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目的了解铜陵市城区居民2000-2009年恶性肿瘤死亡状况,为铜陵市恶性肿瘤防制工作提供参考依据。方法应用死亡率、标化死亡率、潜在减寿年数(YPLL)和潜在减寿率(YPLL率)等指标分析居民恶性肿瘤死亡情况。结果十年间,恶性肿瘤死亡率呈波浪式上升趋势(χ2=17.51,P<0.01)。恶性肿瘤年均粗死亡率144.40/10万,标化死亡率143.65/10万,YPLL率11.3‰,均居全死因首位。在恶性肿瘤中,肺癌死亡率为36.64/10万,占25.38%,居首位,其次为胃癌、食管癌、肝癌、结直肠癌。前五位恶性肿瘤YPLL率顺位为肺癌、胃癌、肝癌、食管癌、白血病。男性肝癌、女性乳腺癌YPLL率顺位与死亡率顺位有较大变化。结论恶性肿瘤已成为铜陵市城区居民重要死因,肺癌、胃癌、男性肝癌、女性乳腺癌、青少年白血病是铜陵市城区今后恶性肿瘤防治工作的重点。
Objective To understand the death status of malignant tumor in residents of Tongling City from 2000 to 2009 and to provide reference for the prevention and control of malignant tumors in Tongling City. Methods Mortality rate, standardized mortality rate, potential years of life lost (YPLL) and potential rate of loss of life (YPLL rate) were used to analyze the deaths of residents with malignant tumors. Results Ten years, the mortality of malignant tumors showed a wavy upward trend (χ2 = 17.51, P <0.01). The average annual death rate of malignant tumors was 144.40 / 100,000, with a standardized mortality rate of 143.65 / 100,000 and a YPLL rate of 11.3%, ranking the first among all causes of death. Among malignant tumors, the death rate of lung cancer was 36.64 / 100000, accounting for 25.38%, ranking first, followed by gastric cancer, esophageal cancer, liver cancer and colorectal cancer. YPLL rate of the first five malignant tumors was in the order of lung cancer, gastric cancer, liver cancer, esophageal cancer and leukemia. Male patients with liver cancer, female breast cancer YPLL rank and mortality rankings have greater changes. Conclusion Malignant tumor has become an important cause of death in urban residents of Tongling City. Lung cancer, gastric cancer, male hepatocellular carcinoma, female breast cancer and juvenile leukemia are the focuses of prevention and treatment of malignant tumors in Tongling City in the future.