淮安市老年人恶性肿瘤发病及死亡分析  

Analyses on cancer incidence and mortality of elderly in Huai'an city

作　　者：张芹[1] 杨成[2] 潘恩春[1] 山顺林 杜云翔 胡伟[1] 

机构地区：[1]淮安市疾病预防控制中心,江苏淮安223001 [2]徐州医学院公共卫生学院,江苏徐州221000 [3]解放军第八二医院肿瘤科,江苏淮安223001

出　　处：《中华肿瘤防治杂志》2014年第11期811-815,共5页Chinese Journal of Cancer Prevention and Treatment

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：通过对淮安市2009-2011年老年人恶性肿瘤发病及死亡特征进行分析，为淮安市老年人恶性肿瘤的防治提供依据。方法：利用淮安市恶性肿瘤登记报告工作收集的淮安市2009～2011年老年人恶性肿瘤发病及死亡数据，分析恶性肿瘤的流行病学特征。结果：2009-2011年淮安市≥60岁人群恶性肿瘤发病率为1012．26／10万，男性1354．60／10万，女性703．77／10万，男性发病率明显高于女性，χ2=580．32，P〈0．05。平均年死亡率835．40／10万，男性1105．33／10万，女性592．16／10万，男性死亡率明显高于女性，χ2=1607．95，P〈0．05。发病居前10位的肿瘤依次是食管癌、胃癌、肺癌气管支气管、肝癌、结直肠癌肛门、胰腺癌、乳腺癌、口腔癌、膀胱癌和胆囊及其他，占所有恶性肿瘤发病的90．29％。死亡居前10位的是食管癌、肺癌气管支气管、胃癌、肝癌、结直肠癌肛门、胰腺癌、脑及中枢神经系统肿瘤、淋巴瘤、白血病和胆囊及其他，占所有恶性肿瘤死亡的75．98％。全市老年人恶性肿瘤发病率随年龄增长而升高，在75～岁年龄组达到高峰，之后随年龄升高而下降，死亡率则在80～岁年龄组达到高峰。2009-2011年全市老年人发病率分别为882．03／10万、1022．29／10万和1136．96／10万，随着时间的推移发病率不断增高，χ2=220．43，P〈0．05；城市（χ2=114．18，P〈0．05）与农村（χ2=111．08，PdO．05）发病率均随着时间的推移不断增高。死亡率随着时间的推移略有增高，变化不大，χ2=0．74，P〉o．05。城市地区死亡率随着时间的推移不断增高，χ2=17．42，P〈0．05，而农村地区则不断降低，χ2=9．52，P〈0．05。结论：淮安地区老年人恶性肿瘤发病率、死亡率均处于较高水平，应进一步加强老年人恶性肿瘤防治。OBJECTIVE：To investigate the cancer incidence and mortality of elderly in Huai＇ an area, from 2009 to 2011. METHODS：The data on cancer incidence and mortality of elderly were provided by Cancer Registry of Huai＇an City. Cancer epidemiologic characteristics of elderly from this district were analyzed. RESULTS： From 2009 to 2011, cancer incidence in over 60 years old people in Huai＇an area was 1 012.26/105 （male 1 354.60/105 ,females 703.77/105 ） ,cancer mortality was 835.40/105 （male 1 105.33/105 ,females 592：16/105 ） ,both of them in men were higher than that in women （χ2== 580.32, P〈0.05;χ2= = 1 607.95, P〈0.05）. The top ten of the highest incidence-rate was esophageal, gastric, lung （including the trachea, bronchi） liver, colon and rectum （including anal）, pancreatic, breast, oralcavity, urinary bladder and the gallbladder cancers, which accounted for 90.29 % of all cancers. The top ten of the highest mortality rate were esopha- geal, lung （including the trachea, bronchi）, gastric, liver, colon and rectum （ including anal）, pancreatic, brain and central nervous system, lymphoma,leukemia and the gallbladder cancers, which accounted for 75.98% of all cancers. The cancer incidence rate was increased with age,the peak period was m age group of 80s, and after 80s it decreased. The mortality rate was also increased with age,but the peak period was in age group of 75s. The cancer incidence from 2009 to 2011 were 882.03/105 ,1 022.29/105 and 1 136.96/105 ,respectirely （χ2=220.43,P〈0.05） ,and there was no difference between urban area and rural area（χ2= = 114. 18,P〈0. 05;χ2== 111. 08,P〈0. 05）. The cancer mortality from 2009 to 2011 was not increased over time generally （χ2= = 0.74,P〈0.05）,but in urban area it was increased over time（χ2= = 17.42,P〈0. 05） and in rural area it decreased over time （χ2= = 9.52, P〈0.05）. CONCLUSION： The incidence and mortality rates of cancer in eld- erly in Huai＇ an area are both at high levels, treat

关 键 词：老年人 恶性肿瘤 发病率 死亡率 

分 类 号：R73-31[医药卫生—肿瘤]