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目的研究浙江省湖州市恶性肿瘤发病、死亡特征及流行趋势,为制定防治对策提供依据。方法利用湖州市2个疾病监测点资料,采用ICD-10进行恶性肿瘤编码分类,分别计算2006-2010年恶性肿瘤发病与死亡情况、年龄特点以及对期望寿命的影响。结果 2006-2010年湖州市恶性肿瘤发病率258.35/10万,死亡率163.64/10万,男性高于女性;恶性肿瘤发病前5位为肺癌、胃癌、肠癌、肝癌和乳腺癌,死亡前5位为肺癌、胃癌、肝癌、肠癌和食管癌;恶性肿瘤发病和死亡均随着年龄的升高而上升,平均发病年龄为62岁,平均死亡年龄为67岁,预防控制以老年人为主,青少年时期要注意白血病;恶性肿瘤减寿前5位为肺癌、肝癌、胃癌、白血病和肠癌,减寿顺位与死因顺位不一致。结论恶性肿瘤已成为危害湖州市居民生命质量的重要因素,防治工作任重道远,需要多部门的重视和配合,制定可行的防治对策。有针对性的加强健康教育,做好早期的筛查,是降低恶性肿瘤发病和死亡的重要手段。
Objective To study the incidence and mortality of malignant tumor in Huzhou City, Zhejiang Province and its epidemiological trend, and to provide basis for prevention and treatment measures. Methods The data of 2 disease surveillance sites in Huzhou City were used to classify malignant tumors by using ICD-10. The incidence and mortality of malignant tumor, the age characteristics and the impact on life expectancy were calculated respectively from 2006 to 2010. Results The incidence of malignant tumors in Huzhou from 2006 to 2010 was 258.35 / 100 000 with a mortality rate of 163.64 / 100 000, higher in males than in females; the top 5 malignant tumors were lung cancer, gastric cancer, intestinal cancer, liver cancer and breast cancer, The incidence of cancer and death increased with increasing age, the average age of onset was 62 years, the average age of death was 67 years old, the main prevention and control of the elderly, Adolescent should pay attention to leukemia; malignant tumor loss of the top 5 for lung cancer, liver cancer, stomach cancer, leukemia and colorectal cancer, longevity and cause of death cis-position is inconsistent. Conclusion Malignant tumors have become an important factor that endanger the quality of life of residents in Huzhou City. Prevention and treatment work has a long way to go and requires a multi-sectoral focus and cooperation to formulate feasible prevention and control measures. Targeted to enhance health education, early screening, is to reduce the incidence of malignant tumors and an important means of death.