2008—2012年上海市龙柏社区“六癌”流行病学调查分析

发布时间：2018-05-28 07:20

本文选题：结直肠肿瘤 + 肺肿瘤　；参考：《中国全科医学》2014年27期

【摘要】：目的调查上海市闵行区龙柏社区2008—2012年"六癌"早筛的现况,了解5年来"六癌"的地区发病状况和人群分布特征,探讨"六癌"的社区流行病学特点,为今后社区恶性肿瘤的一级预防提供切实有效的干预措施。方法 2008—2012年以龙柏社区全科团队为引领,经由门诊、体检及社区主动干预3种途径对辖区内居民开展"六癌"初筛工作,共筛查95 847人,"六癌"确诊246例,其中结直肠癌146例、肺癌42例、胃癌35例、乳腺癌18例、肝癌4例、宫颈癌1例。所有筛查结果输入居民电子档案-肿瘤数据库(包括初筛、疑似、易患及确诊管理人群层)统一管理,分析"六癌"发病率、性别构成、年龄分布。结果 2008—2012年本社区共计初筛95 847人,确诊246例。2008、2009、2010、2011、2012年结直肠癌、肺癌发病率呈逐年下降的趋势,差异有统计学意义(P0.05)。结直肠癌男性多于女性(P0.05)。246例患者年龄为32~93岁,中位年龄65岁。"六癌"及结直肠癌、肺癌、胃癌、乳腺癌患者年龄分布差异均有统计学意义(P0.05)。结论以社区全科医疗为基点开展"六癌"筛查,能有效筛检出无症状人群中的高危人群及肿瘤患者,并根据高发性肿瘤的危险因素提出符合社区特点的营养健康及心理干预的预防策略,以达到"未病先防、既病防变、愈后防发"的目标,提高肿瘤患者的生命质量和延长其生存年限。
[Abstract]:Objective to investigate the status of early screening of "six cancers" in Longbai Community of Minhang District in Shanghai from 2008 to 2012, to understand the regional incidence and population distribution of "six cancers" in the past 5 years, and to explore the community epidemiological characteristics of "six cancers". To provide effective intervention for primary prevention of malignant tumor in community. Methods from 2008 to 2012, a total of 95,847 people were screened and 246 cases of "six cancers" were diagnosed through outpatient service, physical examination and community intervention. There were 146 cases of colorectal cancer, 42 cases of lung cancer, 35 cases of gastric cancer, 18 cases of breast cancer, 4 cases of liver cancer and 1 case of cervical cancer. All the screening results were input into the residents electronic archival-tumor database (including primary screening, suspected, susceptible and diagnosed management population) unified management, analysis of "six cancer" incidence, sex composition, age distribution. Results from 2008 to 2012, a total of 95,847 people were screened in our community, 246 cases were diagnosed. In 2012, the incidence of lung cancer decreased year by year, and the difference was statistically significant (P 0.05). The age of male patients with colorectal cancer was 32 to 93 years, with a median age of 65 years. " There were significant differences in age distribution among patients with colorectal cancer, lung cancer, gastric cancer and breast cancer (P 0.05). Conclusion "six cancer" screening based on community general practice can effectively screen high risk population and tumor patients in asymptomatic population. According to the risk factors of high risk tumors, the preventive strategies of nutritional health and psychological intervention in accordance with the characteristics of the community were put forward, in order to achieve the goal of "prevention before illness, prevention of disease before change, prevention of disease after recovery". To improve the quality of life and prolong the life span of cancer patients.
【作者单位】：上海市闵行区龙柏社区卫生服务中心;
【分类号】：R181.3

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