The Journal of Practical Medicine ›› 2024, Vol. 40 ›› Issue (15): 2154-2160.doi: 10.3969/j.issn.1006-5725.2024.15.019
• Investigations • Previous Articles Next Articles
Lanrong WANG1,Xiaocui WANG2,Yang CAO1,Rui LI3(),Weihong WANG2,Yingxi XU4,Weixiang SHI4,Yufei YANG5,Ke MENG1,Wei. ZHANG6
Received:
2024-01-06
Online:
2024-08-10
Published:
2024-07-30
Contact:
Rui LI
E-mail:rose_lirui@163.com
CLC Number:
Lanrong WANG,Xiaocui WANG,Yang CAO,Rui LI,Weihong WANG,Yingxi XU,Weixiang SHI,Yufei YANG,Ke MENG,Wei. ZHANG. A cross⁃sectional study on the risk of early screening for lung cancer in Zhengzhou City[J]. The Journal of Practical Medicine, 2024, 40(15): 2154-2160.
Tab.1
Overall completion of lung cancer early screening in 2020"
县(市、区) | 项目单位 | 应筛查数 | 实查人数 | 实查率(%) | 高危人数 | 高危检出率(%) |
---|---|---|---|---|---|---|
合计 | 50 000 | 50 128 | 100.26 | 15 113 | 30.15 | |
中原区 | 郑州市中医院 | 4 000 | 4 000 | 100.00 | 1 503 | 37.58 |
二七区 | 郑州市第二、三人民医院 | 4 000 | 4 002 | 100.05 | 1 567 | 39.16 |
管城回族区 | 郑州市第三人民医院 | 4 000 | 4 059 | 101.48 | 1 649 | 40.63 |
金水区 | 郑州市金水区总医院 | 4 000 | 4 007 | 100.18 | 674 | 16.82 |
上街区 | 郑州市第十五人民医院 | 1 000 | 1 000 | 100.00 | 351 | 35.10 |
惠济区 | 惠济区人民医院 | 3 000 | 3 005 | 100.17 | 920 | 30.62 |
中牟县 | 中某县人民、中医院 | 4 000 | 4 008 | 100.20 | 1 171 | 29.22 |
航空港实验区 | 河南省省立医院 | 2 000 | 2 019 | 100.95 | 545 | 26.99 |
高新区 | 郑州市中心医院高新区院区 | 1 000 | 1 000 | 100.00 | 285 | 28.50 |
郑东新区 | 河南省直第三人民医院 | 2 000 | 2 001 | 100.05 | 564 | 28.19 |
经开区 | 郑州市第二人民医院 | 1 000 | 1 000 | 100.00 | 321 | 32.10 |
巩义市 | 巩义瑞康医院 | 4 000 | 4 000 | 100.00 | 1 121 | 28.03 |
荥阳市 | 荥阳市人民医院 | 4 000 | 4 008 | 100.20 | 1 099 | 27.42 |
新密市 | 郑州中康医院 | 4 000 | 4 017 | 100.43 | 1 100 | 27.38 |
新郑市 | 新郑市公立人民医院 | 4 000 | 4 000 | 100.00 | 1 050 | 26.25 |
登封市 | 登封市人民医院 | 4 000 | 4 002 | 100.05 | 1 193 | 29.81 |
Tab.2
Summary of completion of lung cancer early screening and re screening in 2020"
县(市、区) | 项目单位 | 应筛查数 | 高危人数 | 高危检 出率(%) | 确诊肺癌 | 阳性检 出率(%) | 复筛检查 | ||
---|---|---|---|---|---|---|---|---|---|
肿瘤标志物 | 低剂量螺旋CT | 肺功能检查 | |||||||
合计 | 50 000 | 15 113 | 30.15 | 21 | 0.04 | 5 000 | 5 000 | 5 000 | |
中原区 | 郑州市中医院 | 4 000 | 1 503 | 37.58 | 2 | 0.05 | 400 | 400 | 400 |
二七区 | 郑州市第二、三人民医院 | 4 000 | 1 567 | 39.16 | 4 | 0.10 | 400 | 400 | 400 |
管城回族区 | 郑州市第三人民医院 | 4 000 | 1 649 | 40.63 | 5 | 0.125 | 400 | 400 | 400 |
金水区 | 郑州市金水区总医院 | 4 000 | 674 | 16.82 | 2 | 0.00 | 400 | 400 | 400 |
上街区 | 郑州市第十五人民医院 | 1 000 | 351 | 35.10 | 0 | 0.00 | 100 | 100 | 100 |
惠济区 | 惠济区人民医院 | 3 000 | 920 | 30.62 | 1 | 0.03 | 300 | 300 | 300 |
中牟县 | 中某县人民、中医院 | 4 000 | 1 171 | 29.22 | 1 | 0.03 | 400 | 400 | 400 |
航空港实验区 | 河南省省立医院 | 2 000 | 545 | 26.99 | 0 | 0.00 | 200 | 200 | 200 |
高新区 | 郑州市中心医院高新区院区 | 1 000 | 285 | 28.50 | 1 | 0.10 | 100 | 100 | 100 |
郑东新区 | 河南省直第三人民医院 | 2 000 | 564 | 28.19 | 0 | 0.00 | 200 | 200 | 200 |
经开区 | 郑州市第二人民医院 | 1 000 | 321 | 32.10 | 0 | 0.00 | 100 | 100 | 100 |
