Song Bo, Wang Yamei, Zhu Xiuzhi, Zhang Li, Zhou Hui, Zhang Hongmei, Zhang Tianliang, Ji Wansheng
Department of Gastroenterology, Yantaishan Hospital, Yantai 264001, China.
Department of Gastroenterology, Affiliated Hospital of Weifang Medical University, Weifang Medical University, Weifang 261031, China.
Biomed Res Int. 2021 May 21;2021:5544188. doi: 10.1155/2021/5544188. eCollection 2021.
The aim of the present work was to investigate the risk factors for gastric cancer- (GC-) associated thrombotic diseases in a Han Chinese population. A total of 333 patients diagnosed with GC, 68 with thrombotic diseases included in the case group and the remaining 265 in the control group, were enrolled. The relevant data for the participants, including general information (gender, age, smoking, and drinking), comorbidities (diabetes, hypertension, and anemia), tumor-related data (tumor site, histology, degree of differentiation, and clinical stage), and treatment-related data (surgery, chemotherapy, hormones, transfusion, and peripherally inserted central venous catheter (PICC)), were collected. Statistically significant factors derived from univariate analyses were then subjected to multivariate logistic regression analyses. The results demonstrate a statistically significant difference in age, diabetes, hypertension, histology, surgery, chemotherapy, and PICC ( < 0.05), compared with control. Age, diabetes, surgery, and PICC serve as independent risk factors for GC-associated thrombotic diseases ( < 0.05). The present work demonstrates that GC-associated thrombotic diseases are significantly associated with age, diabetes, surgery, and PICC, suggesting a potential target for early detection and preventive strategy for GC patients with thrombophilia.
本研究的目的是调查中国汉族人群中胃癌(GC)相关血栓性疾病的危险因素。共纳入333例确诊为GC的患者,其中68例患有血栓性疾病作为病例组,其余265例作为对照组。收集了参与者的相关数据,包括一般信息(性别、年龄、吸烟和饮酒)、合并症(糖尿病、高血压和贫血)、肿瘤相关数据(肿瘤部位、组织学、分化程度和临床分期)以及治疗相关数据(手术、化疗、激素、输血和经外周静脉穿刺中心静脉置管(PICC))。然后,对单因素分析得出的具有统计学意义的因素进行多因素logistic回归分析。结果显示,与对照组相比,年龄、糖尿病、高血压、组织学、手术、化疗和PICC存在统计学显著差异(P<0.05)。年龄、糖尿病、手术和PICC是GC相关血栓性疾病的独立危险因素(P<0.05)。本研究表明,GC相关血栓性疾病与年龄、糖尿病、手术和PICC显著相关,提示对有血栓形成倾向的GC患者进行早期检测和预防策略具有潜在靶点。