【摘要】 [目的]对社区大肠癌因症就诊早发现及监测网络的效用作前瞻性评估。[方法]建立全区一、二级医院参加的社区大肠癌因症就诊早发现及监测网络;医技人员对有肛肠症状的病人推行四项常规检查程序(直肠指检、乙状结肠镜或结肠镜检查、大便隐血试验和/或X线气钡灌肠造影);开展社区大肠癌健康教育和健康促进工作;由专人负责对检出的大肠癌病人定期随访。并对卢湾区组123例大肠癌患者和对照组(南市区)136例大肠癌患者的随访结果进行比较。[结果]卢湾区组(n=123)大肠癌早期的检出率较对照组南市区组(n=136)提高近19个百分点,两组期别构成差异有显著性(P<0.01);卢湾区组大肠癌5年生存率为57.7%,较对照组的24.3%显著提高(P<0.01);卢湾区组大肠癌累积死亡率为45.5%,较对照组的74.3%显著降低(P<0.05)。[结论]社区大肠癌因症就诊早发现和监测网络是一项可能提高大肠癌早期检出率,延长大肠癌病人生存时间和降低累积死亡率的肿瘤防治技术,是一项符合我国国情,易于在基层医院推行的适宜技术。更多还原

【Abstract】 To evaluate the effect of the early detection and surveillance network of colorectal cancer in symptomatic clients in community. The early detection and surveillance of colorectal cancer in symptomatic clients in community was set up by the primary and second grade hospitals in Luwan district.Four routing procedures of clinical examination including rectal digital examination,sigmoidoscopy or coloscopy,fecal occult blood test and/or barium enema X-ray film were carried out for the patients with anorectocolonic symptoms.Health education and health promoting work of colorectal cancer prevention and treatment was launched in community.The patients with colorectal cancer were followed up at regular intervals.The followed-up data of colorectal cancer patients(123 cases in Luwan district and 136 cases as controls in Nanshi district)were analyzed.The early detection rate in Luwan district group (n=123),which was raised near 19 percentage,was higher than that in control group (n=136), with significant difference among them (P<0.01). The 5-year survival rate in Luwan district group(57.7%)was higher than that in controls(24.3%)significantly (P<0.01) and the accumulative mortality in Luwan district(45.5%)group was lower than that in controls(74.3%)significantly (P<0.05).[Conclusion]The study suggests that the network is a prevention and treatment approach for cancer,which might raise early detection,proglong survival and lower accumulative mortality of the patients with colorectal cancer.It is a appropriate approach suitable for national conditions and is easy practice in the basic level hospitals.更多还原