[1]唐明生,李 苹,薛佳殷,等.徐州农村地区胃癌高危人群干预效果分析*[J].郑州大学学报(医学版),2017,(02):142-145.[doi:10.13705/j.issn.1671-6825.2017.02.009]
 TANG Mingsheng,LI Ping,XUE Jiayin,et al.Intervention efficacy of gastric cancer high-risk population from rural areas of Xuzhou City[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2017,(02):142-145.[doi:10.13705/j.issn.1671-6825.2017.02.009]
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徐州农村地区胃癌高危人群干预效果分析*()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2017年02期
页码:
142-145
栏目:
论著
出版日期:
2017-03-15

文章信息/Info

Title:
Intervention efficacy of gastric cancer high-risk population from rural areas of Xuzhou City
作者:
唐明生李 苹薛佳殷安书仪黄水平#
徐州医科大学公共卫生学院流行病与卫生统计学教研室 江苏徐州 221004
Author(s):
TANG Mingsheng LI Ping XUE Jiayin AN Shuyi HUANG Shuiping
Department of Epidemiology and Biostatistics,School of Public Health,Xuzhou Medical University,Xuzhou,Jiangsu 221004
关键词:
胃癌高危人群 行为干预 药物干预 农村
Keywords:
gastric cancer high-risk population behavior intervention medical intervention rural area
分类号:
R735.2
DOI:
10.13705/j.issn.1671-6825.2017.02.009
摘要:
目的:评价农村胃癌高危人群综合干预措施的效果。方法:从徐州农村地区选择胃癌高危人群257人进行干预。干预措施包括药物干预和行为干预。干预6个月之后,利用调查问卷收集资料,评价胃癌防治知识及胃癌预测因素的变化。干预1 a后,89人复查幽门螺杆菌感染,111人复查胃镜,依据复查结果评价幽门螺杆菌感染和胃部疾病改善情况。结果:干预后,三餐规律性、腌制食物食用频率、辛辣食物食用习惯、每月食盐量、饮酒习惯等因素较干预前有改善(P<0.05); 幽门螺杆菌感染率由干预前的58.4%下降到干预后的40.4%(P=0.002),好转20人(22.4%),无效65人(73.0%),加重4人(4.5%)。胃镜检查结果好转34人(30.6%),无效77人(69.4%)。结论:对农村胃癌高危人群实施行为干预和药物干预,可以提高人群的胃癌防治知识水平,有效控制胃癌前疾病的发生发展。
Abstract:
Aim: To assess the intervention efficacy of the gastric cancer high-risk population from rural area of Xuzhou City.Methods: A total of 257 cases intervened by medical and behavior intervention were followed up through telephone in Xuzhou City. After 6 month intervention,data were collected by questionnaire survey, and the changes of the awareness of prevention knowledge about gastric cancer and cancer risk factors were evaluated. After 1 a, 111 cases were under went the endoscopy and 89 were reviewed for Hp infection, and the situation of improvement of gastric diseases were assessed.Results: The survey revealed that regular meals, pickled food consumption frequency, spicy food eating habits, daily salt consumption, and drinking habits of the villagers had been improved(P<0.05). Hp-infected rate was reduced from 58.4% to 40.4%(P=0.002), with improved in 20 cases, ineffective in 65 cases, and aggravated in 4 cases. The results of endoscopy showed that the symptoms improved in 34 cases and not improved or progressed in 77 cases.Conclusion: Implementation of behavioral intervention and drug intervention in rural high-risk population of gastric cancer can effectively improve the gastric cancer prevention and control knowledge, so that prevent and control the occurrence and development of gastric precancerous diseases.

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备注/Memo

备注/Memo:
*江苏省社会发展项目 BE2011647
#通信作者,女,1963年10月生,硕士,教授,研究方向:流行病与卫生统计学,E-mail:hsp@xzmc.edu.cn
更新日期/Last Update: 2017-03-20