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目的:分析温州市居民恶性肿瘤的死亡状况及死因特征,为制订针对性干预措施提供依据。方法:资料来源于温州市卫生监测区2010年死亡报告数据,以ICD-10进行死因分类,作流行病学分析。结果:2010温州市恶性肿瘤死亡报告12 445人,死亡率160.87/10万,占全死因的28.99%,平均减寿率为12.99‰,死亡率、潜在减寿年数均居第1位。恶性肿瘤前5位死因为肺癌、肝癌、胃癌、肠癌、食管癌,合计占恶性肿瘤死亡数的73.40%,男性前5位恶性肿瘤为肝癌、肺癌、胃癌、食管癌、肠癌,女性前5位恶性肿瘤为肺癌、肝癌、胃癌、肠癌及乳腺癌。0~14岁儿童恶性肿瘤死亡前3位死因为白血病、肝癌、肺癌,其中白血病占42.86%。15~44岁肝癌、肺癌、胃癌,合计占该年龄段的52.97%。45~64岁前3位恶性肿瘤为肝癌、肺癌、胃癌,合计占62.49%。65岁以上居民恶性肿瘤死亡前3位为肺癌、胃癌、肝癌,合计占60.77%。结论:恶性肿瘤为威胁温州市居民健康第1位死因;肺癌、肝癌、胃癌、肠癌、食管癌,女性乳腺癌为主要恶性肿瘤。
Objective: To analyze the death status and cause of death of malignant tumor in Wenzhou residents, and to provide the basis for the formulation of targeted interventions. Methods: The data were from the death report data of 2010 in Wenzhou Health Monitoring Area. The cause of death was classified by ICD-10 for epidemiological analysis. Results: There were 12 445 deaths from malignant tumors in Wenzhou City in 2010 with a mortality rate of 160.87 / 100 000, accounting for 28.99% of all causes of death. The average rate of longevity was 12.99 ‰, with the highest mortality and the number of potential longevity lives. The top 5 malignant neoplasms were lung cancer, liver cancer, gastric cancer, intestinal cancer and esophageal cancer, accounting for 73.40% of the total. The top 5 malignant tumors in men were liver cancer, lung cancer, gastric cancer, esophageal cancer, colorectal cancer, Five malignant tumors were lung cancer, liver cancer, stomach cancer, intestinal cancer and breast cancer. Malnutrition in children aged 0-14 years before death due to leukemia, liver cancer, lung cancer, leukemia accounted for 42.86%. 15 ~ 44 years old liver cancer, lung cancer, gastric cancer, together accounting for 52.97% of this age range. The first three malignant tumors 45 ~ 64 years old were liver cancer, lung cancer and gastric cancer, accounting for 62.49% of the total. The top 3 cancer deaths among residents over the age of 65 were lung cancer, gastric cancer and liver cancer, accounting for 60.77% of the total. Conclusions: Malignant tumor is the first cause of death in Wenzhou residents. Lung cancer, liver cancer, gastric cancer, intestinal cancer, esophageal cancer and female breast cancer are the major malignant tumors.