2011-2015年成都市恶性肿瘤死亡流行特征及变化趋势分析

发布时间：2018-05-17 06:31

本文选题：肿瘤 + 死亡率　；参考：《中华疾病控制杂志》2017年05期

【摘要】：目的了解成都市居民恶性肿瘤死亡的流行特征和变化趋势,为制定恶性肿瘤防治策略提供依据。方法对成都市2011-2015年恶性肿瘤死亡资料进行统计分析,计算其死亡率、死因构成及死因顺位等。运用年度变化百分比分析标化死亡率的时间变化趋势。结果恶性肿瘤是2011-2015年成都市居民首位死亡原因,死亡率为188.1/10万,标化率为162.1/10万,五年间标化死亡率增加了8.3%,平均年增幅2.5%。男性标化死亡率高于女性,差异有统计学意义(X~2=40.21,P0.001)。肺癌、肝癌、胃癌、食管癌和肠癌是威胁成都市居民健康的主要恶性肿瘤。五年间除胃癌和白血病标化死亡率有所下降外,其余肿瘤均呈上升趋势。宫颈癌(APC=22.8%)、前列腺癌(APC=12.3%)、胰腺癌(APC=9.2%)、肠癌(APC=5.8%)、肺癌(APC=3.5%)和脑癌(APC=2.4%)年均标化死亡率上升趋势均有统计学意义(均有P0.001)。食管癌、肝癌、胃癌和白血病年均标化死亡率变化幅度均无统计学意义(均有P0.05)。结论成都市恶性肿瘤死亡水平呈逐年增高趋势,在继续加强肺癌和消化道恶性肿瘤防治的同时,还要重点关注宫颈癌、前列腺癌、胰腺癌等肿瘤。
[Abstract]:Objective to understand the epidemiological characteristics and trends of malignant tumor death in Chengdu and to provide evidence for the prevention and treatment of malignant tumor. Methods the data of malignant tumor death from 2011 to 2015 in Chengdu were analyzed, and the mortality rate, the cause of death and the rank of death cause were calculated. The annual percentage change was used to analyze the temporal trend of standardized mortality. Results malignant tumor was the first cause of death in Chengdu from 2011 to 2015, with a mortality rate of 188.1 / 100,000 and a standardized rate of 162.1 / 100,000. The standardized mortality rate increased by 8.3% in five years, with an average annual increase of 2.5%. The standardized mortality of male was higher than that of female, and the difference was statistically significant. Lung cancer, liver cancer, stomach cancer, esophageal cancer and bowel cancer are the main malignant tumors threatening the health of Chengdu residents. Except for the decrease of the standardized mortality of gastric cancer and leukemia, the other tumors showed an increasing trend in the past five years. There was a statistically significant increase in the annual standardized mortality rate (P 0.001) for cancer of the cervix carcinoma (APC) 22.8D, prostate cancer (APC) 12.3D, pancreatic cancer (APC) 9.2D, colorectal cancer (APC-5.8T), lung cancer (APC 3.5cm) and brain cancer (APC-2.4T). The annual standardized mortality of esophageal cancer, liver cancer, gastric cancer and leukemia had no statistical significance (P 0.05). Conclusion the death level of malignant tumor in Chengdu is increasing year by year. While strengthening the prevention and treatment of lung cancer and digestive tract malignant tumor, we should pay more attention to cervical cancer, prostate cancer, pancreatic cancer and so on.
【作者单位】：成都市疾病预防控制中心慢性病防制科;中国疾病预防控制中心现场流行病学培训项目;
【分类号】：R73-31

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