丽水市居民结直肠癌发病与死亡趋势分析  

Incidence and mortality trends of colorectal cancer in Lishui

作　　者：梅少林[1] 刘晓红[1] 杜冬明 杨延平 尤丹[1] MEI Shaolin;LIU Xiaohong;DU Dongming;YANG Yanping;YOU Dan(Lishui Center for Disease Control and Prevention,Lishui,Zhejiang 323000,China)

机构地区：[1]丽水市疾病预防控制中心,浙江丽水323000

出　　处：《预防医学》2020年第7期666-669,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省医药卫生科技计划项目(2020ZH090);浙江省公共卫生应急检测关键技术重点实验室开放基金资助(浙疾发[2018]33号)。

摘　　要：目的了解2014—2018年丽水市居民结直肠癌发病和死亡特征及其变化趋势,为制定结直肠癌防控措施提供依据。方法通过浙江省慢性病监测信息管理系统收集2014—2018年丽水市居民结直肠癌发病和死亡资料,计算结直肠癌发病率、死亡率和年度变化百分比(APC)等,分析不同性别、年龄和地区居民结直肠癌发病率和死亡率的变化趋势。结果2014—2018年丽水市共报告结直肠癌发病病例4403例,粗发病率和标化发病率分别为34.89/10万和20.99/10万;死亡病例2369例,粗死亡率和标化死亡率分别为18.77/10万和10.17/10万。男性结直肠癌粗发病率和粗死亡率分别为39.71/10万和21.31/10万,均高于女性的29.77/10万和16.08/10万(P<0.05);城市居民和农村居民结直肠癌粗发病率分别为37.24/10万和34.44/10万,粗死亡率分别为19.75/10万和18.45/10万,差异均无统计学意义(P>0.05)。结直肠癌粗发病率和粗死亡率均随年龄增长呈上升趋势。2014—2018年城市居民结直肠癌粗死亡率的APC为11.31%,呈逐年上升趋势(P<0.05)。结论丽水市居民结直肠癌发病率和死亡率较高,应重点关注男性、40岁以上人群和城市居民。Objective To understand the characteristics and trends of colorectal cancer incidence and mortality in Lishui residents from 2014 to 2018,so as to provide basis for the development of prevention and treatment measures of colorectal cancer.Methods The incidence and mortality data of colorectal cancer in Lishui from 2014 to 2018 were collected through the information management system of chronic disease surveillance in Zhejiang Province.The incidence,mortality and annual percentage change(APC)of colorectal cancer were calculated and analyzed in different genders,ages and regions were analyzed.Results From 2014 to 2018,there were 4403 new cases of colorectal cancer in Lishui,with the crude and standardized incidence rate of 34.89/100000 and 20.99/100000,respectively.There were 2369 deaths,with a crude mortality rate of 18.77/100000 and a standardized mortality rate of 10.17/100000.The crude incidence rate and crude mortality rate in males were higher than those in females(39.71/100000 vs.29.77/100000,21.31/100000 vs.16.08/100000,both P<0.05).There were no statistically significant differences between urban and rural residents in the crude incidence rate and crude mortality rate(37.24/100000 vs.34.44/100000,19.75/100000 vs.18.45/100000,both P<0.05).The crude incidence rate and crude mortality rate increased with age.The APC of the mortality rate of colorectal cancer among urban residents was 11.31%,showing an increasing trend from 2014 to 2018(P<0.05).Conclusion The incidence and mortality of colorectal cancer are high in Lishui,and the focus groups are men,people aged over 40 years and urban residents.

关 键 词：结直肠癌 发病率 死亡率 趋势分析 

分 类 号：R735.3[医药卫生—肿瘤]