2013-2017年黑龙江省肿瘤登记地区肺癌发病与死亡分析  

Incidence and Mortality of Lung Cancer in Heilongjiang Cancer Registries,2013-2017

作　　者：王婉莹 孙惠昕 张茂祥[1,2] 贾海晗 宋冰冰 WANG Wanying;SUN Huixin;ZHANG Maoxiang;JIA Haihan;SONG Bingbing(Harbin Medical University Cancer Hospital,Heilongjiang Cancer Center,Harbin 150081,China;Institute of Cancer Prevention and Treatment,Harbin Medical University,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院黑龙江省癌症中心,哈尔滨150081 [2]哈尔滨医科大学肿瘤防治研究所,哈尔滨150081

出　　处：《肿瘤防治研究》2021年第11期1017-1022,共6页Cancer Research on Prevention and Treatment

基　　金：2021年度黑龙江省自然科学基金优秀青年项目(YQ2021H021)。

摘　　要：目的分析2013—2017年黑龙江省肿瘤登记地区肺癌发病、死亡及时间变化趋势,为进一步制定肺癌防控提供依据。方法计算黑龙江省肿瘤登记地区2013—2017年肺癌的发病(死亡)率、中标发病(死亡)率,标化率采用2000年全国人口普查标准人口和Segi’s世界标准人口构成作为标准。年度变化百分比(APC)使用Joinpoint软件计算。结果2013—2017年黑龙江省肿瘤登记地区肺癌发病率为63.44/10万,中国人口标化率(中标率)为36.14/10万。其中男性肺癌发病率(78.08/10万)高于女性(49.04/10万);农村地区肺癌发病率(65.54/10万)高于城市地区(58.20/10万)。2013—2017年黑龙江省肿瘤登记地区肺癌死亡率为57.02/10万,中标率为32.53/10万。其中男性肺癌死亡率(69.92/10万)高于女性(44.40/10万);农村地区肺癌死亡率(60.68/10万)高于城市地区(48.02/10万)。55岁~年龄组肺癌发病率呈下降趋势(APC=-5.0%,t=-5.1,P<0.05),70岁~年龄组肺癌死亡率呈下降趋势(APC=-4.9%,t=-5.0,P<0.05)。结论黑龙江省是肺癌高发地区,肺癌严重威胁本省居民健康,必须针对本省肺癌流行病学特点进一步加强肺癌防控工作。Objective To analyze the incidence,mortality and time trend of lung cancer in Heilongjiang Cancer Registries from 2013 to 2017.Methods We calculated the incidence(mortality)rate and age-standardized incidence(mortality)rate of lung cancer in Heilongjiang Cancer Registries from 2013 to 2017.Chinese population census in 2000 and World Segi’s standard population were used for age-standardization.Annual percentage change(APC)was calculated using Joinpoint software.Results The incidence of lung cancer in Heilongjiang Cancer Registries from 2013 to 2017 was 63.44/10^(5) and ASR China was 36.14/10^(5).The incidence of lung cancer in males(78.08/10^(5))was higher than that in females(49.04/10^(5)).The incidence of lung cancer in rural areas(65.54/10^(5))was higher than that in urban areas(58.20/10^(5)).From 2013 to 2017,the mortality rate of lung cancer in Heilongjiang Cancer Registries was 57.02/10^(5),and ASR China was 32.53/10^(5).The mortality rate of lung cancer in males(69.92/10^(5))was higher than that in females(44.40/10^(5)).The mortality rate of lung cancer in rural areas(60.68/10^(5))was higher than that in urban areas(48.02/10^(5)).The incidence of lung cancer in the 55-year-old age group showed a downward trend(APC=-5.0%,t=-5.1,P<0.05),and the mortality rate of lung cancer in the 70-year-old group showed a downward trend(APC=-4.9%,t=-5.0).Conclusion Heilongjiang Province is a high incidence area of lung cancer.The prevention and control of lung cancer should be further strengthened according to the epidemiological characteristics of lung cancer in this province.

关 键 词：肺癌 发病率 死亡率 肿瘤登记 黑龙江省 

分 类 号：R73-31[医药卫生—肿瘤] R734.2[医药卫生—临床医学]