2004-2013年沈阳市肺癌发病流行病学分析  

Epidemiology of lung cancer in Shenyang City, 2004-2013

作　　者：王慧文[1] 潘秀丹[1] 

机构地区：[1]沈阳医学院公共卫生学院,辽宁沈阳110034

出　　处：《现代预防医学》2015年第19期3479-3481,3514,共4页Modern Preventive Medicine

摘　　要：目的分析2004-2013年沈阳市肺癌发病的分布特征和变化趋势。方法利用SPSS 13.0计算粗发病率、标化发病率、年龄别发病率、平均发病年龄、男女发病率性别比值,并分析男女肺癌病理类型及其变化。结果2004-2013年沈阳市肺癌发病率为61.89/10万,标化发病率为56.08/10万,与2004年相比,2013年沈阳肺癌粗发病率由48.60/10万上升到64.61/10万,平均增长速度为3.21%,男性平均增长速度为3.13%,女性为3.48%;肺癌平均发病年龄为（66.78±11.90）岁。男女肺癌年龄别发病率随着年龄的增长而增高,均在80～岁组达到最高,且各年龄组发病率均是男性高于女性;男女肺癌发病率比值由1.79降低到了1.74。2004年肺癌患者病理类型以鳞癌为主,2013年以腺癌和小细胞癌为主。结论沈阳市男女肺癌粗发病率均呈上升趋势,女性增长速度快于男性,肺腺癌和小细胞癌构成比明显上升。Objective To analyze the characteristic and trend of the morbidity of lung cancer about the residents in Shenyang City, 2004-2013. Methods We calculated the crude incidence rates, standard incidence rates, age-specific incidence rates, average ages of the incidence of lung cancer and sex ratio of incidence rate between male and female by the SPSS 13.0. Results The crude incidence rate and standard incidence rate of lung cancer were 61.89 and 56.08 per 105 in Shenyang City respectively, in 2004-2013. Compared to 2004, the crude incidence rate of lung cancer raised from 48.60 per 105 to 64.61 per 105 with the average growth speed of 3.21% （3.13% in male and 3.48% in female）. The average age of the incidence of lung cancer was 66.78 ＋ 11.90 years old. The age-specific incidence rate raised with the increas of age, and it reached the highest level in the group with the age above 80 years old, and the incidence rate of male was higher than that of female in each age group. The sex ratio of incidence rate between male and female decreased from 1.79 to 1.74. The squamous cell carcinoma was the main pathological type in 2004, where adenocarcinoma and small cell lung cancer became the main pathological type in 2013. Conclusion The crude incidence rates of lung cancer both in male and female have an increasing trend, while the average speed of growth in female is higher than that in male, meanwhile the ratio of adenocarcinoma and small cell lung cancer has increased significantly.

关 键 词：肺癌 发病率 变化趋势 

分 类 号：R181.23[医药卫生—流行病学]