巩义市 | 巩义瑞康医院 | 4 000 | 1 121 | 28.03 | 1 | 0.03 | 400 | 400 | 400 |
荥阳市 | 荥阳市人民医院 | 4 000 | 1 099 | 27.42 | 1 | 0.03 | 400 | 400 | 400 |
新密市 | 郑州中康医院 | 4 000 | 1 100 | 27.38 | 0 | 0.00 | 400 | 400 | 400 |
新郑市 | 新郑市公立人民医院 | 4 000 | 1 050 | 26.25 | 0 | 0.00 | 400 | 400 | 400 |
登封市 | 登封市人民医院 | 4 000 | 1 193 | 29.81 | 3 | 0.08 | 400 | 400 | 400 |
Tab.3
Analysis results of logistic regression model on demographic characteristics of lung cancer early screening in 2020"
人口学特征 | B | S.E | Wals | P值 | OR | 95% CI | |
---|---|---|---|---|---|---|---|
下限 | 上限 | ||||||
性别(男) | 1.69 | 0.02 | 5 852.27 | 0.00 | 5.43 | 5.12 | 5.67 |
民族(汉) | 1.07 | 0.66 | 2.62 | 0.11 | 2.91 | 0.80 | 10.57 |
年龄范围(60 ~ 70岁) | -0.04 | 0.04 | 0.64 | 0.43 | 0.97 | 0.89 | 1.05 |
婚姻状况(丧偶) | 0.08 | 0.37 | 0.05 | 0.83 | 1.08 | 0.52 | 2.25 |
职业(农民) | 0.32 | 0.06 | 30.90 | 0.00 | 1.38 | 1.23 | 1.55 |
职业(家务) | 0.58 | 0.07 | 76.52 | 0.00 | 1.79 | 1.57 | 2.04 |
体质量指数 | 0.01 | 0.01 | 2.33 | 0.13 | 1.01 | 0.20 | 1.01 |
Tab.4
Analysis results of life style logistic regression model of lung cancer early screening in 2020"
生活方式 | B | S.E | Wals | P值 | OR | 95% CI | |
---|---|---|---|---|---|---|---|
下限 | 上限 | ||||||
居住位置(城市) | 0.50 | 0.05 | 98.93 | 0.00 | 1.65 | 1.49 | 1.82 |
居住位置(城郊) | 0.59 | 0.03 | 337.15 | 0.00 | 1.80 | 1.69 | 1.91 |
是否吸烟(目前吸烟) | -0.01 | 0.06 | 0.01 | 0.96 | 0.10 | 0.88 | 1.13 |
是否吸烟(曾经抽烟,吸烟指数≥ 400) | -0.77 | 0.07 | 135.37 | 0.00 | 0.97 | 0.41 | 1.03 |
是否吸烟(吸烟指数≥ 400,戒烟时间> 15年) | -0.31 | 0.08 | 15.22 | 0.00 | 0.84 | 0.63 | 1.06 |
饮酒(是) | -0.43 | 0.08 | 30.59 | 0.00 | 0.85 | 0.56 | 1.176 |
近3月饭量是否下降(是) | 0.05 | 0.07 | 0.43 | 0.51 | 1.05 | 0.91 | 1.21 |
近3月体质量是否下降(是) | 0.37 | 0.06 | 36.40 | 0.00 | 1.44 | 1.28 | 1.64 |
体育锻炼(是) | -0.15 | 0.03 | 31.77 | 0.00 | 0.86 | 0.81 | 0.91 |
您使用的家用燃料(煤炭) | 0.07 | 0.03 | 5.39 | 0.02 | 1.07 | 1.01 | 1.14 |
您使用的家用燃料(液化石油气) | 0.13 | 0.05 | 7.65 | 0.01 | 1.15 | 1.04 | 1.25 |
取暖方式(不取暖) | 0.09 | 0.04 | 4.09 | 0.04 | 1.10 | 1.00 | 1.19 |
您每周烹饪时间≥ 4 d(是) | -0.89 | 0.07 | 336.37 | 0.00 | 1.41 | 1.39 | 1.43 |
Tab.5
Analysis results of logistic regression model of previous history of lung cancer early screening in 2020"
既往史 | B | S.E | Wals | P值 | OR | 95% CI | |
---|---|---|---|---|---|---|---|
下限 | 上限 | ||||||
二手烟接触史(是) | 1.34 | 0.02 | 4 179.52 | 0.00 | 3.82 | 3.67 | 3.98 |
一级亲属是否曾患肺癌(是) | 2.49 | 0.05 | 2 909.30 | 0.00 | 12.06 | 11.02 | 13.20 |
是否确诊其他肿瘤(是) | 1.75 | 0.10 | 344.73 | 0.00 | 5.76 | 4.79 | 6.93 |
每年都会出现持续3个月以上的咳嗽、咳痰、胸闷(是) | 1.17 | 0.05 | 556.58 | 0.00 | 3.21 | 2.92 | 3.54 |
日常生活中出现胸闷,气促,呼吸困难(是) | 1.29 | 0.05 | 695.59 | 0.00 | 3.62 | 3.30 | 3.99 |
是否有长期应用激素史(是) | -0.05 | 0.13 | 0.17 | 0.68 | 0.95 | 0.73 | 1.23 |
近3年内是否曾经受较大的精神创伤(是) | 0.29 | 0.07 | 20.81 | 0.00 | 1.33 | 1.18 | 1.51 |
近3年长期处于精神压抑状况(是) | -0.01 | 0.07 | 0.01 | 0.94 | 0.10 | 0.87 | 1.14 |
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