15 | 0.18 |
胃 | ||
低级别上皮内瘤变 | 104 | 1.21 |
早期癌 | 42 | 0.49 |
进展期癌 | 122 | 1.42 |
胃肿瘤性病变 | 例数 | 性别 | 年龄 | |||||
---|---|---|---|---|---|---|---|---|
男 | 女 | 40~岁 | 50~岁 | 60~岁 | 70~岁 | 80~岁 | ||
低级别上皮内瘤变 | 110 | 69(62.7) | 41(37.3) | 14(12.7) | 40(36.4) | 38(34.5) | 16(14.5) | 2(1.8) |
早期癌 | 46 | 33(71.7) | 13(28.3) | 3(6.5) | 7(15.2) | 21(45.7) | 13(28.3) | 2(4.3) |
进展期癌 | 137 | 93(67.9) | 44(32.1) | 5(3.6) | 30(21.9) | 53(38.7) | 32(23.4) | 17(12.4) |
χ2(H)值 | 1.388 | 72.733a | ||||||
P值 | 0.500 | <0.001 |
Table 2 The distribution of patients with gastric neoplastic lesions(including cardia)in different genders and ages
胃肿瘤性病变 | 例数 | 性别 | 年龄 | |||||
---|---|---|---|---|---|---|---|---|
男 | 女 | 40~岁 | 50~岁 | 60~岁 | 70~岁 | 80~岁 | ||
低级别上皮内瘤变 | 110 | 69(62.7) | 41(37.3) | 14(12.7) | 40(36.4) | 38(34.5) | 16(14.5) | 2(1.8) |
早期癌 | 46 | 33(71.7) | 13(28.3) | 3(6.5) | 7(15.2) | 21(45.7) | 13(28.3) | 2(4.3) |
进展期癌 | 137 | 93(67.9) | 44(32.1) | 5(3.6) | 30(21.9) | 53(38.7) | 32(23.4) | 17(12.4) |
χ2(H)值 | 1.388 | 72.733a | ||||||
P值 | 0.500 | <0.001 |
组别 | 例数 | 性别[例(%)] | 年龄( | 文化程度[例(%)] | BMI[例(%)] | 上消化道癌家族史[例(%)] | 吸烟[例(%)] | 饮酒[例(%)] | |||
---|---|---|---|---|---|---|---|---|---|---|---|
男性 | 女性 | 初中及以下学历 | 高中及以上学历 | ≥18.5 kg/m2 | <18.5 kg/m2 | ||||||
良性胃病组 | 366 | 252(68.9) | 114(31.1) | 65.8±9.5 | 259(70.8) | 107(29.2) | 358(97.8) | 8(2.2) | 26(7.1) | 110(30.1) | 101(27.6) |
胃癌组 | 183 | 126(68.9) | 57(31.1) | 66.0±9.7 | 167(91.3) | 16(8.7) | 176(96.2) | 7(3.8) | 24(13.1) | 103(56.3) | 76(41.5) |
χ2(t)值 | 0 | 0.315a | 29.468 | 1.234 | 5.325 | 35.348 | 10.843 | ||||
P值 | 1.000 | 0.753 | <0.001 | 0.267 | 0.021 | <0.001 | 0.001 | ||||
组别 | 经常体育锻炼[例(%)] | 经常熬夜[例(%)] | 口味偏咸[例(%)] | 经常摄入腌制品[例(%)] | 经常辛辣饮食[例(%)] | 经常热烫饮食[例(%)] | 经常食用生冷食物[例(%)] | 经常食用坚硬食物[例(%)] | 经常食用烟熏油炸食物[例(%)] | ||
良性胃病组 | 143(39.1) | 145(39.6) | 116(31.7) | 86(23.5) | 104(28.4) | 83(22.7) | 62(16.9) | 88(24.0) | 47(12.8) | ||
胃癌组 | 53(29.0) | 83(45.4) | 96(52.5) | 65(35.5) | 92(50.3) | 42(23.0) | 43(23.5) | 50(27.3) | 28(15.3) | ||
χ2(t)值 | 5.431 | 1.654 | 22.192 | 8.843 | 25.392 | 0.005 | 3.392 | 0.697 | 0.625 | ||
