2012-2017年云南省蒙自市居民恶性肿瘤死因监测分析  

Surveillance and analysis of death causes of malignant tumors in residents of Mengzi City,Yunnan Province,2012-2017

作　　者：马文月 景正朝 张燕梅 杨顺玲 陈朝禧 王益民[1] MA Wen-yue;JING Zheng-chao;ZHANG Yan-mei;YANG Shun-ling;CHEN Chao-xi;WANG Yi-min(School of Public Health,Lanzhou University,Lanzhou 730000,P.R.China;Mengzi City Center for Disease Prevention and Control,Mengzi 661100,P.R,China)

机构地区：[1]兰州大学公共卫生学院,甘肃兰州730000 [2]蒙自市疾病预防控制中心慢非传科,云南蒙自661100

出　　处：《中华肿瘤防治杂志》2020年第24期1945-1949,共5页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的通过对蒙自市死因监测数据进行分析,掌握其流行病学特征,为蒙自市恶性肿瘤的综合防治工作提供科学依据。方法收集2012-01-01-2017-12-31蒙自市恶性肿瘤死因监测数据,按照国际疾病分类标准(ICD-10)进行编码,应用DeathReg 4、Excel 2016、SPSS 24.0软件对居民恶性肿瘤死亡水平和特征进行统计学分析。结果2012-2017年蒙自市恶性肿瘤粗死亡率为75.49/10万,中标率为90.58/10万,世标率为87.39/10万,男性恶性肿瘤死亡率高于女性(χ2=6877.03,P<0.01)。恶性肿瘤死因首位为肺癌,其后依次为肝癌、胃癌、结直肠癌和白血病等,前10位恶性肿瘤死亡病例占全部恶性肿瘤死亡的84.80%。死亡率随年龄的增长呈上升趋势,不同年龄组主要恶性肿瘤死亡构成不同。去除恶性肿瘤这一死因后,期望寿命为76.12岁;因恶性肿瘤死亡造成的潜在减寿年数为26140.06人年,减寿率为10.27‰,平均减寿年数为13.61岁。结论肺癌、肝癌、胃癌已成为严重危害蒙自市居民健康的主要恶性肿瘤,应根据不同年龄、性别采取有针对性的综合防治策略以降低恶性肿瘤死亡率。OBJECTIVE To understand the death status of malignant tumors of residents in Mengzi City,Yunnan Province,this study analyzed the data of death causes in Mengzi City and grasps its epidemiological characteristics to provide a scientific basis for the comprehensive prevention and treatment of malignant tumors in Mengzi City.METHODS The data on the cause of death of malignant tumors in Mengzi City from January 1,2012 to December 31,2017 was collected,which was coded according to the International Classification of Diseases(ICD-10).The data was analyzed by using the DeathReg4,Excel 2016,SPSS24.0 software.RESULTS From 2012 to 2017,the crude mortality rate of malignant tumors in Mengzi City was 75.49/100000,the China standard rate was 90.58/100000,and the world standard rate was 87.39/100000.The mortality rate of male malignant tumors was higher than that of females(χ2=6877.03,P<0.01).The first cause of malignant tumor death was lung cancer,followed by liver cancer,gastric cancer,colorectal cancer and leukemia.The top 10 malignant tumor deaths accounted for 84.80%of all malignant tumor deaths.Mortality increased with age,and the deaths of major malignant tumors in different age groups were different.The average life expectancy of residents with malignant tumor death was 76.12 years old;the potential years of life lost due to malignant tumor death was 26140.06 person-years,the potential years of life lost rate was 10.27‰,and the average years of life lost was 13.61 years old.CONCLUSIONS Lung cancer,liver cancer and gastric cancer have become the major malignant tumors that seriously harms the health of residents in Mengzi City.Targeted comprehensive prevention and treatment strategies should be adopted according to different ages and genders to reduce the mortality of malignant tumors.

关 键 词：恶性肿瘤 死亡率 死因顺位 潜在减寿年数 

分 类 号：R730.1[医药卫生—肿瘤]