开封县居民消化系统恶性肿瘤死亡率分析  

Analysis on mortality of digestive system cancer from 1988 to 2005 in Kaifeng county,China

作　　者：付莉[1] 崔亚玲[2] 耿振新 李海冰 马师 吕全军[4] 陆维权[2] 

机构地区：[1]郑州铁路职业技术学院基础医学部,郑州450052 [2]河南省肿瘤研究所 [3]河南省开封县卫生防疫站 [4]郑州大学公共卫生学院

出　　处：《中国公共卫生》2008年第5期534-535,共2页Chinese Journal of Public Health

基　　金：河南省社会公益预研专项资金项目(0641130206)

摘　　要：目的探讨河南省开封县居民消化系统恶性肿瘤死亡率的流行病学特征。方法取自河南省开封县肿瘤登记报告办公室1988-2005年恶性肿瘤死亡资料,按常用卫生统计方法计算死亡率、中国标准人口死亡率（1982）和世界标准人口率（1965）,标化死亡率年均变化百分比用对数线性回归计算。结果开封县居民恶性肿瘤年均死亡率男女性分别为95.09/10万和59.13/10万;标化率为117.41/10万和57.15/10万。男女性消化系统恶性肿瘤死亡分别占全部肿瘤死亡为63.91%和56.79%。趋势分析显示：男性肝癌标化死亡率上升趋势显著,年均增加5.07%。同时,男女性食管癌呈显著下降趋势,年降幅为7.09%和13.53%。结论近20年来,开封县部分消化系统恶性肿瘤死亡率有显著的时间变动趋势。Objective To investigate characteristic distribution and time trend of cancer mortality in Kaifeng county, Methods The cancer mortality was analyzed using the data from registry on malignant tumors deaths in Kaifeng county during 1988 to 2005. Age - standarized mortality rate adjusted by standard population with direct methods, and annual percentage change（APC） of mortality were estimated by a linear regression of the logarithm. Results The crude cancer mortality was 95.09/100,000 and 59.13/100,000, age - standarized mortality was 117.41/100, 000 and 57.15/100,000 for male and female respectively. Over the 18 - years period, the age - standarlzed mortality rate significantly increased for liver cancer （APC = 5.07 % ） in males, and the rates significantly decreased for esophageal cancer in both of sexes（APC = - 7.09 %, APC = - 13.53 % ）. During the same time, the rates for all cancers combined and other sites of cancer showed a nonsignificant change. Conclusion From 1988 to 2005, the mortality rates for some of common digestive system cancer varied significantly in Kaifeng county.

关 键 词：恶性肿瘤 死亡率 趋势 回归分析 

分 类 号：R735[医药卫生—肿瘤]