标题:影响慢性胃炎发展为胃癌的相关因素分析
作者:王建国
(攀枝花市第二人民医院消化内科,四川 攀枝花 617068)
卷次:
2015年26卷18期
【摘要】 目的 研究慢性胃炎发展为胃癌的影响因素,探讨有效的预防措施。方法 选择 2011年 11月
至 2014年 11月在我院接受治疗的慢性胃炎合并胃癌患者 92例作为观察组。选取同期经胃镜和病理学检查
确诊为慢性胃炎的患者 92例作为对照组。用单因素分析和Logistic回归分析慢性胃炎发展为胃癌的影响因
素。结果 慢性胃炎发展为胃癌与腌菜、烫食、霉变食品、油炸食品饮酒、吸烟、早餐、饮食规律、每日摄盐量、间
断使用抑酸和制酸药物、消化道病史等因素有关(P<0.05)。将上述因素纳入Logistic多元回归分析,显示腌菜、霉
变食品、油炸食品、饮食不规律、有消化道病史是慢性胃炎发展为胃癌的危险因素,间断使用抑酸和制酸药物是
慢性胃炎发展为胃癌的保护因素(P<0.05)。结论 慢性胃炎发展为胃癌主要与患者的饮食习惯、消化道病史等
因素有关,良好的饮食习惯可以降低慢性胃炎患者癌变的概率。
【关键词】 慢性胃炎;胃癌;危险因素
【中图分类号】 R573.3 【文献标识码】 A 【文章编号】 1003—6350(2015)18—2694—03
Analysis of related factors in the development of chronic gastritis to gastric cancer.
WANG Jian-guo. Department
of GI Medicine, the Second People's Hospital of Panzhihua City, Panzhihua 617068, Sichuan, CHINA
【Abstract】 Objective To study the related factors in the development of chronic gastritis to gastric cancer, and
to explore effective preventive measures. Methods Ninety-two patients with chronic gastritis and gastric cancer in our
hospital from November 2011 to November 2014 were selected as observation group. And 92 patients who were diag-
nosed with only chronic gastritis by gastroscope and pathological examination during the same period were selected as
control group. The influence factors in the development of chronic gastritis to gastric cancer were analyzed by single
factor analysis and logistic regression analysis. Results The related factors included pickles, hot food, mildew foods,
fried foods, smoking, drinking, breakfast, diet, daily salt intake, intermittent use of acid and antacid drugs, history of
digestive disease (P<0.05). Taking the above factors into logistic multivariate regression analysis, the result showed
that pickles, mildew food, fried food, irregular diet, a history of digestive disease were risk factors in the development
of chronic gastritis to gastric cancer, and that continuous use of acid and antacid drugs were protection factors (P<0.05).
Conclusion The development of chronic gastritis to gastritis cancer is mainly related to eating habits, history of diges-
tive disease. Good diet can reduce the risk of cancer in patients with chronic gastritis.
【Key words】 Chronic gastritis; Gastric cancer; Risk factors
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