CAJ | 학술논문

目的：探讨江苏省金湖县食管癌高发区的危险因素。方法采用整群抽样方法选择食管癌发病率较高的吕良镇、陈桥镇、金北镇、戴楼镇、塔集镇、银集镇为筛查现场，用统一的调查表对20542例40~69岁人群进行普查，其中男性8350例，女性12192例。筛选现场的食管癌患者数据来自金湖县疾病控制中心。数据的录入和分析分别采用Epidata和SPSS 17.0软件进行。结果单因素Logistic回归分析发现性别、抽烟、每日抽烟量、烟龄、腌晒食品、食管癌肿瘤家族史、消化道症状如吞咽困难、胸骨疼痛、背部疼痛、颈部疼痛均增加食管癌的危险性。多因素Logistic回归分析中食管癌的危险因素分别为：吸烟(OR=1.929)、腌晒食品(OR=1.673)、肿瘤家族史(OR=2.152)、颈部疼痛(OR=3.293)。结论积极改善饮食习惯，生活方式，对有食管癌家族史的人群定期体检，做到食管癌有效的一级预防。对出现临床可以症状如颈部疼痛等患者，积极尽早检查，做到早诊早治。
목적：탐토강소성금호현식관암고발구적위험인소。방법채용정군추양방법선택식관암발병솔교고적려량진、진교진、금북진、대루진、탑집진、은집진위사사현장，용통일적조사표대20542례40~69세인군진행보사，기중남성8350례，녀성12192례。사선현장적식관암환자수거래자금호현질병공제중심。수거적록입화분석분별채용Epidata화SPSS 17.0연건진행。결과단인소Logistic회귀분석발현성별、추연、매일추연량、연령、업쇄식품、식관암종류가족사、소화도증상여탄인곤난、흉골동통、배부동통、경부동통균증가식관암적위험성。다인소Logistic회귀분석중식관암적위험인소분별위：흡연(OR=1.929)、업쇄식품(OR=1.673)、종류가족사(OR=2.152)、경부동통(OR=3.293)。결론적겁개선음식습관，생활방식，대유식관암가족사적인군정기체검，주도식관암유효적일급예방。대출현림상가이증상여경부동통등환자，적겁진조검사，주도조진조치。
Objective To investigate the risk of esophageal cancer in Jinhu County of Jiangsu Province, the factors.Methods The high incidence of esophageal cancer, Lv Liangzhen, Chen Qiao Zhen Jin Dai Lou Zhen, Beizhen, silver tower town, town of screen-ing by cluster sampling method, a census of 20542 cases of 40-69 years old people with unified questionnaire, including 8350 cases of male, female 12192 cases. Screening of the patients with esophageal cancer data from Jinhu County Center for disease control. Data entry and analysis using Epidata and SPSS17.0 software. Results Single factor Logistic regression analysis found that gender, smoking, daily smoking amount, smoked, salted food, tumor family history of esophageal cancer, digestive tract symptoms such as dysphagia, retrosternal chest pain, back pain, neck pain, increased the risk of esophageal cancer. The risk factors of esophageal cancer in multivariate regression analysis of Logistic were:smoking (OR=1.929), salted food (OR=1.673), family history of cancer (OR=2.152), neck pain (OR=3.293). Conclusion To improve eating habits, lifestyle, family history of esophageal cancer in the regular physical examination, to achieve effective secondary prevention of esophageal cancer. The clinical symptoms such as neck pain patients, positive check as soon as possible, to achieve early diagnosis and early treatment.