论文部分内容阅读
[目的]了解甘肃省胃癌死亡率变化趋势,为制定甘肃省胃癌预防控制规划、防治策略提供依据。[方法]利用甘肃省1990～1992年、2004～2005年两次死因抽样调查资料,计算胃癌死亡率及其变化趋势;运用几何级数法计算胃癌死亡率的年平均增长值,利用恶性肿瘤死亡率的增减率,对甘肃省胃癌死亡率进行估计、预测。[结果]甘肃省胃癌死亡率呈下降趋势,粗死亡率和调整死亡率分别下降了7.02%和15.62%。城乡胃癌粗死亡率和调整死亡率均呈下降趋势,城市粗死亡率和调整死亡率分别下降了29.42%和44.58%,农村分别下降了7.34%和2.59%,2004～2005年城市胃癌死亡率比农村高出57.26%,城乡差距比1990～1992年缩小了一倍多;各年龄组胃癌死亡率男性均高于女性,70～岁组达到高峰;胃癌年均增减速度为-0.52%,虽呈下降趋势,但仍在恶性肿瘤死亡中排首位,预计到2010年甘肃省胃癌死亡率下降为60.10/10万。[结论]甘肃省胃癌死亡率虽呈下降趋势,但仍居恶性肿瘤死因顺位的首位,积极开展胃癌病因学研究,提出科学、有效的干预对策尤为重要。
[Objective] To understand the trend of gastric cancer mortality in Gansu Province, and to provide the basis for formulating the prevention and control strategies for gastric cancer in Gansu Province. [Method] The mortality and change trend of gastric cancer were calculated by sampling data of two causes of death from 1990 to 1992 and from 2004 to 2005 in Gansu Province. The geometric mean method was used to calculate the annual average growth rate of gastric cancer mortality and the death from malignant tumor Rate of change rate of gastric cancer mortality in Gansu Province is estimated and predicted. [Results] The mortality rate of gastric cancer in Gansu Province showed a decreasing trend, the crude mortality rate and adjusted mortality rate decreased by 7.02% and 15.62% respectively. The crude and adjusted mortality rate of gastric cancer in urban and rural areas showed a downward trend. The crude and adjusted mortality rates in urban areas decreased by 29.42% and 44.58% respectively, while in rural areas decreased by 7.34% and 2.59% respectively. The mortality rate of urban gastric cancer in 2004-2005 The rural area was 57.26% higher than that in 1990-1992. The death rate of gastric cancer in all age groups was higher than that in women, reaching the peak in 70 ~ age group. The average annual growth rate of gastric cancer was -0.52% However, it still ranks first in the death of malignant tumor. It is estimated that the death rate of gastric cancer in Gansu Province will drop to 60.10 / 100,000 by 2010. [Conclusion] Although the mortality rate of gastric cancer in Gansu Province is on the decline, it is still the first place of the cause of death for malignant tumors. It is very important to carry out the etiological research of gastric cancer actively and put forward the scientific and effective intervention measures.