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研究生:李彥欣
研究生(外文):Yen-Hsin Lee
論文名稱:區域環境因素與食道癌盛行率之空間資訊相關性探討
論文名稱(外文):The Investigation of Spatial Correlation between the Regional Environment and the Prevalence Rate of Esophageal Cancer Symptoms
指導教授:李建邦李建邦引用關係
指導教授(外文):Chien-Pang Lee
口試委員:蘇哲俊楊豐兆李建邦
口試委員(外文):Che-Chun SuFeng Chao YangChien-Pang Lee
口試日期:2015-07-10
學位類別:碩士
校院名稱:大葉大學
系所名稱:資訊管理學系碩士班
學門:電算機學門
學類:電算機一般學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
語文別:中文
論文頁數:59
中文關鍵詞:重金屬食道癌空間分析地理資訊系統
外文關鍵詞:Heavy MetalEsophageal CancerSpatial AnalysisGeographic Information Systems (GIS)
相關次數:
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  • 收藏至我的研究室書目清單書目收藏:2
探討危險因子和癌症之間發生的關係在醫學研究領域上是項重要的議題。其中臺灣地區食道癌發生率居高不下且增加速度居癌症之最,而且食道癌初期不易發現,故發現為晚期,整體而言,食道癌存活率也非常低,因此,不論手術、放射治療或化學藥物治療等,均難以得到良好之治癒效果。
在過去的研究已證實咀嚼檳榔不良健康行為和口腔癌都與食道癌發生率有關,但根據健保資料庫的結果分析來看,三者並未顯示之間有明顯任何存在關係,再者以空間資訊分布來看三者的熱區顯示的地區都不盡相同,所以可能有另一項導致食道癌致癌因子存在例如環境污染。因此,本研究接著利用熱區和冷區聚集之分布位置去探討食道癌與八種重金屬之間的關係。



It is an important medical research issue for discussing the relationship between risk factors and cancer research. In Taiwan, the prevalence of esophageal cancer increases faster than that of the other cancers. Overall the survival rate of esophageal cancer is low. Therefore, it is difficult to obtain a well-healing effect.
According to the literatures, the relation among oral cancer, esophageal cancer and betel quid chewing has clearly been demonstrated. However, according to Nation Health Insurance Research Database, the analysis results shown that they might not have significant relation. Furthermore, the Spatial Analysis showed different areas of the “hot spots” among them. It could infer that esophageal cancer might be affected by the other factors such as environmental factor. We, therefore, used the distribution of location gathering “hot spots” and “cool spots” to research that esophagus cancer with eight heavy metal’s influence.



封面內頁
簽名頁
中文摘要 iii
英文摘要 iv
誌謝 v
目錄 vi
圖目錄 viii
表目錄 ix
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 5
第二章 文獻探討 7
第一節 臺灣地區口腔癌現況 7
第二節 口腔癌與食道癌相關性 9
第三節 危險因子 11
第四節 臺灣土壤重金屬含量調查 14
第五節 空間資料分析 19
第六節 地理資訊系統於醫療地理上的應用 24
第三章 研究方法 27
第一節 確認食道癌病患與整理 27
第二節 空間資訊分布探討 31
第四章 研究結果 32
第一節 資料介紹 32
第二節 食道癌、口腔癌與嚼檳榔之關係 35
第三節 空間資訊分布 40
第五章 結論 47
參考文獻 49
附錄 56

一、中文文獻

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