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目的摸清石门县近三年来恶性肿瘤的流行现状,探索影响石门县恶性肿瘤发病的危险因素,为合理制定肿瘤的防制、保健策略及措施提供科学依据。方法对石门县2003年1月1日-2005年12月31日3年内恶性肿瘤的流行情况进行回顾性调查和现场调查,利用描述流行病学方法进行分析。结果全县共调查1983950人次,三年共发生肿瘤1735例,年均发病率为87.45/10万;以白云乡发病率最高,为213.31/10万;男女发病率之比为1:0.71;农民发病占84.90%;70岁以上年龄组发病率最高,为322.59/10万。发病率居前三位的是子宫癌、肺癌、肝癌;各种恶性肿瘤发病因地区不同而有区别。结论吸烟、饮酒与环境污染是恶性肿瘤发病的主要危险因素,加强环境保护、全面普及健康教育,加强健康促进、建立居民健康档案与健康监护是控制恶性肿瘤发病的主要干预措施。
Objective To find out the prevalence of malignant tumors in Shimen County in the recent three years and explore the risk factors that affect the incidence of malignant tumors in Shimen County so as to provide a scientific basis for the rational formulation of strategies and measures for prevention and treatment of cancer. Methods The epidemic situation of malignant tumor in Shimen County from January 1, 2003 to December 31, 2005 was retrospectively surveyed and field surveyed, and the descriptive epidemiological method was used for the analysis. Results A total of 1983950 person-times were investigated in the county, with 1735 cases of tumors occurring in three years with an average annual incidence rate of 87.45 / 100000; the highest incidence was Baiyun Township, 213.31 / 100000; the incidence rate of males and females was 1: 0.71; peasants Incidence accounted for 84.90%; the highest incidence of over 70 years of age group, 322.59 / 100000. The top three morbidity is uterine cancer, lung cancer and liver cancer. The incidence of various malignancies varies according to regions. Conclusion Smoking, drinking and environmental pollution are the main risk factors of malignant tumor. Strengthening environmental protection, popularizing health education, strengthening health promotion, establishing residents’ health records and health monitoring are the main interventions to control the incidence of malignant tumors.