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目的分析恶性肿瘤对重庆市居民所造成的疾病负担,比较健康评价指标的差别。方法用伤残调整生命年(DALY)评价恶性肿瘤的疾病负担,并与传统健康评价指标患病率和死亡率进行比较。结果伤残损失生命年(YLD)与患病率比较,前4位疾病的顺位一致,其他疾病的顺位有差别;DALY与死亡率比较,前6位和第9位疾病的顺位一致,其他疾病的顺位有差别;重庆市城市居民2000年恶性肿瘤的疾病负担按DALY排序,前5位依次为肺癌、肝癌、结/直肠癌、胃癌和食管癌。结论用DALY指标评价疾病对人群健康的危害综合性更好,考虑了人的社会价值等因素,重庆市居民恶性肿瘤的防治重点为肺癌、肝癌、结/直肠癌、胃癌和食管癌。
Objective To analyze the burden of diseases caused by malignant tumors on residents in Chongqing and to compare the difference of health evaluation indexes. Methods Disability-adjusted life-years (DALY) were used to assess the disease burden of malignancies and compared with the prevalence and mortality of traditional health indicators. Results Compared with the prevalence of disability lost life years (YLD), the top 4 diseases were in the same order of magnitude and the rankings of other diseases were different. Compared with the mortality rate, the rankings of the first six and ninth diseases were the same , There is a difference in the order of other diseases; the burden of disease of malignant tumors in urban residents in 2000 was ranked by DALY, with the top five followed by lung cancer, liver cancer, node / rectal cancer, gastric cancer and esophageal cancer. Conclusion The DALY index to evaluate the health risks of the disease is more comprehensive. Considering the social value of people and other factors, the prevention and treatment of malignant tumors in Chongqing residents are lung cancer, liver cancer, node / rectal cancer, gastric cancer and esophageal cancer.