2004——2005年中国脑部肿瘤死亡率描述性分析  

A descriptive analysis of mortality of brain tumor in China during 2004 -2005

作　　者：许林平[1] 马雅婷[2] 全培良[3] 陆建邦[3] 孙喜斌[3] 

机构地区：[1]河南省肿瘤医院科研科,郑州450008 [2]河南省郑州市中心医院护理部 [3]河南省肿瘤医院肿瘤防治研究办公室

出　　处：《中华预防医学杂志》2010年第5期413-417,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：目的分析我国人群脑肿瘤死亡水平及不同时期死亡率的变化情况。方法从全国第3次死因回顾抽样调查（2004-2005年）数据库中抽取脑及中枢神经系统肿瘤死亡记录，与相应的人口数据联接（共调查142660482人年，男性72970241人年，女性69690241人年）。分别计算粗死亡率、年龄别死亡率、肿瘤死因构成比、中国人口标化死亡率（简称中标率）和世界人口标化死亡率（简称世标率），并与中国前2次死因回顾调查（1973—1975年和1990--1992年）的脑肿瘤死亡统计指标进行比较。结果2004--2005年中国脑肿瘤死亡4463例，粗死亡率为3．13／10万，占全部恶性肿瘤死亡（193841例）的2．30％，中标率为2．37／10万，世标率为2．90／10万。其中，男性死亡2556例，粗死亡率为3．50／10万，女性死亡1907例，粗死亡率为2．74／10万；中标率分别为2．71／10万和2．03／10万，世标率分别为3．31／10万和2．48／10万。脑肿瘤年龄别死亡率随年龄的增长而升高。城市与农村居民脑肿瘤粗死亡率分别为3．78／10万（1809／47899806）、2．80／10万（2654／94760676）；中标率分别为2．71／10万和2．20／10万。中国东、中及西部地区的粗死亡率分别为3．60／10万（1894／52556694）、3．14／10万（1565／49781225）、2．49／10万（1004／40322563）；中标率分别为2．57／10万、2．43／10万和2．02／10万。脑肿瘤粗死亡率比第1次调查（1973—1975年）时的1．13／10万上升了176．99％，中标率（第1次调查为1．10／10万）上升了115．45％；相比第2次调查数据（粗死亡率为1．89／10万，中标率为1．74／10万），则分别上升了65．61％和36．21％。结论中国脑肿瘤死亡率呈上升趋势，男性居民脑肿瘤死亡率高于女性，不同地区间的死亡率存在较大差异。Objective To analyze the level of mortality of brain tumor and its changes at different periods in China. Methods Death records for tumor of brain and central nervous system, which the code of international classification of diseases-10 （ICD-IO） were C70 -C72 ,were extracted from the database of the Third National Retrospective Sampling Survey of Death Causes in China during 2004 to 2005. The corresponding population data was linked to the data of death records, that the total population was 142 660 482 person years （72 970 241 person years in male,69 690 241 person years in female）. Then crude death rate, age-specific death rate, the constitute proportion to all death caused by tumor and the age- standardized death rate were calculated by taking reference of Chinese standard population or the world standard population. The indexes of mortality were compared with that of previous retrospective surveys of death causes at 1973 - 1975 and 1990 - 1992. Results The result showed that during 2004 to 2005, the number died from brain tumor was 4463 and the crude death rate in China was 3.13/100 000, which accounted for 2. 30% of the all number died from tumor （ 193 841 cases）. The age-standardized death rate by Chinese standard population was 2. 37/100 000 and the age-standardized death rate by the world standard population was 2. 90/100 000. Of which, there were 2556 death cases for males with crude death rate of 3.50/100 1300. While for females, the crude death rate was 2. 74/100 000 （1907 death cases）. Age- standardized death rates by Chinese standard population in male and female were 2.71/100 000 and 2. 03/100 000 respectively. The age-standardized death rate by world standard population was 3.31/100 000 for male and for female that was 2.48/100 1300. The age-specific death rate of brain tumor in China was increasing as age growing. The crude death rates were 3.78/100 000（ 1809/47 899 806）,2. 80/100 000 （2654/94 760 676 ）, and the age-standardized death rates by Chinese standard population we

关 键 词：脑肿瘤 死亡率 人口统计学 

分 类 号：R739.4[医药卫生—肿瘤]