2004-2005年中国肺癌死亡情况分析  

An analysis of lung cancer mortality in China, 2004 - 2005

作　　者：陈万青[1] 张思维[1] 邹小农[1] 赵平[1] 

机构地区：[1]中国医学科学院肿瘤医院肿瘤研究所全国肿瘤防治研究办公室,北京100021

出　　处：《中华预防医学杂志》2010年第5期378-382,共5页Chinese Journal of Preventive Medicine

基　　金：卫生部、科技部全国第三次死因回顾抽样调查项目

摘　　要：目的分析我国2004--2005年肺癌死亡的分布特点及流行趋势。方法2004--2005年全国第3次死因回顾抽样调查共调查142660482人年，其中男性72970241人年，女性69690241人年。从中抽取气管、支气管和肺恶性肿瘤死亡记录。根据不同性别，城乡和东、中、西部地区的划分，分别计算粗死亡率、年龄别死亡率、地区别死亡率、肿瘤死因构成比、中国人口标化死亡率（简称中标率）、世界人口标化死亡率（简称世标率）及死因顺位，并与中国前2次死因回顾调查（1973—1975年和1990--1992年）的肺癌死亡统计指标进行比较。结果2004--2005年全国死因抽样调查肺癌共死亡43993例，粗死亡率为30．84／10万，中标率为20．24／10万，世标率为27．62／10万，占被调查全部恶性肿瘤死亡（193841例）的22．70％；男性死亡30167例，粗死亡率为41．34／10万；女性死亡13826例，粗死亡率为19．84／10万。肺癌年龄别死亡率随年龄的增加而增加。城市中肺癌粗死亡率为40．98／10万（19628／47899806），在城市肿瘤死因顺位中排第1位，占城市全部恶性肿瘤死亡（71936例）的27．29％；农村粗死亡率为25．71／10万（24365／94760676），仅次于肝癌排第2位，占农村全部恶性肿瘤死亡（121905例）的19．99％。全国东、中、西部不同地区肺癌的死亡率也明显不同，粗死亡率最高的是东部地区，为37．85／10万（19893／52556694）；西部地区最低为21．76／10万（8774／40322563）。肺癌粗死亡率与1990--1992年第2次死因调查（粗死亡率为17．54／10万）相比上升了75．83％，与1973--1975年第1次调查（粗死亡率为5．46／10万）比较，上升了464．84％，呈明显上升趋势。结论肺癌是影响我国城市居民健康的主要恶性肿瘤，其死亡水平呈上升趋势。Objective To analyze the mortality distribution characteristics and epidemiological trend of lung cancer in 2004 -2005 in China. Methods A total of 142 660 482 person years （72 970 241 person years in male,69 690 241 person years in female）was covered in the Third National Retrospective Sampling Survey of Death Causes in China,2004 -2005. All death records of cancer of trachea, bronchus and lung were extracted. According to the different variations such as gender, urban or rural areas and three territory regions-Eastern, Central and Western China for lung cancer deaths, crude, age-adjusted, area- adjusted death rate, the constitute proportion to all cancer deaths, age-standardized death rate by Chinese standard population and by world standard population and rank of cancer-specific mortality were calculated. The statistic indexes of mortality were compared with that of previous retrospective death surveys in 1973 - 1975 and 1990 - 1992. Results In the National Death Survey 2004 - 2005, there were 43 993 deaths caused by lung cancer with crude death rate of 30. 84/100 000, age-standardized death rate by Chinese standard population of 20. 24/100 000 and 27.62/100 000 by world standard population, acounted for 22. 70% of total cancer deaths （193 841 cases）. There were a total of 30 167 cancer deaths in male with crude death rate of 41.34/100 000 and 13 826 in female with crude death rate of 19. 84/100 000. Lung cancer mortality was increased with age. In urban areas, the lung cancer was ranked the first cancer death causes with crude death rate of 40. 98/100 000（ 19 628/47 899 806） ,acounted for 27.29% of all cancer deaths. While in rural areas, the lung cancer was the second cancer death following liver cancer with crude death rate of 25.71/100 000 （24 365/94 760 676 ）, acounted for 19.99% of all cancer deaths （ 121 905 eases）. There were different death rates by different location division. Lung cancer crude death rate in east was the highest with rate of 37.85/100 000（ 19 893/52 556 694） a

关 键 词：肺肿瘤 死亡率 人口统计学 

分 类 号：R734.2[医药卫生—肿瘤]