2015-2017年四川省南充市死因监测地区居民恶性肿瘤死亡水平及寿命损失分析  

Analysis of mortality rate and potential years of life lost of cancer in Nanchong,2015 to 2017

作　　者：潘秋予 刘宇丹 杨千三[3] 杨帆 邹雪平[3] 吴鹏[3] 田小兵 PAN Qiu-yu;LIU Yu-dan;YANG Qian-san;YANG Fan;ZOU Xue-ping;WU Peng;TIAN Xiao-bing(Tibet University Medical College,Lhasa 850000,China;Department of Preventive Medicine,North Sichuan Medical College,Nanchong 637100,China;Department of Chronic Non-communicable Diseases,Nanchong Center for Disease Control and Prevention,Nanchong 637000,China;Department of Medical Records Statistics,Nanchong Central Hospital,Nanchong 637000,China)

机构地区：[1]西藏大学医学院,西藏拉萨850000 [2]川北医学院预防医学系,四川南充637100 [3]南充市疾病预防控制中心慢性非传染病防控科,四川南充637000 [4]南充市中心医院病案统计科,四川南充637000

出　　处：《中华肿瘤防治杂志》2021年第9期637-643,共7页Chinese Journal of Cancer Prevention and Treatment

基　　金：南充市多中心健康管理队列设计与数据平台建设项目(18SXHZ0164);南充市社科研究“十三五”规划2019年度项目(NC2019B06,NC2019C022);四川省社会科学高水平研究团队“四川省基层卫生事业发展研究团队”基金资助〔川社联发(2017)43号〕。

摘　　要：目的分析2015-2017年四川省南充市居民恶性肿瘤死亡水平及寿命、工作损失情况,为恶性肿瘤防治提供参考依据。方法从中国疾病预防控制信息系统的《人口死亡信息登记管理系统》获取南充市死因监测地区2015-01-01-2017-12-31死因报告资料,测算恶性肿瘤粗死亡率、标化死亡率、潜在减寿年数(PYLL)、平均潜在减寿年数(APYLL)、标化潜在减寿年数(SPYLL)、标化潜在减寿年数率(SPYLLR)、潜在工作损失年数(WPYLL)、平均潜在工作损失年数(AWPYLL)、标化潜在工作损失年数(SWPYLL)、标化潜在工作损失年数率(SWPYLLR)。结果2015-2017年南充市死因监测地区累计人口6036920人,报告恶性肿瘤死亡病例累计11941例,粗死亡率和标化死亡率分别为197.80/10万和141.78/10万。死亡率随年龄增加而增加,除女性特有恶性肿瘤外,男性均高于女性。死亡率前5位的恶性肿瘤分别为食管癌、肺癌、胃癌、肝癌、结直肠癌,占全部恶性肿瘤死亡病例的80.72%。PYLL为72348.50人年,APYLL为11.14年,SPYLL为62442.30人年,SPYLLR为1.14%,WPYLL为43445.00人年,AWPYLL为9.75年.SWPYLL为39349.63人年,SWPYLLR为0.76%。结论食管癌、肺癌、胃癌、肝癌和结直肠癌等恶性肿瘤严重影响南充市居民健康,应采取针对性的有效防治措施。Objective To analyze the cancer-related mortality and potential years of life lost as well as work years of potential life lost among residents in Nanchong,Sichuan Province,and to provide scientific evidence for cancer prevention.Methods According to population of death registered information system of China information system of diseases control and prevention,death-caused surveillance data of the year 2015-2017 was collected.The following indicators were calculated:malignant tumor crude mortality,standardized mortality,potential years of life lost(PYLL),average potential years of life lost(APYLL),standardized potential years of life lost(SPYLL),standardized potential years of life lost(SPYLLR),work years of potential life lost(WPYLL),average work years of potential life lost(AWPYLL),standardized work years of potential life lost(SWPYLL),standardized work years of potential life lost rate(SWPYLLR).Results During the year 2015-2017,a total of 11941 cancer-related cases out of 6036920 persons were registered.The crude mortality rate was 197.80/100000,standardized mortality rate was 141.78/100000.The mortality rate increased by the advancing age,and the male mortality rate was higher than the female's except the female specific malignant cancers.The top five cancer in terms of mortality rate were esophageal cancer,lung cancer gastric cancer,liver cancer and colorectal cancer,respectively.PYLL was 72348.50,APYLL was 11.14,SPYLL was 62442.30,SPYLLR was 1.14%,WPYLL was 43445.00,AWPYLL was 9.75,SWPYLL was 39349.63,SWPYLLR was 0.76%.Conclusion Esophageal cancer,lung cancer,gastric cancer,liver cancer,colorectal cancer and other malignant cancers seriously threat to the Nanchong locals health,active and effective prevention and control measures should be taken.

关 键 词：恶性肿瘤 流行病学 南充市 死亡率 潜在减寿年数 潜在工作损失年数 

分 类 号：R730.1[医药卫生—肿瘤]