摘要
目的对1973-2010年常熟市居民恶性肿瘤死亡情况进行分析,为制定恶性肿瘤防控措施提供依据。方法收集死因报告责任单位上报的死因资料,按ICD-10的标准和方法进行分类,分析38年来恶性肿瘤死亡趋势及主要恶性肿瘤死亡情况。结果 1973-2010年常熟市居民恶性肿瘤死亡率为181.76/10万,占全死因构成比为23.87%,并随不同年代发展有逐步上升趋势;不同年代恶性肿瘤前十位死因顺位不同,胃癌始终居首位,肝癌、食管癌由第二、三位逐步下降至第三、四位,肺癌从第四位逐步上升至第二位;不同年代主要恶性肿瘤死亡率男性高于女性,其中胃癌、肺癌、肝癌、食管癌差异有统计学意义;全人群恶性肿瘤死亡率随年龄增长而升高,35~54岁组、55~74岁组在不同年代死亡率均有逐步下降趋势;恶性肿瘤死亡35岁以下白血病占据首位,35~54岁组肝癌居首位,55岁以上胃癌居首位。结论恶性肿瘤是威胁常熟市居民健康的主要死亡原因,人口不断老龄化是恶性肿瘤粗死亡率增加的主要因素,应根据不同人群、不同肿瘤的特点,采取综合性干预措施,预防和减少恶性肿瘤的发生。
Objective To analyze the mortality of malignant tumors in residents of Changshu from 1973 to 2010, and to provide a basis for formulating prevention and control measures of malignant tumors. Methods Death data were collected from duty units for reporting and then classified according to ICD- 10. The trend of the cancer mortality and death situation of main malignant tumom within 38 years were analyzed. Results From 1973 to 2010, the mortality of malignant tumors among the residents in Changshu was 181.76/100,000, which accounted for 23.87 % of the whole death and increased with the increasing time. There were different positions of the main ten malignant tumors in different times. The mortality of gastric cancer was the first all the time, while liver cancer and esophageal cancer ranked the second and the third at first, then dropped to the third and the fourth at last. Lung cancer was the fourth at first then jumped to the second at last. The mortality rates of malignant tumors of men were higher than those of women in different times, and there were statistically significant differences in mortality rates of gastric cancer, lung cancer, liver cancer and emphageal cancer. The mortality rates of malignant tumors increased with the in- creasing age in whole population. The mortality rates of the age groups of 35 - 54 and 55 - 74 years decreased gradually in differ- ent times. According to the mortality rates of malignant tumors, leukaemia ranked the first in the patients under the age of 35 years, liver cancer ranked the first in the patients aged between 35 and 54 years, and gastric cancer ranked the first in patients aged above 55 years. Conclusions Malignant tumors are the main causes of death which threaten the residents in Changshu. The mortality remains increased owing to the increase of aging level. Comprehensive intervention measures should be taken to prevent and decrease the occurrence of malignant tumors according to the characteristics of different populations and tumors.
出处
《实用预防医学》
CAS
2012年第9期1328-1330,共3页
Practical Preventive Medicine
关键词
居民
恶性肿瘤
死因
死亡率
Resident
Malignant tumors
Causes of death
Mortality
