论文部分内容阅读
目的分析2010-2014年衢州市户籍居民恶性肿瘤死亡特征和变化趋势,为制定肿瘤防治策略提供科学依据。方法对2010-2014年衢州市户籍居民恶性肿瘤死亡监测资料进行统计分析。计算死亡率、死因构成和死亡顺位等。结果 2010-2014年累计监测恶性肿瘤死亡20 802例,死亡率为164.66/10万,标化死亡率为112.69/10万。男性死亡率高于女性,城市高于农村,差异均有统计学意义(χ2值分别为2 241.064、5.871,P<0.05)。死亡率居前5位的恶性肿瘤依次是肺癌、肝癌、胃癌、食管癌和结直肠癌,共占恶性肿瘤死亡数的74.71%。不同年龄段恶性肿瘤死亡原因不同,0~14岁白血病居首位,15~44岁肝癌、肺癌和白血病居前3位,45岁以上肺癌、肝癌和胃癌居前3位。胃癌、食管癌、宫颈癌死亡率总体呈下降趋势。肺癌、肝癌、结直肠癌、女性乳腺癌、胰腺癌、白血病和前列腺癌死亡率总体呈上升趋势。结论恶性肿瘤已成为严重危害衢州市居民生命和健康的主要因素,应考虑性别、年龄分布特点及变化趋势来制定防控措施。肺癌、肝癌、胃癌、食管癌和结直肠癌是威胁人群的主要肿瘤,而乳腺癌严重威胁女性的健康,应重点加强人群中此类肿瘤的控制和预防。
Objective To analyze the characteristics and trends of malignant tumor deaths among registered permanent residents in Quzhou City from 2010 to 2014 and provide scientific evidence for the development of strategies for cancer prevention and treatment. Methods The data of death monitoring of malignant tumor in hukou residents of Quzhou from 2010 to 2014 were statistically analyzed. Calculate the death rate, the cause of death and the death order. Results A total of 20 802 malignant tumor deaths were monitored during 2010-2014, with a mortality rate of 164.66 / 100 000 and a standardized mortality rate of 112.69 / 100 000. The mortality rate of males was higher than that of females and cities were higher than that of rural areas (χ2 = 2 241.064, 5.871, P <0.05, respectively). The top five malignant tumors were lung cancer, liver cancer, gastric cancer, esophageal cancer and colorectal cancer, accounting for 74.71% of the total. Different causes of death of malignant tumors of different ages, 0 to 14-year-old leukemia ranks first, 15 to 44-year-old liver cancer, lung cancer and leukemia in the top three, over the age of 45 lung cancer, liver cancer and gastric cancer in the top three. The overall mortality rate of gastric cancer, esophageal cancer and cervical cancer shows a decreasing trend. Mortality rates for lung cancer, liver cancer, colorectal cancer, female breast cancer, pancreatic cancer, leukemia and prostate cancer are generally on the rise. Conclusions Malignant tumors have become the major factors that seriously endanger the lives and health of residents in Quzhou City. Therefore, prevention and control measures should be formulated considering the characteristics of gender, age distribution and trends. Lung cancer, liver cancer, gastric cancer, esophageal cancer and colorectal cancer are the major tumors that threaten the population. Breast cancer, which is a serious threat to the health of women, should be focused on strengthening the control and prevention of such tumors in the population.