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福建省大肠癌发病危险因素的病例对照研究

Case-control Study on Risk Factors of Colorectal Cancer in Fujian Province

  • 摘要: 目的 探讨福建省大肠癌发生的危险因素。 方法 采用1∶1匹配的病例对照研究方法,应用统一制订的调查表进行流行病学调查。共调查286对病例和对照。对资料进行单因素和多因素条件Logistic回归分析。 结果 大肠癌的危险因素有饮用井水(OR=4.05,95%CI:1.50~10.94)和泉水(OR=7.73,95%CI:2.02~29.54),每天吸烟量(OR=4.57,95%CI:2.19~9.54),油腻饮食(OR=5.35,95%CI:2.21~12.99),肿瘤家族史(OR=6.18,95%CI:3.05~12.51),肠道疾病史(OR=6.78,95%CI:3.53~13.07);保护因素有常吃粗粮(OR=0.31,95%CI:0.17~0.53)。 结论 福建省大肠癌与吸烟,膳食纤维缺乏,饮用井水、泉水,下消化道疾病和肿瘤家族史密切相关。

     

    Abstract: Objective To investigate the potential risk and protective factors of colorectal cancer in Fujian province. Methods A 1∶1 matched case-control study was conducted, which included 286 pairs cases and controls. Standard questionnaire were used in collecting epedemiological factors. The data were analyzed by conditional Logistic regression model. Results Increased risk of colorectal cancer was associated with well water drinking(OR=4.05,95%CI:1.50~10.94),spring water drinking(OR=7.73,95%CI:2.02~29.54),cigarette smoking(OR=4.57,95%CI:2.19~9.54),intaking greasy food (OR=5.35,95%CI:2.21~12.99),family history of tumor(OR=6.18,95%CI:3.05~12.51), and disease history of lower digestive tract.Often intaking of coarse food grains decreased the risk of colorectal cancer(OR=0.31,95%CI:0.17~0.53). Conclusion The occurrence of colorectal cancer seemed to be related with cigarette smoking, deficiency of dietary fiber, drinking well-water and spring-water, intaking greasy food, disease history of lower digestive tract and family history of tumor.

     

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