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目的分析海安县2006-2010年居民恶性肿瘤死亡及寿命损失变化趋势,为制定恶性肿瘤防治规划提供依据。方法利用海安县2006-2010年恶性肿瘤死亡登记报告数据库及人口资料,进行恶性肿瘤死亡率、累积死亡率分析;采用年度变化百分比(APC)分析各种率的时间变化趋势;采用简略寿命表计算去恶性肿瘤死因期望寿命和因恶性肿瘤死亡期望寿命损失百分率;采用直线回归分析去恶性肿瘤死因期望寿命变化趋势;采用潜在减寿年数(YPLL)、标化潜在减寿率(SYPLL)、平均减寿年数(AYLL)进行减寿分析。结果 2006-2010年海安县恶性肿瘤粗死亡率、标化死亡率分别为231.99/105、111.79/105;0~74岁累积死亡率为13.08%;2006-2010年海安县居民平均期望寿命为80.58岁,去恶性肿瘤平均期望寿命为84.38岁,寿命损失3.80年;男、女性去恶性肿瘤死因后期望寿命平均每年分别增加了0.453 9岁和0.448 4岁,呈现明显增长的趋势(P<0.05)。1~69岁居民恶性肿瘤累计PYLL为62 352.5人年,AYLL为5.72人年,SYPLL为18.80‰。结论海安县2006-2010年恶性肿瘤死亡率各年份存在轻微波动,下降趋势不明显,仍位于全死因、减寿顺位第1位。应重点加强对严重影响居民期望寿命的主要癌种进行干预,应用适宜推广技术开展对高危人群恶性肿瘤的早诊、早治工作。
Objective To analyze the trend of death and longevity loss of residents in Haian from 2006 to 2010, and provide the basis for the planning of prevention and treatment of malignant tumors. Methods The malignant tumor death rate and cumulative mortality rate were analyzed by using malignant tumor death registration report database and population data from 2006 to 2010 in Haian County. The annual percentage change (APC) was used to analyze the trend of various rates and the short-term life table The expected life expectancy of malignant tumor and the expected loss of life expectancy due to the death of malignant tumor; Linear regression analysis was used to analyze the change trend of life expectancy of malignant tumor; the potential life expectancy (YPLL), standardized potential reduction of life (SYPLL) Life years (AYLL) for life expectancy analysis. Results The crude mortality rate and the standardized mortality rate of malignant tumors in Hai’an County from 2006 to 2010 were 231.99 / 105 and 111.79 / 105, respectively. The cumulative mortality rate was 0.30% between 0 and 74 years old. The average life expectancy of residents in Hai’an from 2006 to 2010 was 80.58 The average life expectancy of malignant tumors was 84.38 years old and the life expectancy was 3.8 years. The expected life expectancy of male and female patients increased by 0.453 9 years and 0.448 years old respectively after the cause of death of malignant tumors, showing a significant increase trend (P <0.05) . The cumulative PYLL of malignant tumors aged from 1 to 69 years was 62 352.5 person-years, the AYLL was 5.72 person-years, and the SYPLL was 18.80 ‰. Conclusions There is slight fluctuation in the mortality rate of malignant tumor in Hai’an County from 2006 to 2010, but the downward trend is not obvious. It is still the first cause of all-cause death and longevity reduction. Key interventions that seriously affect the life expectancy of residents should be focused on interventions, and appropriate popularization techniques should be used to carry out early diagnosis and early treatment of malignant tumors in high-risk groups.