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目的了解2000—2009年天津市塘沽居民恶性肿瘤死亡病因和死亡率变化趋势。方法死亡资料来源于天津市塘沽疾病预防控制中心2000—2009年死亡原因年报表,将死因按照ICD-10编码,计算10年间恶性肿瘤的死亡率、标化死亡率、死因构成和死因顺位。结果 2000—2009年塘沽恶性肿瘤平均死亡率为153.34/10万,标化死亡率为107.45/10万。男性粗死亡率是女性的1.26倍,差别有统计学意义(χ2=93.83,P<0.01)。居前5位的恶性肿瘤分别是肺癌、肝癌、胃癌、肠癌、食管癌,占全部恶性肿瘤死亡人数的72.70%。肠癌死亡率上升较明显,2009年与2000年比较,男性上升了40.91%,女性上升了65.10%;肺癌死率一直居恶性肿瘤死亡首位,平均死亡率为59.00/10万,占全部恶性肿瘤死亡人数的38.48%。结论 10年间恶性肿瘤始终是塘沽居民首位死因,男性恶性肿瘤死亡率高于女性。肺癌位于恶性肿瘤死亡的首位,肠癌死亡率上升较明显。
Objective To understand the trends of mortality and mortality of malignant tumors in residents of Tanggu, Tianjin from 2000 to 2009. Methods Death data were sourced from the annual report of causes of death in the Tanggu Center for Disease Control and Prevention in Tianjin from 2000 to 2009. The causes of death were coded according to ICD-10. The mortality, standardized mortality, cause of death, and cause of death of malignant tumors were calculated over a 10-year period. Results From 2000 to 2009, the average mortality of Tanggu malignant tumors was 153.34/100000, and the standardized mortality rate was 107.45/100000. The crude death rate for males was 1.26 times that of women, and the difference was statistically significant (χ2=93.83, P<0.01). The top five malignant tumors were lung cancer, liver cancer, gastric cancer, colon cancer, and esophageal cancer, accounting for 72.70% of all malignant tumor deaths. The mortality rate of colon cancer increased significantly. Compared with 2000, men’s increased by 40.91% and women’s increased by 65.10%. The death rate of lung cancer has ranked first in malignant tumors, with an average mortality rate of 59.00 per 100,000, accounting for all malignancies. 38.48% of the death toll. Conclusion Malignant tumors have always been the first cause of death among residents of Tanggu in 10 years, and the mortality of male malignant tumors is higher than that of women. Lung cancer is the first place in the death of malignant tumors, and the mortality rate of intestinal cancer is more obvious.