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[目的]了解江苏省恶性肿瘤的死亡水平以及变化趋势。[方法]对江苏省8个抽样地区三次死因回顾调查数据进行分析,计算恶性肿瘤死亡率、标化死亡率和主要肿瘤死因顺位等指标。[结果]江苏省居民1973~1975年恶性肿瘤死亡率为126.45/10万,中国标化死亡率为118.92/10万,世界标化死亡率为155.66/10万;1990~1992年恶性肿瘤死亡率为159.78/10万,中国标化死亡率为118.67/10万,世界标化死亡率为156.88/10万;2003~2005年恶性肿瘤死亡率为193.36/10万,中国标化死亡率为109.39/10万,世界标化死亡率为146.40/10万;30年来,粗死亡率呈上升趋势,中国标化死亡率稳定。在恶性肿瘤死因顺位中,食管癌由70年代的第1位下降到第4位,肝癌由70年代的第3位上升到第1位,肺癌由70年代的第4位上升到第2位。江苏省居民的肺癌和肝癌的粗死亡率上升幅度最大,分别上升了351.18%和75.40%。女性宫颈癌的粗死亡率呈下降趋势,而乳腺癌的粗死亡率呈上升趋势。[结论]江苏省居民恶性肿瘤死亡率呈上升趋势,恶性肿瘤已经成为影响江苏省居民健康的重要公共卫生问题,应针对不同恶性肿瘤的变化趋势和危险因素,进行综合防治。
[Objective] To understand the death level and trend of malignant tumor in Jiangsu Province. [Methods] The data of retrospective investigation of three causes in 8 sampling areas in Jiangsu Province were analyzed to calculate the indexes of malignant tumor mortality, standardized mortality and major tumor death causes. [Results] The death rate of malignant tumor in residents of Jiangsu Province from 1973 to 1975 was 126.45 / 100000, the standardized death rate in China was 118.92 / 100000, the world standardization death rate was 155.66 / 100000; the mortality of malignant tumor from 1990 to 1992 The standardization death rate in China was 118.67 / 100,000, the world’s standardization death rate was 156.88 / 100,000; the death rate of malignant tumors was 193.36 / 100,000 in 2003-2005, and the normalized death rate in China was 109.39 / 100000, the world’s standardization of death rate was 146.40 / 100000; 30 years, the crude death rate is on the rise, the standardization of China’s death rate is stable. Among malignant tumor death causes, esophageal cancer dropped from No. 1 in the 1970s to No. 4, HCCs rose from No. 3 in the 1970s to No. 1, and Lung Cancer rose from No. 4 in the 1970s to No. 2 . Residents in Jiangsu province showed the largest increase in the crude death rate of lung cancer and liver cancer by 351.18% and 75.40% respectively. The crude mortality rate of female cervical cancer is on the decline, while the crude mortality rate of breast cancer is on the rise. [Conclusion] The mortality of malignant tumor in Jiangsu Province is on the rise. Malignant tumor has become an important public health problem affecting the health of residents in Jiangsu Province. Comprehensive prevention and treatment should be carried out according to the changing trend and risk factors of different malignant tumors.