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[目的]分析上海市金山区居民肺癌死亡率及其所致寿命损失的变化趋势,为制定肺癌防治策略和措施提供参考依据。[方法]采用Microsoft Access对2002~2014年各级医疗机构上报的肺癌死亡病例建立数据库,并计算不同性别、年龄组人群肺癌死亡率、标化死亡率、潜在寿命损失率、标化寿命损失率等指标及其变化趋势。[结果]2002~2014年,肺癌居金山居民首位肿瘤死因,其粗死亡率为59.16/10万,标化死亡率为29.65/10万,肺癌死亡占同期肿瘤死亡数的27.92%。金山男性、女性和全人群合计肺癌粗死亡率呈较明显的上升趋势(APC=3.53%,4.67%,3.70%,P均<0.01),而同期标化死亡率均未表现出明显升降趋势(APC=-0.70%,0.26%,-0.50%,P均>0.05)。金山居民肺癌死亡率自20~岁年龄组随年龄增长呈快速上升趋势,并在80~岁组达到最高值(369.13/10万)。同期,金山居民肺癌所致金山居民寿命损失率呈上升趋势(APC=1.52%,P<0.05),而标化寿命损失率呈下降趋势(APC=-1.66%,P<0.05)。[结论]肺癌是造成金山居民最致命威胁的恶性肿瘤之一,宜对肺癌开展综合性防制措施,如进行中年人群肺癌筛查,开展对包括男性等重点人群肺癌致死危险因素的研究工作,并建立合适的肺癌防制成效评估机制。
[Objective] To analyze the trend of death rate of lung cancer and the loss of life expectancy caused by inhabitants in Jinshan District of Shanghai, and provide reference for formulating prevention and treatment strategies and measures of lung cancer. [Methods] The database of death cases of lung cancer reported by medical institutions at all levels from 2002 to 2014 was established by using Microsoft Access. The lung cancer death rate, standardized death rate, potential life loss rate and standardized life loss rate were calculated in different sex and age groups And other indicators and trends. [Results] From 2002 to 2014, the first cause of cancer death in Jinshan residents with lung cancer was 59.16 / 100000 with a standardized mortality rate of 29.65 / 100000. The death of lung cancer accounted for 27.92% of the total number of cancer deaths in the same period. The crude mortality rate of lung cancer showed a significant upward trend (APC = 3.53%, 4.67%, 3.70%, P <0.01, respectively) in Jinshan men, women and the whole population, while the standardized mortality did not show a significant upward trend APC = -0.70%, 0.26%, -0.50%, P> 0.05). Jinshan residents lung cancer mortality rate increased rapidly with age from 20 ~ age group, and reached the highest value (369.13 / 100000) in 80 ~ age group. Over the same period, Jinshan residents lost their longevity rates to Jinshan residents due to lung cancer (APC = 1.52%, P <0.05), while the standardized life loss rate showed a decreasing trend (APC = -1.66%, P <0.05). [Conclusion] Lung cancer is one of the most deadly threats to Jinshan inhabitants. It is necessary to carry out comprehensive prevention and control measures for lung cancer, such as lung cancer screening in middle-aged population and research work on risk factors of lung cancer death in key population such as male , And establish appropriate lung cancer prevention and control evaluation mechanism.