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目的分析2006—2015年杭州市居民恶性肿瘤死亡情况及变化趋势。方法收集2006—2015年杭州市死因监测资料,计算主要恶性肿瘤死亡率、标化死亡率,使用年度变化百分比(APC)评价死亡率变化趋势。结果2006—2015年杭州市居民恶性肿瘤死亡率为177.61/10万,标化死亡率为105.17/10万,男性恶性肿瘤死亡率高于女性(P<0.05)。肺癌、肝癌、胃癌、结直肠、肛门癌和食管癌为恶性肿瘤前5位死因。恶性肿瘤标化死亡率呈下降趋势(APC=-1.78%,P<0.01),男性胰腺癌和前列腺癌标化死亡率呈上升趋势(APC=3.25%和4.39%),食管癌、胃癌及肝癌呈下降趋势(APC=-2.96%、-5.07%和-6.48%);女性宫颈癌呈上升趋势(APC=8.00%),食管癌、胃癌和肝癌呈下降趋势(APC=-8.06%、-7.13%和-7.32%)。结论杭州市居民恶性肿瘤标化死亡率呈下降趋势,男性死亡率高于女性,肺癌、肝癌、胃癌、结直肠和肛门癌及食管癌是主要死因。
Objective To analyze the deaths and changes of malignant tumors in Hangzhou residents from 2006 to 2015. Methods Data of the cause of death in Hangzhou were collected from 2006 to 2015 to calculate the mortality of major malignancies and the standardization of mortality. The annual change rate (APC) was used to evaluate the change trend of mortality. Results The mortality rate of malignant tumors in Hangzhou residents was 177.61 / lakh from 2006 to 2015, with a standardized mortality rate of 105.17 / lakh. The mortality rate of male malignant tumors was higher than that of female patients (P <0.05). Lung cancer, liver cancer, stomach cancer, colorectal cancer, anus cancer and esophageal cancer are the top 5 causes of death of malignant tumors. The standardized mortality of malignant tumors showed a decreasing trend (APC = -1.78%, P <0.01). The standardized mortality rates of pancreatic and prostate cancer in male patients showed an upward trend (APC = 3.25% and 4.39%), esophageal cancer, gastric cancer and liver cancer (APC = -2.96%, -5.07% and -6.48%, respectively). Cervical cancer in women showed an upward trend (APC = 8.00%) while esophageal cancer, gastric cancer and liver cancer showed a decreasing trend (APC = -8.06%, -7.33 % And -7.32%). Conclusions The standardized mortality rate of malignant tumors in Hangzhou residents is on the decline. The male mortality rate is higher than that of female patients. Lung cancer, liver cancer, gastric cancer, colorectal and anal cancer and esophageal cancer are the major causes of death.