论文部分内容阅读
目的分析如皋市宫颈癌患者死亡现状,查找妇女病普查工作中的不足,为相关部门决策提供依据。方法标化如皋市2010-2013年妇女年龄别,计算宫颈癌患者粗死亡率、年龄别宫颈癌患者死亡率等相关指标,对比分析2010-2011年、2012-2013年两个周期宫颈癌死亡相关指标,与全国4次死因调查相应指标进行对比,回顾了解同期妇女病普查率。结果如皋市累计妇女病普查2 849 002例,因恶性肿瘤死亡5 574例,其中因宫颈癌死亡167例,宫颈癌粗死亡率5.86/10万高于全国近3次死因调查死亡率,死因构成比3.00%高于全国近2次死因调查构成比;20~64岁妇女宫颈癌死亡率与≥65岁宫颈癌死亡率相比较差异有统计学意义(P<0.01)。2010-2011年、2012-2013年两个周期年龄别宫颈癌患者死亡率≥85岁年龄组差异有统计学意义(P<0.05);如皋2010-2013年年龄别宫颈癌死亡率与全国2004-2005年年龄别55~、75~、80~、85~岁年龄组宫颈癌死亡率比较差异有统计学意义(P<0.05);妇女病普查率达到并超过全国“十二五”规划指标要求。结论宫颈癌死亡率控制水平与政府重视程度、高妇女病普查率不相称,宫颈癌防治工作任重而道远,建议加大妇女病普查宣传力度,提高目标人群依从性;改变普查模式,增加外出务工返乡农民普查几率;扩大普查年龄,将老年妇女纳入常规免费体检对象,拓宽受益面;持续改进宫颈脱落细胞检查方法,提高宫颈癌检出率。
Objective To analyze the status of death of patients with cervical cancer in Rugao and to find out the shortcomings in the general survey of women diseases so as to provide the basis for decision-making of relevant departments. Methods Standardization of the age of women in 2010 ~ 2013 in Rugao, the calculation of the crude mortality rate of cervical cancer patients, age and other related indicators of cervical cancer mortality, comparative analysis of 2010-2011, 2012-2013 two cycles of cervical cancer death related Indicators, compared with the corresponding indicators of the national investigation of the four death causes, reviewed and reviewed the prevalence of women’s disease in the same period. Results Rugao cumulative census of women’s disease survey 2 849 002 cases, 5 574 cases of malignant tumor death, of which 167 cases of cervical cancer deaths, cervical cancer crude death rate 5.86 / 100 000 higher than the national death rate of nearly 3 deaths, the cause of death constituent ratio 3.00% higher than the national total of nearly 2 deaths; the mortality rate of cervical cancer in women aged 20-64 was significantly lower than that of cervical cancer≥65 (P <0.01). The mortality rates of cervical cancer patients with two cycles of 2010-2011 and 2012-2013 were statistically significant (P <0.05). The mortality rate of RCC from 2010-2013 with cervical cancer was no significant difference There was significant difference in the mortality rate of cervical cancer in 55 ~ 75 ~ 80 ~ 85 years old group in 2005 (P <0.05). The women’s disease census rate reached and exceeded the national 12th five-year plan index Claim. Conclusions The level of cervical cancer mortality control is not commensurate with the government attention and the high prevalence rate of women’s disease. Cervical cancer prevention and treatment has a long way to go. It is suggested that more efforts should be made to increase the compliance of the target population by changing the census mode and increasing the number of migrant workers Returning farmers survey probability; expanding the census age, the elderly women into the regular free physical examination object, broaden the beneficiary surface; continuous improvement of cervical exfoliative cells to improve the detection rate of cervical cancer.