首页|郑州市上消化道恶性肿瘤高危人群内镜筛查现状及其影响因素

郑州市上消化道恶性肿瘤高危人群内镜筛查现状及其影响因素

扫码查看
目的 分析郑州市上消化道恶性肿瘤高危人群内镜筛查现状及其影响因素。方法 于 2017 年 10 月至 2022 年 10 月参照《癌症早诊早治项目技术方案(2011 年版)》,采用整群随机抽样法以郑州市常住居民为研究对象,通过评估筛查出上消化道恶性肿瘤高危人群共18500 例。分析上消化道恶性肿瘤高危人群的基本情况;比较郑州市不同特征上消化道恶性肿瘤高危人群内镜筛查现状;采用多因素Logistic回归分析郑州市上消化道恶性肿瘤高危人群内镜筛查参与情况。结果 18500 例上消化道恶性肿瘤高危人群中有3407例参与了消化道内镜筛查,参与率为 18。42%。女性、45~64 岁、初中及以上学历、未婚/离异/丧偶、既往吸烟、正在饮酒、有反流性食管炎史、浅表性胃炎史、胃溃疡史、十二指肠溃疡史、胃息肉史、上消化道癌家族史的上消化道恶性肿瘤高危人群内镜筛查参与率高于其他特征人群,差异具有统计学意义(P<0。05)。女性、45~64岁、初中及以上学历、未婚/离异/丧偶、既往吸烟、正在饮酒、有反流性食管炎史、浅表性胃炎史、胃溃疡史、十二指肠溃疡史、胃息肉史、上消化道癌家族史是上消化道恶性肿瘤高危人群内镜筛查参与情况的影响因素(P<0。05)。结论 郑州市上消化道恶性肿瘤高危人群进行内镜筛查的参与率较低,女性、45~64岁、初中及以上学历等人群进行内镜筛查的依从性较好。
Endoscopic screening status and influencing factors of high risk population of upper gastrointestinal malignant tumor in Zhengzhou city
Objective To analyze the endoscopic screening status and influencing factors of high risk population of upper gastrointestinal malignant tumor in Zhengzhou city.Methods From October 2017 to October 2022,with reference to the"Technical Program for Early Diagnosis and Treatment of Cancer(2011 Edition)",a cluster random sampling method was used to study the permanent residents of Zhengzhou city.A total of 18500 high risk population of upper gastrointestinal malignant tumor were screened by evaluation.The basic situation of high risk population of upper gastrointestinal malignant tumor was analyzed;the status of endoscopic screening in high risk population of upper gastrointestinal malignant tumor with different characteristics in Zhengzhou city was compared;multivariate Logistic regression was used to analyze the participation of endoscopic screening in high risk population of upper gastrointestinal malignant tumors in Zhengzhou city.Results Among the 18500 high risk population of upper gastrointestinal malignant tumor,3407 cases were involved in gastrointestinal endoscopy screening,with a participation rate of 18.42%.The participation rate of endoscopic screening of high risk population in female,45-64 years old,junior high school education or above,unmarried/divorced/widowed,previous smoking,drinking,history of reflux esophagitis,history of superficial gastritis,history of gastric ulcer,history of duodenal ulcer,history of gastric polyps and family history of upper gastrointestinal malignant tumor were higher than those of other characteristic population,and the differences were statistically significant(P<0.05).The female,45-64 years old,junior high school education or above,unmarried/divorced/widowed,previous smoking,drinking,history of reflux esophagitis,history of superficial gastritis,history of gastric ulcer,history of duodenal ulcer,history of gastric polyps and family history of upper gastrointestinal mglignant tumor were influencing factors for participation situation of endoscopic screening of high risk population of upper gastrointestinal malignant tumor(P<0.05).Conclusion The participation rate of endoscopic screening in high risk population of upper gastrointestinal malignant tumor in Zhengzhou city is low,and the compliance of endoscopic screening in female,45-64 years old,junior high school education and above,and so on is good.

upper gastrointestinal malignant tumorhigh risk populationendoscopic screening

夏海艳

展开 >

郑州市第六人民医院内镜诊疗中心,河南 郑州,450015

上消化道恶性肿瘤 高危人群 内镜筛查

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(4)
  • 20