2005-2009年中国肿瘤登记地区肝癌疾病负担变化趋势分析

发布时间：2018-02-14 11:42

本文关键词： 肝癌疾病负担 PYLL率 DALY率　出处：《现代预防医学》2017年19期 　论文类型：期刊论文

【摘要】：目的分析2005-2009年中国肿瘤登记地区肝癌疾病负担的变化趋势,为评价肝癌防治措施和制定防治策略提供科学依据。方法根据肿瘤登记年报肝癌相关发病死亡数据,计算每千人潜在减寿年(PYLL率)、标化每千人潜在减寿年(s PYLL率)、每千人伤残调整寿命年(DALY率)、相对比(RR)等指标连续性分析我国2005-2009年肝癌疾病负担的变化趋势。结果 2005-2009年全国肿瘤登记地区肝癌新发病例为90047例,发病率为27.63/10万;死亡病例为83976例,死亡率为25.77/10万。PYLL率(2.56/千人~2.65/千人)和DALY率(3.19/千人~3.30/千人)均维持在稳定水平。其中城镇地区疾病负担呈上升趋势,PYLL率和DALY率分别上升了9%和7%;农村地区疾病负担呈下降趋势,PYLL率和DALY率分别下降了22%和14%。农村与城镇发病率之比由1.45下降至1.24,死亡率之比由1.52下降至1.24,PYLL率之比由2.02下降至1.43,DALY率之比由1.73下降至1.39。肝癌的死亡发病比在2006年达峰值0.97,随后逐年下降。结论 2005-2009年我国肿瘤登记地区肝癌疾病负担仍较重,男性高于女性,农村高于城镇。农村与城镇肝癌疾病负担的差距正在缩小。
[Abstract]:Objective to analyze the change trend of disease burden of liver cancer in China from 2005 to 2009, and to provide scientific basis for evaluating the prevention and treatment measures of liver cancer and formulating prevention and treatment strategies. Methods according to the incidence and death data of liver cancer related to cancer registration annual report in China, To calculate the PYLL rate per 1000 population, to standardize the PYLL rate of potential life loss per thousand population, and to calculate the Daly rate of disability adjusted life span per thousand population, to analyze the change trend of the disease burden of liver cancer in China from 2005 to 2009. From 2005 to 2009, there were 90047 new cases of liver cancer in the tumor registration areas of China. The incidence is 27.63 / 100, 000; the number of deaths is 83976. The mortality rate of 25.77 / 100,000.PYLL / 2.65 / 1000) and the DALY rate of 3.19 / 1000 / 1000) were maintained at a stable level. Among them, the disease burden in urban areas showed an increasing trend and the rate of Pyll and DALY increased by 9% and 7 respectively in urban areas and rural areas, respectively. The incidence ratio of rural to urban areas decreased from 1.45 to 1.24, the ratio of mortality from 1.52 to 1.24 from 2.02 to 1.43 from 1.43 to 1.43 from 1.73 to 1.39. The peak value reached 0.97 in 2006, and then decreased year after year. Conclusion the burden of liver cancer in China from 2005 to 2009 is still heavy. Men are higher than women, rural areas are higher than towns. The gap between rural and urban liver cancer is narrowing.
【作者单位】：石河子大学医学院预防医学系;
【基金】：新疆兵团石河子肿瘤登记与食管癌/贲门癌早诊早治项目(兵财社[2011]141号)
【分类号】：R735.7

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