CAJ | 학술논문

目的了解闽西地区相关流域水体污染情况，观察服用矿区暴露饮用水是否会增加闽西地区居民结直肠癌的发病率。方法调查闽西地区相关流域水体污染情况以及2005-2009年闽西地区居民饮用本地区饮用水后结直肠癌的发病情况。结果闽西地处戴云山脉西北山区，矿产资源丰富，矿山生产活动频繁，地质暴露辐射较多，但未对闽西相关流域水体造成污染。2005-2009年，闽西地区男性结直肠癌发病945例，发病率为14.31/10万，低于2006年全国肿瘤登记地区男性结直肠癌发病标化率21.99/10万（U=13.15，P＜0.05）。女性结直肠癌发病602例，发病率为9.61/10万，低于2006年全国肿瘤登记地区女性结直肠癌发病标化率12.95/10万（U=9.61，P＜0.05）。男女合并结直肠癌发病1547例，发病率为12.36/10万，低于2006年全国肿瘤登记地区男女合并结直肠癌发病标化率14.71/10万（U=8.17，P＜0.05）。结论经过调查，2005-2009年闽西地区常住人口的结直肠癌发病率结果显示，目前关于服用矿区暴露饮用水可增加闽西地区居民结直肠癌的发病率证据不足。
목적료해민서지구상관류역수체오염정황，관찰복용광구폭로음용수시부회증가민서지구거민결직장암적발병솔。방법조사민서지구상관류역수체오염정황이급2005-2009년민서지구거민음용본지구음용수후결직장암적발병정황。결과민서지처대운산맥서북산구，광산자원봉부，광산생산활동빈번，지질폭로복사교다，단미대민서상관류역수체조성오염。2005-2009년，민서지구남성결직장암발병945례，발병솔위14.31/10만，저우2006년전국종류등기지구남성결직장암발병표화솔21.99/10만（U=13.15，P＜0.05）。녀성결직장암발병602례，발병솔위9.61/10만，저우2006년전국종류등기지구녀성결직장암발병표화솔12.95/10만（U=9.61，P＜0.05）。남녀합병결직장암발병1547례，발병솔위12.36/10만，저우2006년전국종류등기지구남녀합병결직장암발병표화솔14.71/10만（U=8.17，P＜0.05）。결론경과조사，2005-2009년민서지구상주인구적결직장암발병솔결과현시，목전관우복용광구폭로음용수가증가민서지구거민결직장암적발병솔증거불족。
Objective To ifnd out the water pollution in the related watershed of Minxi,and whether it will increase the incidence of colorectal cancer among the people in Minxi who drink the water exposing to the mineral area. Methods Investigating the situation of the water pollution in the related watershed of Minxi,and the incidence of colorectal cancer among the people in Minxi who drank the water exposing in the mine area in 2005-2009. Results Although Minxi is located in the northwest of the mountains of Dai Yun, where is rich of mineral resources, and the mine production and geological exposed to radiation is frequently, it hasn’t yet lead to the water pollution. 945 new cases of colorectal cancer were diagnosed in the male in Minxi during the 2005-2009 period with an age-adjusted incidence of 14.31 per 100000, which was lower than the age-adjusted incidence of 21.99 per 100000 of China in 2006(U=13.15,P<0.05). 602 new cases of colorectal cancer were diagnosed in the female in Minxi during the 2005-2009 period with an age-adjusted incidence of 9.61 per 100000, which was lower than the age-adjusted incidence of 12.36 per 100000 of China in 2006(U=9.61, P<0.05). A total 1547 new cases of colorectal cancer were diagnosed in Minxi during the 2005-2009 period with an age-adjusted incidence of 12.36 per 100000, which was lower than the age-adjusted incidence of 14.71 per 100000 of China in 2006(U=8.17,P<0.05). Conclusion Now there is insufifcient evidence for the people in Minxi who drink the water exposing to the mineral will increase the incidence of colorectal cancer.