摘要
目的对东营区≥45岁常住居民进行结直肠癌筛查,并探讨初筛阳性者肠镜顺应性及其影响因素,为提高居民结直肠癌筛查工作提供科学依据。方法采用方便抽样方法选择辖区内2个镇和3个街道的社区卫生服务中心作为结直肠癌筛查志愿者招募点招募≥45岁常住居民为研究对象开展结直肠癌筛查及问卷调查,对初筛阳性者进一步进行肠镜检查,采用描述性分析方法对居民结直肠筛查结果及肠镜顺应性进行分析,并对其影响因素进行单、多因素分析。结果本研究共纳入1201人进行分析,男662人,女539人,45~59岁372人,60~69岁495人,70~79岁334人。初筛阳性人数总计371例,其中危险因素初筛阳性154例,FOBT阳性298例,危险因素和FOBT阳性双阳性者81例,初筛阳性率为30.89%。男性(OR=3.177)、黏液血便史(OR=7.683)以及肠道息肉病史(OR=5.008)为结直肠癌初筛阳性的危险因素。371例初筛阳性者中121例完成结肠镜检查,结肠镜检查顺应率为32.61%。性别(OR=2.776)、年龄(OR=0.511、0.433)、婚姻状况(OR=4.267)、文化程度(OR=2.782、3.916)、医疗保险(OR=2.743)是结直肠癌初筛阳性者结肠镜检查顺应性的影响因素。结论东营市东营区结直肠癌初筛阳性率较高,应加强对存在黏液血便史以及肠道息肉病史男性个体人群的结直肠癌筛查。居民结直肠镜检查顺应性较低,尤其是60岁及以上、非在婚、文化程度较低、无医保的女性个体,可特异性强化对该群体个体的健康教育,提高其结直肠镜顺应性。
Objective To carry out colorectal cancer screening for permanent residents aged≥45 years in Dongy-ing District,and to explore the compliance of colonoscopy and its influencing factors for those with positive screening re-sults,to provide a scientific basis for improving the colorectal cancer screening of residents.Methods Convenience sam-pling method was used to select community health service centers in 2 towns and 3 sub-districts within the jurisdiction asvolunteer recruitment sites for colorectal cancer screening.Residents aged≥45 years were recruited to conduct colorectalcancer screening and questionnaire surveys.Those who screened positive were further examined by colonoscopy.The re-sults of colorectal screening and colonoscopy compliance of residents were analyzed by descriptive analysis method,andthe influencing factors were analyzed by univariate and multivariate analysis methods.Results A total of 1201 peoplewere included in this study for analysis,including 662 males and 539 females,372 people aged 45-59 years,495 peopleaged 60-69 years,and 334 people aged 70-79 years.A total of 371 cases were positive in the primary screening,includ-ing 154 cases of risk factors positive,298 cases of FOBT positive,and 81 cases of both risk factors and FOBT positive,with a positive rate of 30.89%.Male(OR=3.177),history of mucus and bloody stool(OR=7.683),and history of intestinal polyps(OR=5.008)were risk factors for positive screening of colorectal cancer.Among the 371 cases with positivescreening results,121 cases completed colonoscopy,and the compliance rate of colonoscopy was 32.61%.Gender(OR=2.776),age(OR=0.511,0.433),marital status(OR=4.267),educational level(OR=2.782,3.916),and medical in-surance(OR=2.743)were influencing factors of colonoscopy compliance in colorectal cancer screening positive patients.Conclusion The positive rate of primary screening for colorectal cancer in the Dongying District of Dongying City ishigh,so it is necessary to strengthen the screening of colorectal cancer for male individuals with a history of mucus andbloody stool and intestinal polyps.But the compliance to colonoscopy examination of residents is low,especially for femaleindividuals aged 60 and above,who are not married,have a low education level,and have no medical insurance,whichshould specifically strengthen the health education of this group and improve their colonoscopy compliance.
作者
成志芳
胡翠
CHENG Zhi⁃fang;HU Cui(People's Hospital of Dongying District,Dongying 257000,China)
出处
《华南预防医学》
2022年第8期938-942,共5页
South China Journal of Preventive Medicine
关键词
结直肠癌
人群筛查
初筛阳性
结直肠镜顺应性
影响因素
Colorectal cancer
Population screening
Positive screening
Colonoscopy compliance
Influencing factor
作者简介
成志芳(1977—),女,大学本科,主管护师,主要从事外科及产科护理工作;通信作者:胡翠,E‐mail:hucui19870502@163.com
