本文關(guān)鍵詞： 消化系統(tǒng)腫瘤 空間自相關(guān) 空間流行病學(xué)　出處：《中國公共衛(wèi)生》2017年04期 　論文類型：期刊論文

【摘要】：目的探索福建省部分腫瘤登記地區(qū)以鄉(xiāng)鎮(zhèn)為尺度的食管癌、胃癌、結(jié)直腸癌和肝癌等消化系統(tǒng)主要惡性腫瘤空間分布特征和聚集性。方法于2007—2012年以福建省長樂市、涵江區(qū)和福清市3個(gè)腫瘤登記處作為研究現(xiàn)場,收集4種消化系統(tǒng)主要惡性腫瘤分鄉(xiāng)鎮(zhèn)發(fā)病率,應(yīng)用Arc GIS 10.3軟件進(jìn)行全局和局部Moran's I、G統(tǒng)計(jì)量自相關(guān)分析。結(jié)果食管癌、胃癌、結(jié)直腸癌和肝癌全局Moran's I分別為0.734 011、0.932 897、0.633 696和0.644 418(均P0.001);食管癌、胃癌、結(jié)直腸癌全局G統(tǒng)計(jì)量分別為0.000 024、0.000 020和0.000 017(均P0.001)。局部Moran's I自相關(guān)顯示,食管癌有11個(gè)H-H(高-高值)區(qū)域;胃癌有8個(gè)H-H區(qū)域、7個(gè)L-L(低-低值)區(qū)域;結(jié)直腸癌有8個(gè)H-H區(qū)域、1個(gè)H-L(高-低值)區(qū)域、6個(gè)L-L區(qū)域;肝癌有11個(gè)H-H區(qū)域、1個(gè)L-H(低-高值)區(qū)域、8個(gè)L-L區(qū)域。局部G自相關(guān)結(jié)果顯示,食管癌有3個(gè)冷點(diǎn)和1個(gè)熱點(diǎn);胃癌有4個(gè)冷點(diǎn)和2個(gè)熱點(diǎn);結(jié)直腸癌有6個(gè)冷點(diǎn)和1個(gè)熱點(diǎn);肝癌有1個(gè)冷點(diǎn)和2個(gè)熱點(diǎn)。結(jié)論消化系統(tǒng)主要惡性腫瘤在鄉(xiāng)鎮(zhèn)級別空間上呈現(xiàn)非隨機(jī)分布,4個(gè)癌種均有其獨(dú)特的熱點(diǎn)、冷點(diǎn)以及發(fā)病率高低交錯(cuò)的聚集區(qū)域。
[Abstract]:Objective to explore esophageal and gastric cancer with township scale in some tumor registration areas in Fujian Province. The spatial distribution and aggregation of major malignant tumors in digestive system, such as colorectal cancer and liver cancer, were studied in Changle City, Fujian Province from 2007 to 2012. Three tumor registries in Hanjiang District and Fuqing City were used as research sites to collect the incidence of 4 major digestive system malignant tumors in villages and towns. The global and local Moran's Ig statistics were analyzed by Arc GIS 10.3 software. Results esophageal and gastric cancer. The global Moran's I of colorectal cancer and liver cancer were 0.734 011 ~ 0.932 897 ~ 0.633 696 and 0.644 418 respectively (P 0.001). The global G statistics of esophageal cancer, gastric cancer and colorectal cancer were 0.000024 respectively. 0. 000 020 and 0. 000 017 (P 0. 001). Local Moran's I autocorrelation showed that there were 11 H-H (high to high) regions in esophageal carcinoma. There were 8 H-H regions and 7 L-L (low-low value) regions in gastric cancer. There were 8 H-H regions, 1 H-L (high-low value) region and 6 L-L regions in colorectal cancer. There were 11 H-H regions, 1 L-H region and 8 L-L regions in HCC. Local G autocorrelation showed that esophageal carcinoma had three cold points and one hot spot. Gastric cancer had 4 cold spots and 2 hot spots. There were 6 cold spots and 1 hot spot in colorectal cancer. Conclusion the main malignant tumors of digestive system have a non-random distribution in township level, and all of them have their own unique hot spots. Cold spots and areas where the incidence rate is interlaced.
【作者單位】： 福建省腫瘤醫(yī)院流行病室;福建醫(yī)科大學(xué)公共衛(wèi)生學(xué)院流行病與衛(wèi)生統(tǒng)計(jì)系福建省環(huán)境因素與腫瘤重點(diǎn)實(shí)驗(yàn)室;福建省疾病預(yù)防控制中心;
【基金】：國家臨床重點(diǎn)�？平ㄔO(shè)項(xiàng)目 福州市科技計(jì)劃項(xiàng)目(2015-S-163)
【分類號】：R735
【正文快照】： 2012年全國腫瘤登記地區(qū)惡性腫瘤發(fā)病前10位有5種屬于消化系統(tǒng),胃癌、肝癌、結(jié)直腸癌和食管癌位居第2至第5位、僅次于肺癌;死亡前10位亦有5種屬于消化系統(tǒng),肝癌、胃癌、食管癌和結(jié)直腸癌位居第2至第5位、亦僅次于肺癌[1]。因此胃癌、肝癌、結(jié)直腸癌和食管癌目前是消化系統(tǒng)主要，

本文編號：1473632