摘要
目的:分析青海地区藏、回、汉族胃癌患者的性别、年龄、Hpylori感染、烟酒嗜好和发病部位特征.方法:抽取我院经胃镜检查和病理证实的胃癌患者1165例,包括藏族389例,回族385例,汉族391例,将患者分为≤35岁、36-59岁、≥60岁3个年龄段组,分析患者性别、年龄、Hpylori感染、烟酒嗜好和部位的差异.结果:3个民族胃癌患者构成均以36-59岁为主,但民族间患病年龄不同,藏族发病年龄较回族和汉族早(χ2=0.00,P=0.00),性别构成上3个民族间差异无显著性(χ2=0.06,P=0.97);Hpylori感染率差异无显著性(χ2=0.32,P=0.85),但是吸烟和饮酒方面具有显著差异性:回族较藏族和汉族少(χ2=187.91,P=0.00;χ2=89.79,P=0.00);同时3个民族组患者发病部位依次均为胃体、贲门胃底、胃窦,但是藏族较回族和汉族贲门胃底癌构成比低(χ2=7.31,P=0.03).结论:胃癌患者中藏族发病年龄较回、汉族早,藏、汉族有烟酒嗜好者明显多于回族,藏族较回族和汉族贲门胃底癌构成比低.
AIM： To investigate the morbidity features of sex, age, H pylori infection, smoking, alcohol consumption and location among Tibet, Hui and Han nationalities with gastric cancer in Qinghai area. METHODS： A total of 1165 patients with gastric cancer including 389 Tibet, 385 Hui and 391 Han nationalities at Qinghai University Hospital were selected. All patients were divided into three groups by age：≤35, 35-60, ≥60. The differences in sex, age, H pylori infection, smoking, alcohol consumption and location among three groups were investigated.RESULTS： The high plateau of three gastric cancer groups were all 36-59 years old, but the age distribution was different, the morbidity age of Tibet was lower than those of Hui and Han （χ2=0.00, P = 0.00）. Sex distribution and Hp infection were the same among three groups （χ2= 0.06, P = 0.97, χ2 = 0.32, P = 0.85）. However, the smoking and alcohol consumption were lower in Hui than in Tibet or in Han nationalities with gastric cancer （χ2= 187.91, P = 0.00;χ2= 89.79, P = 0.00）. The location sequence of three groups was the same as follows： body of stomach, cardia and fundus of stomach and antral of the stomach, but the portion of cardia and fundus of stomach was lower in Tibet than in Hui and Han nationalities （;（2 = 7.31, P = 0.03）. CONCLUSION： The morbidity age of Tibet is lower than in Hui and Han, the smoking and alcohol consumption in Tibet and Han are higher apparently than in Hui nationality, and the portion of cardia and fundus of stomach is lower in Tibet than in Hui or Han nationalities.
出处
《世界华人消化杂志》
CAS
北大核心
2009年第19期1993-1995,共3页
World Chinese Journal of Digestology
基金
国家自然科学基金资助项目
No.30860259
青海大学中青年科研基金资助项目
No.2008-QY-09~~
关键词
胃癌
民族
发病特征
Gastric cancer
Nationality
Morbidityfeature