P值 | 0.020 | 0.198 | <0.001 | 0.003 | <0.001 | 0.943 | 0.066 | 0.404 | 0.429 | ||
组别 | 蔬菜/红肉偏好[例(%)] | 经常食用霉变食物[例(%)] | 经常食用剩菜[例(%)] | 经常食用新鲜水果[例(%)] | 进食速度[例(%)] | 规律饮食[例(%)] | 经常聚餐[例(%)] | ||||
偏食蔬菜 | 偏食红肉 | 快 | 正常/慢 | ||||||||
良性胃病组 | 316(86.3) | 50(13.7) | 52(14.2) | 147(40.2) | 172(47.0) | 160(43.7) | 206(56.3) | 287(78.4) | 92(25.1) | ||
胃癌组 | 133(72.7) | 50(27.3) | 40(21.9) | 120(65.6) | 52(28.4) | 92(50.3) | 91(49.7) | 117(63.9) | 54(29.5) | ||
χ2(t)值 | 15.284 | 5.119 | 31.532 | 17.435 | 2.113 | 13.163 | 1.194 | ||||
P值 | <0.001 | 0.024 | <0.001 | <0.001 | 0.146 | <0.001 | 0.274 | ||||
组别 | 经常饮茶[例(%)] | 饮用水质[例(%)] | 情绪[例(%)] | H. pylori检测[例(%)] | 长期服用PPI [例(%)] | ||||||
井水 | 自来水/净化水 | 负性 | 正性 | 阳性/既往阳性 | 阴性/未查 | ||||||
良性胃病组 | 224(61.2) | 41(11.2) | 325(88.8) | 148(40.4) | 218(59.6) | 108(29.5) | 258(70.5) | 55(15.0) | |||
胃癌组 | 86(47.0) | 25(13.7) | 158(86.3) | 86(47.0) | 97(53.0) | 110(60.1) | 73(39.9) | 17(9.3) | |||
χ2(t)值 | 10.018 | 0.697 | 2.145 | 47.719 | 3.525 | ||||||
P值 | 0.002 | 0.404 | 0.143 | <0.001 | 0.060 |
Table 3 Comparison of baseline information between the two groups of respondents
组别 | 例数 | 性别[例(%)] | 年龄( | 文化程度[例(%)] | BMI[例(%)] | 上消化道癌家族史[例(%)] | 吸烟[例(%)] | 饮酒[例(%)] | |||
---|---|---|---|---|---|---|---|---|---|---|---|
男性 | 女性 | 初中及以下学历 | 高中及以上学历 | ≥18.5 kg/m2 | <18.5 kg/m2 | ||||||
良性胃病组 | 366 | 252(68.9) | 114(31.1) | 65.8±9.5 | 259(70.8) | 107(29.2) | 358(97.8) | 8(2.2) | 26(7.1) | 110(30.1) | 101(27.6) |
胃癌组 | 183 | 126(68.9) | 57(31.1) | 66.0±9.7 | 167(91.3) | 16(8.7) | 176(96.2) | 7(3.8) | 24(13.1) | 103(56.3) | 76(41.5) |
χ2(t)值 | 0 | 0.315a | 29.468 | 1.234 | 5.325 | 35.348 | 10.843 | ||||
P值 | 1.000 | 0.753 | <0.001 | 0.267 | 0.021 | <0.001 | 0.001 | ||||
组别 | 经常体育锻炼[例(%)] | 经常熬夜[例(%)] | 口味偏咸[例(%)] | 经常摄入腌制品[例(%)] | 经常辛辣饮食[例(%)] | 经常热烫饮食[例(%)] | 经常食用生冷食物[例(%)] | 经常食用坚硬食物[例(%)] | 经常食用烟熏油炸食物[例(%)] | ||
良性胃病组 | 143(39.1) | 145(39.6) | 116(31.7) | 86(23.5) | 104(28.4) | 83(22.7) | 62(16.9) | 88(24.0) | 47(12.8) | ||
胃癌组 | 53(29.0) | 83(45.4) | 96(52.5) | 65(35.5) | 92(50.3) | 42(23.0) | 43(23.5) | 50(27.3) | 28(15.3) | ||
