浙江预防医学
浙江預防醫學
절강예방의학
ZHEJIANG JOURNAL OF PREVENTIVE MEDICINE
2014年
2期
150-153
,共4页
张晓怡%沈毅%韩雅斌%李秋月
張曉怡%瀋毅%韓雅斌%李鞦月
장효이%침의%한아빈%리추월
恶性肿瘤%危险因素%病例对照研究
噁性腫瘤%危險因素%病例對照研究
악성종류%위험인소%병례대조연구
Cancers%Risk factors%Case-control study
目的：了解桐乡市常见恶性肿瘤的危险因素。方法收集桐乡市恶性肿瘤1154例，采用多病例组1∶1匹配的病例对照研究方法，利用多因素非条件Logistic回归模型分析桐乡市常见恶性肿瘤的危险因素。结果精神长期处于压抑状态或者经历精神创伤与肺癌、结直肠癌、肝癌、胃癌和乳腺癌的发病相关（OR＝3.590、3.923、3.896、12.429和11.291）。肺癌、胃癌、结直肠癌和肝癌的共同危险因素有相关疾病史和肿瘤家族史。饮茶和多吃新鲜水果蔬菜是肺癌的保护因素（OR＝0.569和3.161），而吸烟是肺癌和胃癌的危险因素（OR＝3.826和5.699）。饮酒为结直肠癌和肝癌的危险因素（OR＝3.593和5.316），而少吃烟熏食品则有利于预防结直肠癌的发生（OR＝0.093）。结论吸烟、饮酒、饮食等生活方式，精神、心理因素、疾病史和肿瘤家族史等为桐乡市常见恶性肿瘤的危险因素。
目的：瞭解桐鄉市常見噁性腫瘤的危險因素。方法收集桐鄉市噁性腫瘤1154例，採用多病例組1∶1匹配的病例對照研究方法，利用多因素非條件Logistic迴歸模型分析桐鄉市常見噁性腫瘤的危險因素。結果精神長期處于壓抑狀態或者經歷精神創傷與肺癌、結直腸癌、肝癌、胃癌和乳腺癌的髮病相關（OR＝3.590、3.923、3.896、12.429和11.291）。肺癌、胃癌、結直腸癌和肝癌的共同危險因素有相關疾病史和腫瘤傢族史。飲茶和多喫新鮮水果蔬菜是肺癌的保護因素（OR＝0.569和3.161），而吸煙是肺癌和胃癌的危險因素（OR＝3.826和5.699）。飲酒為結直腸癌和肝癌的危險因素（OR＝3.593和5.316），而少喫煙熏食品則有利于預防結直腸癌的髮生（OR＝0.093）。結論吸煙、飲酒、飲食等生活方式，精神、心理因素、疾病史和腫瘤傢族史等為桐鄉市常見噁性腫瘤的危險因素。
목적：료해동향시상견악성종류적위험인소。방법수집동향시악성종류1154례，채용다병례조1∶1필배적병례대조연구방법，이용다인소비조건Logistic회귀모형분석동향시상견악성종류적위험인소。결과정신장기처우압억상태혹자경력정신창상여폐암、결직장암、간암、위암화유선암적발병상관（OR＝3.590、3.923、3.896、12.429화11.291）。폐암、위암、결직장암화간암적공동위험인소유상관질병사화종류가족사。음다화다흘신선수과소채시폐암적보호인소（OR＝0.569화3.161），이흡연시폐암화위암적위험인소（OR＝3.826화5.699）。음주위결직장암화간암적위험인소（OR＝3.593화5.316），이소흘연훈식품칙유리우예방결직장암적발생（OR＝0.093）。결론흡연、음주、음식등생활방식，정신、심리인소、질병사화종류가족사등위동향시상견악성종류적위험인소。
Objective To explore the risk factors of common malignant tumors in Tongxiang City.Methods A total of 1 1 54 malignant tumor cases were collected and multi-case group was built.The design method of 1 to 1 matching case-control study was used.The data was analyzed by multiple-factor non-conditional Logistic regression analysis.Results Long term depressed state or psychic trauma was the risk factor of 5 common malignant tumors including lung cancer, colorectal cancer,liver cancer,gastric cancer and breast cancer (OR =3.590,3.923,3.896,1 2.429 and 1 1.291 respectively).The common risk factors relating to lung cancer,gastric cancer and colorectal cancer were diseases history (OR=2.81 7,7.799 and 7.650)and family history of cancer(OR=3.674,6.594 and 1 1.954).Drinking tea and eating more fresh fruits and vegetables were protective factors of lung cancer(OR=0.569 and 3.1 61 ),but smoking was a risk factor for lung cancer and gastric cancer(OR=3.826 and 5.699).Alcohol drinking was the risk factor for both colorectal cancer and liver cancer(OR=3.593 and 5.31 6),eating less smoked foods may help prevent the occurrence of colorectal cancer(OR=0.093).Conclusion Lifestyles like smoking,drinking,dietary habits,spiritual and psychological factors, disease history and family history of cancer are the risk factors of common malignant tumors in Tongxiang city.
