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目的:分析沈阳市2004—2015年肺癌死亡现况及变化趋势。方法:收集由沈阳市疾病预防控制中心提供的沈阳市居民病伤死亡原因年报表资料,应用年度变化百分比(annual percent change,APC)对沈阳市2004—2015年肺癌死亡率进行趋势分析。结果:2004—2015年沈阳市肺癌死亡病例数为31 380例,肺癌粗死亡率为72.78/10万,中标率为40.35/10万,世标率为39.67/10万;男性粗死亡率为89.45/10万,女性粗死亡率为56.54/10万,男性肺癌粗死亡率为女性的1.58倍(P<0.004)。肺癌粗死亡率从2004年的64.67/10万上升到2015年78.77/10万[APC=1.53%,95%可信区间(confidence interval,CI):0.8%~2.3%]。结论:沈阳市男女性肺癌死亡率较高,男性肺癌死亡率显著高于女性。
Objective: To analyze the current situation and trend of lung cancer deaths in Shenyang City from 2004 to 2015. Methods: The annual report of the cause of death from illness of Shenyang residents provided by Shenyang Center for Disease Control and Prevention was collected. The annual percent change (APC) was used to analyze the trend of lung cancer mortality in Shenyang from 2004 to 2015. Results: The death toll from lung cancer in Shenyang was 31 380 cases in 2004-2015. The crude death rate of lung cancer was 72.78 / 100 000, the successful rate was 40.35 / 100 000, the world standard rate was 39.67 / 100 000; the crude death rate of male was 89.45 / 100,000, the crude death rate of women was 56.54 / 100,000, the crude mortality rate of lung cancer in men was 1.58 times of that of women (P <0.004). The crude death rate of lung cancer increased from 64.67 / 100,000 in 2004 to 78.77 / 100,000 in 2015 [APC = 1.53%, 95% confidence interval (CI): 0.8% -2.3%]. Conclusion: The mortality of lung cancer in men and women in Shenyang is relatively high, and the death rate of lung cancer in men is significantly higher than that in women.