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目的了解2002~2004年泰安市大汶河主干流域研究区及对照区居民的主要恶性肿瘤的疾病负担。方法对泰安市大汶河主干流域研究区及对照区进行恶性肿瘤为主的死因回顾性调查,按“ICD-10”对死因资料整理分类,应用减寿年数(YPLL)、平均减寿率(YPLL率)、标化减寿率(SYPLL率)、平均减寿数(AYLL)、潜在工作损失年数(WYPLL)、潜在价值损失年数(VYPLL)等指标进行分析。结果2002~2004年泰安市大汶河主干流域肿瘤YPLL率达14.75‰,AYPLL为8.37人年,平均WYPLL为5.92人年,平均VYPLL为1.28人年,居全死因YPLL位次第1位;肝癌列主要恶性肿瘤YPLL率第1位;男、女性YPLL位次有所不同,男性SYPLL率普遍高于女性;大汶河主干流域研究区上游SYPLL率显著低于中下游(P<0.001)。结论恶性肿瘤是泰安市大汶河主干流域研究区影响当地居民健康和寿命的主要疾病,尤以肝癌为甚;中下游是重点地区,应在该地区开展长期的肿瘤监测和防治研究,努力降低肿瘤对人群的危害。
Objective To understand the disease burden of the major malignant tumors in Dawenhe River Basin in Tai’an City from 2002 to 2004. Methods A retrospective study was conducted on the causes of death from malignant tumors in Dawenhe River Basin and the control area in Tai’an City. According to the “ICD-10” data, the causes of death were classified and classified according to the data of YPLL, YPLL rate, SYPLL rate, AYLL, WYPLL, VYPLL and other indicators were analyzed. Results From 2002 to 2004, the YPLL rate of the tumors in Dawenhe River Valley of Taian City was 14.75 ‰, the average length of AYPLL was 8.37 years, the average WYPLL was 5.92 years, the average VYPLL was 1.28 years, ranking first in all causes of YPLL; The YPLL rate of the major malignant tumors ranked the first place. The male and female YPLL ranked differently. The rate of SYPLL in males was generally higher than that in females. The SYPLL rate in the upper reaches of the Dawenhe River Basin was significantly lower than that in the middle and lower reaches (P <0.001). Conclusions Malignant tumor is the main disease affecting the health and longevity of local residents in the Dawenhe River Main Basin of Tai’an City, especially for hepatocellular carcinoma; the middle and lower reaches are the key areas, and long-term cancer surveillance and prevention and control research should be conducted in this area with a view to reducing Tumor damage to the population.