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目的了解海岛地区居民恶性肿瘤死亡水平及流行特征。方法采用国际疾病分类法ICD-10进行编码,对洞头县2012—2013年居民恶性肿瘤死亡率进行标化,分析死亡原因及潜在减寿年数(PYLL)、平均减寿年数(AYLL)。结果洞头县居民恶性肿瘤平均死亡率为246.20/10万,标化死亡率为162.69/10万,居全死因第1位;男性死亡率为338.90/10万,女性死亡率为147.10/10万,差异有统计学意义(P<0.01)。恶性肿瘤前5位死因依次为肝癌、食管癌、胃癌、肺癌和结直肠癌。不同年龄组恶性肿瘤死因不同,死亡率随着年龄增长而升高。潜在减寿年数依次为肝癌、食管癌、肺癌、胃癌和白血病;平均减寿年数依次为白血病、宫颈癌、乳腺癌、肝癌和鼻咽癌。结论恶性肿瘤是洞头县居民主要死因,严重危害洞头县居民的生命和健康。
Objective To understand the death level and epidemiological characteristics of malignant tumor in island area residents. Methods The international classification of diseases ICD-10 was used to standardize the mortality rate of residents in Dongtou from 2012 to 2013. The cause of death and the number of years of potential life-years lost (PYLL) and the average life-years lost (AYLL) were analyzed. Results The average death rate of malignant tumors in Dongtou County residents was 246.20 / 100,000, the normalized death rate was 162.69 / 100,000, ranking the first in the cause of death; the male mortality rate was 338.90 / 100,000 and the female mortality rate was 147.10 / 100,000 , The difference was statistically significant (P <0.01). The top five causes of cancer were liver cancer, esophageal cancer, stomach cancer, lung cancer and colorectal cancer. The causes of cancer of different age groups are different, the mortality rate increases with age. Potential years of life expectancy were followed by liver cancer, esophageal cancer, lung cancer, gastric cancer and leukemia. The average number of years of longevity were leukemia, cervical cancer, breast cancer, liver cancer and nasopharyngeal cancer. Conclusions Malignant tumor is the leading cause of death in Dongtou County, which seriously jeopardizes the life and health of Dongtou residents.