目的 在“中西医并重防控模式”指导下对结直肠癌高危人群相关因素进行分析，为乡村中西并重癌症防控工作奠定基础；方法 根据2007年卫生部《大肠癌早诊早治项目技术方案》要求，2016年9月-2019年9月我们采用《中西医结合健康服务问卷》调查的形式，对北京市某乡村符合纳排标准的常住村民进行高危人群问卷筛查。使用SPSS23.0软件进行数据处理和统计，利用χ2检验分析结直肠癌高危人群相关因素筛查结果，P < 0.05认为有统计学差异。结果 在“中西医并重防控模式”指导下对北京市某乡村1717例常住人口进行筛查。实际有效问卷筛查共计1174份，经初筛高危人群问卷评估阳性者118人（阳性率10.1%）；结直肠癌高危人群与非高危人群在不同年龄段、年收入以及饮食荤素搭配、吃水果习惯方面有统计学差异（P < 0.05）；结直肠癌高危人群阳性指标中“一级亲属有大肠癌史”阳性率最高为4.2%；根据近3个月结直肠癌高危人群中医症状频数统计主要以腰酸、脾气急躁或情绪低落、头晕健忘、耳鸣等肾虚症状为主；结论 “中西医并重防控模式”能够充分将中医早期干预方法纳入其中，在提高结直肠癌高危人群筛查效率和早诊率的同时，进一步降低结直肠癌发病率；
Objective To analysis the related factors of the high-risk population of colorectal cancer, and provide academic reference for the future research in the field of prevention and control mode of the integrated traditional Chinese and Western medicine.Methods According to the protocol of national program for early diagnosis and treatment of colorectal cancer, we conducted a questionnaire survey among permanent villagers with inclusion and exclusion criteria in the countryside of Beijing from September 2016 to September 2019. Data processing and statistical analysis applied SPSS23.0 statistical analysis package, Chi-square test was used to analyze the result of the factors related to high risk population < 0.05 was considered as significant.Result Among 1717 permanent villagers in participating the screening survey under the prevention and control mode of the integrated Chinese and Western medicine, we have collected 1174 valid questionnaires,118 samples (10.1%) were assessed with high CRC risk. Significant difference was found in different ages, annual income, meat and vegetarian dishes matching and fruit eating habits between the high risk population and the normal population. The positive rate was highest in the indicator that “First-degree relative has a history of colorectal cancer”. According to the results of the last two months showed the main symptoms of high-risk population included soreness of waist, impatience, depression, dizziness, forgetfulness, and tinnitus, etc. The above symptoms correlate with the deficiency of kidney.Conclusion The prevention and control mode of the integrated traditional Chinese medicine and Western medicine has proved itself in covering the early intervention of traditional Chinese medicine, increasing the screening efficiency and early diagnostic, and reducing the incidence of colorectal cancer.