χ2(t)值 | 5.431 | 1.654 | 22.192 | 8.843 | 25.392 | 0.005 | 3.392 | 0.697 | 0.625 | ||
P值 | 0.020 | 0.198 | <0.001 | 0.003 | <0.001 | 0.943 | 0.066 | 0.404 | 0.429 | ||
组别 | 蔬菜/红肉偏好[例(%)] | 经常食用霉变食物[例(%)] | 经常食用剩菜[例(%)] | 经常食用新鲜水果[例(%)] | 进食速度[例(%)] | 规律饮食[例(%)] | 经常聚餐[例(%)] | ||||
偏食蔬菜 | 偏食红肉 | 快 | 正常/慢 | ||||||||
良性胃病组 | 316(86.3) | 50(13.7) | 52(14.2) | 147(40.2) | 172(47.0) | 160(43.7) | 206(56.3) | 287(78.4) | 92(25.1) | ||
胃癌组 | 133(72.7) | 50(27.3) | 40(21.9) | 120(65.6) | 52(28.4) | 92(50.3) | 91(49.7) | 117(63.9) | 54(29.5) | ||
χ2(t)值 | 15.284 | 5.119 | 31.532 | 17.435 | 2.113 | 13.163 | 1.194 | ||||
P值 | <0.001 | 0.024 | <0.001 | <0.001 | 0.146 | <0.001 | 0.274 | ||||
组别 | 经常饮茶[例(%)] | 饮用水质[例(%)] | 情绪[例(%)] | H. pylori检测[例(%)] | 长期服用PPI [例(%)] | ||||||
井水 | 自来水/净化水 | 负性 | 正性 | 阳性/既往阳性 | 阴性/未查 | ||||||
良性胃病组 | 224(61.2) | 41(11.2) | 325(88.8) | 148(40.4) | 218(59.6) | 108(29.5) | 258(70.5) | 55(15.0) | |||
胃癌组 | 86(47.0) | 25(13.7) | 158(86.3) | 86(47.0) | 97(53.0) | 110(60.1) | 73(39.9) | 17(9.3) | |||
χ2(t)值 | 10.018 | 0.697 | 2.145 | 47.719 | 3.525 | ||||||
P值 | 0.002 | 0.404 | 0.143 | <0.001 | 0.060 |
变量 | 赋值 |
---|---|
胃癌 | 是=1,否=0 |
文化程度 | 初中及以下学历=1,高中及以上学历=0 |
上消化道癌家族史 | 有=1,无=0 |
吸烟 | 有=1,无=0 |
饮酒 | 有=1,无=0 |
经常体育锻炼 | 是=1,否=0 |
口味咸偏 | 是=1,否=0 |
经常摄入腌制品 | 是=1,否=0 |
经常辛辣饮食 | 是=1,否=0 |
蔬菜/红肉偏好 | 偏食蔬菜=0,偏食红肉=1 |
经常食用霉变食物 | 是=1,否=0 |
经常食用剩菜 | 是=1,否=0 |
经常食用新鲜水果 | 是=1,否=0 |
不规律饮食 | 是=1,否=0 |
经常饮茶 | 是=1,否=0 |
H. pylori检测 | 阳性/既往阳性=1,阴性/未查=0 |
Table 4 Assignment table of multivariate Logistic regression analysis of influencing factors of gastric cancer in rural population
变量 | 赋值 |
---|---|
胃癌 | 是=1,否=0 |
文化程度 | 初中及以下学历=1,高中及以上学历=0 |
上消化道癌家族史 | 有=1,无=0 |
吸烟 | 有=1,无=0 |
饮酒 | 有=1,无=0 |
经常体育锻炼 | 是=1,否=0 |
口味咸偏 | 是=1,否=0 |
经常摄入腌制品 | 是=1,否=0 |
经常辛辣饮食 | 是=1,否=0 |
蔬菜/红肉偏好 | 偏食蔬菜=0,偏食红肉=1 |
经常食用霉变食物 | 是=1,否=0 |
经常食用剩菜 | 是=1,否=0 |
经常食用新鲜水果 | 是=1,否=0 |
不规律饮食 | 是=1,否=0 |
经常饮茶 | 是=1,否=0 |
H. pylori检测 | 阳性/既往阳性=1,阴性/未查=0 |
自变量 | B | SE | Wald χ2值 | P值 | OR(95%CI) |
---|---|---|---|---|---|
初中及以下学历 | 1.387 | 0.346 | 16.018 | <0.001 | 4.001(2.029~7.890) |
