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采用机械整群抽样方法对陕西省宝鸡地区1992~1994年恶性肿瘤发病及死亡的抽样调查结果表明:在被调查的82万人口中恶性肿瘤现症及死亡患者共1291人,发病率为41.61/10万,死亡率为31.58/10万。恶性肿瘤发病前8位依次为胃癌、肝癌、肺癌、食道癌、宫颈癌、大肠癌、乳腺癌、胆囊癌。40岁以上患者占87.68%。在县及县级以上医疗机构就诊者占总数的96.9%。经病理学诊断的为31%。进行综合治疗的患者仅占22.85%,进行手术治疗者亦仅占13.17%。本文就目前恶性肿瘤防治工作重点及加强基层医疗卫生单位恶性肿瘤总体诊治水平提出建议。
A cluster sampling method was used to investigate the incidence and death of malignant tumors from 1992 to 1994 in Baoji, Shaanxi Province. The results showed that there were 1291 cases of malignant tumors and deaths among the 820,000 people surveyed, and the incidence rate was 41.61/ For 100,000, the death rate was 31.58 per 100,000. The first eight malignant tumors were gastric cancer, liver cancer, lung cancer, esophageal cancer, cervical cancer, colorectal cancer, breast cancer, and gallbladder cancer. Patients over the age of 40 accounted for 87.68%. In the medical institutions at or above the county level, 96.9% of the total attendances were from medical institutions. The pathological diagnosis was 31%. Only 22.85% of patients were treated with comprehensive treatment, and only 13.17% were treated with surgery. This article puts forward suggestions on the current focus of cancer prevention and treatment and strengthening the overall level of diagnosis and treatment of malignancy in primary health care units.