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目的为预防和控制大肠癌提供经验,对两轮大肠癌筛查的影响及结果进行总结分析。方法对2009年和2014年两轮筛查中的两个乡镇的居民进行问卷调查及大便检测,根据调查与检测结果,分别对居民调查顺应率、病史阳性率、两次大便检测的阳性率进行对比分析。结果袁花镇和周王庙镇在前后两轮筛查中的问卷调查顺应率分别为:85.1%、89.6%和88.0%、92.1%;病史阳性率分别为:5.2%、4.0%和6.4%、5.7%;第一次大便检测的顺应率分别为:87.0%、78.3%和86.4%、83.0%;阳性率分别为:5.8%、7.0%和14.7%、11.3%;第二次大便检测的顺应率分别为:81.6%、64.6%和76.3%、71.5%;阳性率分别为:5.4%、5.8%和14.8%、11.8%。结论通过两轮的筛查活动,使居民参加检查的积极性和顺应性大大提高。虽然随着时间的推移,大肠癌的高危人群数量也在增加,但是早期筛查可以更好地实现早发现早治疗,大大降低大肠癌的发病率和社会负担,提高居民的生活质量。
Objective To provide experience for the prevention and control of colorectal cancer, the impact of two rounds of screening for colorectal cancer and the results were summarized and analyzed. Methods Questionnaires and stool tests were conducted among residents from two townships in two rounds of screening in 2009 and 2014. According to the survey and test results, the positive rate of residents’ investigation compliance, the positive rate of history and the positive rate of two stool tests Comparative analysis. Results The compliance rates of questionnaires in the two rounds of screening in Yuanhua Town and Zhouwangmiao Town were 85.1%, 89.6% and 88.0%, 92.1% respectively; the positive rates of history were 5.2%, 4.0% and 6.4% , 5.7% respectively. The compliance rate of the first stool test was 87.0%, 78.3% and 86.4%, 83.0% respectively; the positive rates were 5.8%, 7.0% and 14.7% and 11.3% The compliance rates were 81.6%, 64.6% and 76.3%, 71.5% respectively; the positive rates were 5.4%, 5.8% and 14.8% and 11.8% respectively. Conclusion Through two rounds of screening activities, the enthusiasm and compliance of residents to participate in the examination greatly improved. Although the number of high-risk groups of colorectal cancer is also increasing with the passage of time, early screening can better achieve early detection and early treatment, greatly reduce the incidence of colorectal cancer and social burden, and improve the quality of life of residents.