有上消化道癌家族史 | 0.212 | 0.364 | 0.338 | 0.561 | 1.236(0.605~2.522) |
吸烟 | 1.311 | 0.284 | 21.348 | <0.001 | 3.710(2.127~6.470) |
饮酒 | 0.349 | 0.268 | 1.698 | 0.193 | 1.418(0.839~2.397) |
经常体育锻炼 | -0.514 | 0.260 | 3.895 | 0.048 | 0.598(0.359~0.996) |
口味偏咸 | 0.575 | 0.260 | 4.885 | 0.027 | 1.777(1.067~2.957) |
经常摄入腌制品 | 0.182 | 0.272 | 0.445 | 0.505 | 1.199(0.703~2.046) |
经常辛辣饮食 | 0.764 | 0.257 | 8.814 | 0.003 | 2.147(1.297~3.556) |
偏食红肉 | 0.581 | 0.287 | 4.085 | 0.043 | 1.787(1.018~3.139) |
经常食用霉变食物 | 0.417 | 0.285 | 2.152 | 0.142 | 1.518(0.869~2.651) |
经常食用剩菜 | 0.897 | 0.238 | 14.183 | <0.001 | 2.452(1.538~3.912) |
经常食用新鲜水果 | -0.632 | 0.246 | 6.619 | 0.010 | 0.531(0.328~0.860) |
不规律饮食 | 0.884 | 0.272 | 10.567 | 0.001 | 2.420(1.420~4.124) |
经常饮茶 | -0.399 | 0.252 | 2.497 | 0.114 | 0.671(0.409~1.101) |
H. pylori检测阳性/既往阳性 | 1.331 | 0.234 | 32.439 | <0.001 | 3.785(2.394~5.984) |
Table 5 Multivariate Logistic regression analysis of influencing factors of gastric cancer in rural population
自变量 | B | SE | Wald χ2值 | P值 | OR(95%CI) |
---|---|---|---|---|---|
初中及以下学历 | 1.387 | 0.346 | 16.018 | <0.001 | 4.001(2.029~7.890) |
有上消化道癌家族史 | 0.212 | 0.364 | 0.338 | 0.561 | 1.236(0.605~2.522) |
吸烟 | 1.311 | 0.284 | 21.348 | <0.001 | 3.710(2.127~6.470) |
饮酒 | 0.349 | 0.268 | 1.698 | 0.193 | 1.418(0.839~2.397) |
经常体育锻炼 | -0.514 | 0.260 | 3.895 | 0.048 | 0.598(0.359~0.996) |
口味偏咸 | 0.575 | 0.260 | 4.885 | 0.027 | 1.777(1.067~2.957) |
经常摄入腌制品 | 0.182 | 0.272 | 0.445 | 0.505 | 1.199(0.703~2.046) |
经常辛辣饮食 | 0.764 | 0.257 | 8.814 | 0.003 | 2.147(1.297~3.556) |
偏食红肉 | 0.581 | 0.287 | 4.085 | 0.043 | 1.787(1.018~3.139) |
经常食用霉变食物 | 0.417 | 0.285 | 2.152 | 0.142 | 1.518(0.869~2.651) |
经常食用剩菜 | 0.897 | 0.238 | 14.183 | <0.001 | 2.452(1.538~3.912) |
经常食用新鲜水果 | -0.632 | 0.246 | 6.619 | 0.010 | 0.531(0.328~0.860) |
不规律饮食 | 0.884 | 0.272 | 10.567 | 0.001 | 2.420(1.420~4.124) |
经常饮茶 | -0.399 | 0.252 | 2.497 | 0.114 | 0.671(0.409~1.101) |
H. pylori检测阳性/既往阳性 | 1.331 | 0.234 | 32.439 | <0.001 | 3.785(2.394~5.984) |
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