徐州农村地区胃癌高危人群干预效果分析

发布时间：2018-04-23 23:28

本文选题：胃癌高危人群 + 行为干预　；参考：《郑州大学学报(医学版)》2017年02期

【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(P0.05);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]:Objective: to evaluate the effect of comprehensive intervention for high risk population of gastric cancer in rural areas. Methods: 257 high-risk population of gastric cancer were selected from rural areas of Xuzhou to intervene. Interventions include drug intervention and behavioral intervention. After 6 months of intervention, questionnaire was used to collect data to evaluate the knowledge of prevention and treatment of gastric cancer and the change of predictive factors of gastric cancer. One year after intervention, 89 patients with Helicobacter pylori infection and 111 patients with helicobacter pylori infection were examined under gastroscopy, and the improvement of Helicobacter pylori infection and gastric diseases were evaluated according to the results of the reexamination. Results: after intervention, the regularity of three meals, the frequency of pickled food, the consumption habit of spicy food, the amount of salt per month, The infection rate of Helicobacter pylori decreased from 58.4% before intervention to 40.4% after intervention. The results of gastroscopy were improved in 34 patients (30.6%) and ineffective in 77 cases (69.4%). Conclusion: behavioral intervention and drug intervention can improve the knowledge of prevention and treatment of gastric cancer and effectively control the occurrence and development of gastric precancerous disease.
【作者单位】：徐州医科大学公共卫生学院流行病与卫生统计学教研室;
【基金】：江苏省社会发展项目BE2011647
【分类号】：R735.2

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