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目的了解江苏省淮安市2009—2011年肺癌死亡分布特征及寿命损失情况,为肺癌防治提供参考依据。方法对淮安市2009—2011年肺癌发病死亡登记资料进行分析,通过计算粗死亡率、标化死亡率、累积死亡率、潜在寿命损失年(PYLL)、减寿率(PYLLR)和平均减寿年数(AYLL)等指标评价淮安市居民肺癌的死亡及寿命损失情况。结果淮安市居民2009—2011年肺癌的平均粗死亡率为26.90/10万,平均标化死亡率为21.37/10万,0~74岁累积死亡率为2.69%;农村居民平均标化死亡率为22.66/10万,略高于城市居民的20.29/10万;男性居民平均标化死亡率为32.08/10万,明显高于女性居民的11.81/10万;淮安市居民2009—2011年肺癌死亡年龄中位数为69岁,3904例肺癌死亡病例中92.25%的死亡者为50岁以上居民;淮安市2009—2011年肺癌PYLL和AYLL分别为31779和7.5人年,其中男性居民分别为22682和7.6人年,高于女性居民的9097和7.4人年;农村居民肺癌PYLL为16430人年,高于城市居民的15349人年,城乡居民肺癌AYLL均为7.6人年。结论淮安市肺癌死亡率较高,肺癌主要危及中老年人和男性居民,肺癌成为淮安市城乡居民疾病的一大负担。
Objective To understand the distribution of lung cancer deaths and the loss of life expectancy from 2009 to 2011 in Huaian City, Jiangsu Province, and to provide reference for the prevention and treatment of lung cancer. Methods The death registration data of lung cancer from 2009 to 2011 in Huaian City were analyzed. The crude mortality, standardized mortality, cumulative mortality, PYLL, PYLLR and average years of longevity were calculated. (AYLL) and other indicators to assess the death of Huaian residents of lung cancer and loss of life expectancy. Results The average crude death rate of residents in Huaian from 2009 to 2011 was 26.90 / 100 000, the average standardized death rate was 21.37 / 100 000 and the cumulative mortality rate was 0.69% for 0-74 years old. The average standardized death rate of rural residents was 22.66 / 100,000, slightly higher than the urban residents 20.29 / 10 million; the average standardized mortality rate of male residents was 32.08 / 100000, significantly higher than the female residents 11.81 / 100000; Huaian residents 2009-2011 lung cancer death age The median was 69 years. Among the 3904 cases of death from lung cancer, 92.25% of the deaths were those over 50 years of age. The PYLL and AYLL of lung cancer from 2009 to 2011 in Huaian were 31779 and 7.5 years, respectively, of which 22682 were male and 7.6 Year, higher than the female population of 9097 and 7.4 years; rural residents PYLL lung cancer was 16430 person-years, higher than urban residents 15349 person-years, urban and rural residents AYLL lung cancer were 7.6 years. Conclusions Huai’an City has a high mortality rate of lung cancer. Lung cancer mainly affects middle-aged and elderly people and men. Lung cancer has become a major burden for urban and rural residents in Huaian City.