淮安市2009-2011年居民主要恶性肿瘤发病死亡分析  

Analyses on the incidence and mortality of major cancers in Huai'an city from 2009 to 2011

作　　者：胡伟[1] 潘恩春[1] 张芹[1] 杜云翔 山顺林 何源[1] 

机构地区：[1]淮安市疾病预防控制中心,江苏淮安223001 [2]解放军第八二医院,江苏淮安223001

出　　处：《现代预防医学》2014年第5期834-838,共5页Modern Preventive Medicine

基　　金：江苏省卫生厅预防医学基金(YZ201008);南京军区医学科技创新经费资助项目(08MA036)

摘　　要：目的了解2009-2011年淮安市主要恶性肿瘤发病及死亡情况。方法采用描述性流行病学方法对2009-2011年淮安市8县区恶性肿瘤登记报告资料进行整理汇总,按性别、年龄、恶性肿瘤类型等进行统计分析。结果 2009-2011年淮安市恶性肿瘤年均粗发病率205.60/10万、标化率为166.22/10万,年均粗死亡率为153.88/10万、标化率为122.14/10万,标化率与全国高发地区数据相近。恶性肿瘤死亡占同期全死因构成比为26.59%。男女性恶性肿瘤年均粗发病率为246.79/10万、162.09/10万,粗死亡率为189.79/10万、115.94/10万,不同性别肿瘤发病(死亡)率差别均有统计学意义(u=36.90,P<0.01;u=37.22,P<0.01)。随着年龄的增长,恶性肿瘤发病(死亡)相应增长,35岁以上发病(死亡)数占总病例数的97.68%和98.15%。城市恶性肿瘤年发病率明显高于农村(P<0.01)。发病率居前5位的恶性肿瘤分别为食管癌、胃癌、肺癌、肝癌和结直肠癌,约占全部新发病例的77.21%。死亡居前5位的恶性肿瘤分别为食管癌、肺癌、肝癌、胃癌和结直肠癌,约占全部肿瘤死亡病例的80.81%。食管癌、胃癌、肺癌、肝癌和结直肠癌等5种恶性肿瘤的平均减寿年数分别为6.21、7.51、15.43、6.20和9.20。结论淮安市恶性肿瘤呈高发状态,食管癌、胃癌、肺癌、肝癌和结直肠癌在恶性肿瘤发病及死亡中占很大比重,应积极开展健康教育和健康促进工作,加大危险因素干预,结合早诊早治工作开展肿瘤综合防治工作。Objective To study the incidence and mortality of the major cancers in Huaian city from 2009 to 2011 and provide a scientific basis for the prevention and treatment of cancer in Huaian city. Methods The data about cancer incidence and mortality from 2009 to 2011 were provided by 8 County Cancer Registry in Huai＇an. The data were analyzed with descriptive epidemiology method by age, gender, and cancer sites. Results The crude incidence rate for all cancer sites was 205.60/10 0000 during 2009-2011 in Huaian city. Meanwhile, the standardized rate was 166.22/10 0000 and similar to the whole national level. The crude mortality rate for all cancer sites was 153.88/10 0000 and the standardized rate was 122.14/10 0000. The standardized rate was more than the whole national level. The constituent ratio of malignant tumors accounted for the total death was 26.59%. The crude incidence rates for men and women were 246.79/10 0000, 162.09/10 0000, and the crude death rates were 189.79/10 0000, 115.94/10 0000, respectively. The difference of cancer incidence rate between genders was significant, and so the mortality （u=36.90, P〈0.01; u=37.22, P〈0.01）. The crude incidence and morbidity rate were increased with age, and aged above 35 account- ed for 97.68% and 98.15%. Both the crude and standardized incidence rates were higher in urban area than in rural area for men as well as women （P〈0.01）. The top five cancers with highest incidence rate in order were esophageal cancer, gastric cancer, lung can- cer, liver cancer, and colorectal cancer, the constituent ratio of the five malignant tumors accounted for total was 77.21%. The top five cancers with highest death rate in order were esophageal cancer, lung cancer, liver cancer, gastric cancer, and colorectal cancer, the constituent ratio of the five malignant tumors accounted for total was 80.81%. The average years of life lost of esophageal cancer, lung cancer, liver cancer, gastric cancer, colorectal cancer was 6.21, 7.51, 15.43, 6.20 and 9.20, respectively. Conclu

关 键 词：恶性肿瘤 发病 死亡 

分 类 号：R73[医药卫生—肿瘤]