摘要
目的:探讨社区大肠癌筛查结果及危险因素。方法:2015年2月-2016年5月选取社区人群867例,对其进行大便隐血试验,开展大肠癌筛查项目,分析筛查结果,对大肠癌患者影响因素的多元线性回归进行分析。结果:在867例筛查居民中,大便隐血试验阳性123例(14.19%),其中女55例(44.72%),男68例(55.28%);在123例患者中实施肠镜检查60例,其中大肠癌12例,炎症性病变25例,息肉性病变10例,其他病变13例。大肠癌发生的影响因素具有多种,如性别、年龄以及不规律饮食等,男性大肠癌发生概率较高,年龄越大越易引起大肠癌。结论:通过对社区居民进行大便隐血试验,能为大肠癌的预防提供依据,对于大便隐血试验阳性者,应到上一级医院进行确诊,达到早发现、早治疗的目的。
Objective:To explore the screening results and risk factors of colorectal cancer in community.Methods:867 community people were selected from February 2015 to May 2016,the fecal occult blood test was carried out,we carried out colorectal cancer screening program and analyzed the screening results,made multivariate linear regression analysis of the influencing factors of colorectal cancer patients.Results:Among 867 screened residents,123 cases(14.19%)were positive for fecal occult blood test,55 cases(44.72%)were female,68 cases(55.28%)were male.Among the 123 patients,60 underwent colonoscopy,there were 12 cases of colorectal cancer,25 patients with inflammatory diseases,10 cases of polypic lesions,13 patients with other diseases.There were many factors influencing the occurrence of colorectal cancer,such as gender,age and irregular diet,men had a higher incidence of colorectal cancer,the older the more likely to cause colorectal cancer.Conclusion:Through the fecal occult blood test of community residents,it can provide basis for the prevention of colorectal cancer,for those with positive fecal occult blood test,the diagnosis should be made in a higher level hospital to achieve the purpose of early detection and early treatment.
作者
张金荣
桑爽
俞莺
Zhang Jinrong;Sang Shuang;Yu Ying(Pingliang Community Health Service Center of Yangpu District,Shanghai 200082)
出处
《中国社区医师》
2020年第9期176-177,共2页
Chinese Community Doctors
关键词
社区
大肠癌
筛查结果
危险因素
探讨
Community
Colorectal cancer
Screening results
Risk factors
Discuss
