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目的分析克拉玛依市2007-2011年恶性肿瘤死亡情况,为恶性肿瘤防治工作提供依据。方法通过克拉玛依市死因监测系统及全人群全死因回顾性调查数据收集克拉玛依市2007-2011年恶性肿瘤死亡资料,以国际疾病分类(ICD-10)进行分类编码。采用SPSS 18.0软件计算恶性肿瘤死亡率、年龄别死亡率、潜在减寿年数(PYLL)和平均减寿年数(AYLL)等指标。结果 2007-2011年克拉玛依市恶性肿瘤年均死亡率为126.07/10万(男性为166.20/10万、女性为83.95/10万),男性高于女性,差异有统计学意义(P<0.01)。前5位死因依次为肺癌、肝癌、胃癌、食管癌、结直肠和肛门癌。肺癌、胃癌、结直肠和肛门癌的死亡率呈上升趋势。与恶性肿瘤死因顺位不同,居于克拉玛依市居民PYLL前5位的恶性肿瘤分别是肝癌、肺癌、胃癌、结直肠和肛门癌以及白血病;白血病的平均减寿年数(19.03年)位居首位。结论恶性肿瘤严重危害克拉玛依市居民的生命健康,应开展社区综合防治降低恶性肿瘤的危害。
Objective To analyze the death of malignant tumor from 2007 to 2011 in Karamay City and provide basis for the prevention and treatment of malignant tumor. Methods Data of death from malignancies in Karamay from 2007 to 2011 were collected from a retrospective survey of all causes of death in Karamay City. The data were classified by International Classification of Diseases (ICD-10). The data of malignant tumor mortality, age-specific mortality, PYLL and AYLL were calculated by SPSS 18.0 software. Results The average annual death rate of malignant tumors in Karamay from 2007 to 2011 was 126.07 / 100,000 (166.20 / 100,000 for males and 83.95 / 100,000 for females). There was a significant difference between males and females (P <0.01). The top five causes of death were lung cancer, liver cancer, gastric cancer, esophageal cancer, colorectal cancer and anal cancer. Mortality rates in lung, stomach, colorectal and anal cancers are on the rise. In contrast with the rank of the cause of death of malignant tumor, the top 5 malignant tumors of PYLL residents living in Karamay City are liver cancer, lung cancer, gastric cancer, colorectal and anal cancer, and leukemia. The average number of life-years of leukemia (19.03) ranked first. Conclusion Malignant tumors seriously endanger the life and health of residents in Karamay. Comprehensive prevention and treatment should be carried out to reduce the harm of malignant tumors.