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目的 分析 90年代泌尿男生殖系疾病死亡率的变动情况。 方法 根据虹口区 1991～ 1998年居民病伤死亡报表 ,应用Epi lnfo软件录入数据 ,SAS软件进行统计分析。 结果 1991～ 1998年间因泌尿男生殖系疾病死亡者 1130人 ,其中男性 749人 ,女性 381人。泌尿男生殖系疾病死亡占总死亡率的 2 .0 8% ,男性为 2 .5 8% ,女性为 1.5 1%。泌尿男生殖系疾病死因前五位依次为肾炎和肾病变、膀胱癌、前列腺良性疾病、前列腺癌、肾癌。比较 80年代与 90年代泌尿男生殖系死亡率 ,发现膀胱癌、肾癌、前列腺癌、前列腺良性疾病死亡率有所升高 ,尤以前列腺癌、前列腺良性疾病明显。肾炎和肾病变、肾盂肾炎、尿毒症和肾衰死亡率不同程度降低。 结论 分析结果提示 ,泌尿男生殖系疾病谱已发生变化 ,表现为前列腺癌、前列腺良性疾病死亡率明显升高 ,需加强前列腺疾病防治工作。
Objective To analyze the changes in mortality of male genitourinary diseases in the 1990s. Methods According to the resident death report from 1991 to 1998 in Hongkou District, Epi lnfo software was used to input data and SAS software was used for statistical analysis. RESULTS: Between 1970 and 1998, there were 1130 deaths due to male genital disease, including 749 males and 381 females. Deaths from genito-genital diseases accounted for 2.08% of total deaths, 2.58% for men, and 1.5% for women. The top five causes of urinary and male reproductive disease were nephritis and nephropathy, bladder cancer, benign prostate disease, prostate cancer, and renal cancer. Comparing the male genitourinary mortality rate between the 1980s and the 1990s, bladder cancer, kidney cancer, prostate cancer, and benign prostate disease mortality were found to be elevated, especially in prostate cancer and benign prostate disease. Nephritis and nephropathy, pyelonephritis, uremia and renal failure mortality are reduced to varying degrees. Conclusions The analysis results suggest that the spectrum of the urogenital male reproductive system has changed, showing a significant increase in the mortality rate of prostate cancer and benign prostatic diseases. The prevention and treatment of prostate disease needs to be strengthened.