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[目的]探讨庄河地区2004～2010年胃癌死亡情况及其变化趋势。[方法]利用庄河地区全死因登记报告资料,收集2004～2010年所有恶性肿瘤死亡病例信息,计算胃癌死亡率、中国标准人口死亡率(2000年)和世界标准人口死亡率(2000年),标化死亡率年均变化百分比用对数线性回归计算。[结果]2004～2010年庄河地区共计2 101例胃癌死亡病例,其中男性1 470例,女性631例,占恶性肿瘤死因构成的20.05%,居第2位。胃癌粗死亡率男性为45.36/10万,女性为19.86/10万。男性死亡率是女性的2.28倍,胃癌死亡率在男性和女性中均随年龄增长而增加。7年间胃癌死亡率明显下降,在总人群中变化率为每年-12.11%(95%CI:-11.20%～-13.01%),男性为-11.38%(95%CI:-10.36%～-12.40%),女性为每年-14.38%(95%CI:-11.83%～-16.86%)。[结论]庄河胃癌死亡率明显下降,这可能与当地经济水平提高及胃癌综合防治措施的实施有关。但当地胃癌死亡率仍高于全国平均水平,应继续完善恶性肿瘤监测系统,以指导胃癌病因及早诊早治工作,进一步降低胃癌死亡率。
[Objective] To investigate the death status of gastric cancer in Zhuanghe District from 2004 to 2010 and its changing trend. [Methods] According to the registration report data of all causes of death in Zhuanghe district, the information of all malignant tumor deaths from 2004 to 2010 was collected to calculate the mortality rate of gastric cancer, the standard population mortality in China (2000) and the world standard population mortality rate (2000) The average percent change in standardized mortality was calculated using log-linear regression. [Results] A total of 2 101 cases of gastric cancer deaths were found in Zhuanghe District during 2004-2010, including 1 470 males and 631 females, accounting for 20.05% of the total deaths from malignant tumors, ranking the second place. The crude death rate of gastric cancer was 45.36 / lakh and 19.86 / lakh for females. Male mortality is 2.28 times that of women, and gastric cancer mortality increases with age in both men and women. The 7-year mortality rate of gastric cancer was significantly decreased. The rate of change in the general population was -12.11% (95% CI: -11.20% -13.01%) and -11.38% (95% CI -10.36% -12.40% ), And -14.38% (95% CI: -11.83% -16.86%) in women each year. [Conclusion] The mortality rate of gastric cancer in Zhuanghe River dropped significantly, which may be related to the improvement of local economy and the implementation of integrated gastric cancer prevention and treatment measures. However, the local gastric cancer mortality rate is still higher than the national average, should continue to improve the malignant tumor monitoring system to guide the etiology and early diagnosis and treatment of gastric cancer to further reduce the mortality of gastric cancer.