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目的了解重庆市南岸区2011-2015年恶性肿瘤死亡及减寿情况,为恶性肿瘤的防治工作提供依据。方法恶性肿瘤死亡资料来自“中国疾病预防控制信息系统”中“全国死因登记信息系统”2011-2015年重庆市南岸区恶性肿瘤死亡病例个案。采用Death Reg 2005软件进行数据统计,计算死亡率、标化死亡率、潜在寿命损失年(PYLL)、寿命损失率(PYLLR)和平均减寿年数(AYLL)分析居民恶性肿瘤死亡情况。率的比较采用Z检验。结果南岸区2011-2015年累计报告恶性肿瘤死亡病例6 750例,标化死亡率为134.14/10万。肺癌死亡率为66.51/10万,构成比36.04%,居恶性肿瘤死亡的第1位,其次为肝癌(死亡率为30.84/10万,构成比为16.71%)、结肠、直肠和肛门癌(死亡率为15.39/10万,构成比为8.34%)、食管癌(死亡率为11.15/10万,构成比为6.04%)和胃癌(死亡率为10.20/10万,构成比为5.53%)。2011-2015年恶性肿瘤是导致AYLL最多的疾病(10.57~13.29)年。2011-2015年,南岸区居民恶性肿瘤PYLLR居于前3位的依次为:肺癌、肝癌及结肠、直肠和肛门癌。肺癌所致的寿命损失最为严重。结论恶性肿瘤已成为严重危害南岸区居民生命健康的主要疾病,加强肿瘤防治是南岸区今后防治工作的重点。
Objective To understand the death and longevity of malignant tumors in Nanan District of Chongqing from 2011 to 2015 and provide evidence for the prevention and treatment of malignant tumors. Methods The death data of malignant tumors were from the cases of malignant tumor death in Nan’an District of Chongqing Municipality from 2011 to 2015 in China Disease Prevention and Control Information System. Data were calculated using Death Reg 2005 software to calculate mortality, normalized mortality, PYLL, PYLLR and AYLL to analyze the deaths of residents with malignant tumors. Rate comparison using the Z test. Results A total of 6 750 cases of malignant tumor deaths were reported from 2011 to 2015 in Nanan District, with a standardized mortality rate of 134.14 / 100 000. The death rate of lung cancer was 66.51 / 100 000, accounting for 36.04% of the total, ranking first in the death of malignant tumor, followed by liver cancer (death rate 30.84 / 100000, constituting ratio of 16.71%), colon, rectum and anal cancer Rate of 15.39 / 100000, constituting ratio of 8.34%), esophageal cancer (mortality 11.15 / 100,000, constitutional ratio 6.04%) and gastric cancer (death rate 10.20 / 100,000, constitution ratio 5.53%). Cancer 2011-2015 is the most common cause of AYLL (10.57 ~ 13.29) years. From 2011 to 2015, PYLLR, a resident of South Bank, ranked the top 3 in terms of lung cancer, liver cancer and colon, rectum and anal cancer. Lung cancer caused the most loss of life expectancy. Conclusions Malignant tumors have become the major diseases which endanger the life and health of residents in Nan’an District. To strengthen the prevention and treatment of cancer is the focus of future prevention and treatment of Nan’an District.