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目的了解福建省城乡居民2007-2014年消化系统恶性肿瘤死亡的变化趋势。方法采用ICD-10进行根本死因编码和死因分类,2000年中国人口计算标化率,采用SPSS 18.0软件包,P<0.05为差异有统计学意义。结果 2007-2014年福建省居民消化系统恶性肿瘤年均粗死亡率91.59/10万,占恶性肿瘤的59.56%,年均标化死亡率74.76/10万;城乡消化系统恶性肿瘤标化死亡率均呈下降趋势,差异有统计学意义(城市P<0.01,农村P<0.05);城市的粗死亡率变化差异无统计学意义(P>0.05),农村和总体的人群粗死亡率呈上升趋势,差异有统计学意义(均P<0.05)。城市消化系统恶性肿瘤死亡率与农村相当,差异无统计学意义(P>0.05)。肝癌、胃癌和食管癌居消化系统的前三位,占81.82%。城市胃癌、结直肠癌、胰腺癌的死亡率高于农村,差异有统计学意义(均P<0.01);农村肝癌、食管癌死亡率高于城市,差异有统计学意义(均P<0.01)。城乡结直肠癌和胰腺癌死亡率均有不同程度上升趋势,差异有统计学意义(均P<0.01);肝癌死亡率差异无统计学意义(P>0.05);农村胃癌呈上升趋势,差异有统计学意义(P<0.01),城市胃癌变化差异无统计学意义(P>0.05);城市食管癌变化差异无统计学意义(P>0.05),而农村食管癌下降趋势差异有统计学意义(P<0.01)。结论福建省城乡居民消化系统恶性肿瘤死亡率稳中有升,肝癌、胃癌和食管癌是防控重点。
Objective To understand the trend of death of malignant tumor of digestive system between urban and rural residents in Fujian Province from 2007 to 2014. Methods ICD-10 was used to carry out the classification of the cause of death and the cause of death. In 2000, the population standardization rate in China was calculated using SPSS 18.0 software package. P <0.05 was considered statistically significant. Results The annual average crude death rate of malignant tumors of resident digestive system in Fujian Province during 2007-2014 was 91.59 / 100000, accounting for 59.56% of the malignant tumors, with an annual standardized rate of 74.76 / 100000. The standardized mortality rates of malignant tumors in both urban and rural digestive system were (P <0.01 in urban and P <0.05 in rural areas). There was no significant difference in the change of crude mortality rate in urban areas (P> 0.05), and the crude mortality rate in rural areas and overall population showed an upward trend, The difference was statistically significant (all P <0.05). The mortality rate of malignant tumors in urban digestive system is comparable with that in rural areas, with no significant difference (P> 0.05). Liver cancer, stomach cancer and esophageal digestive system in the first three, accounting for 81.82%. The mortality of gastric cancer, colorectal cancer and pancreatic cancer in urban areas were significantly higher than those in rural areas (all P <0.01). The death rates of liver cancer and esophageal cancer in rural areas were significantly higher than those in urban areas (all P <0.01) . The mortality of colorectal cancer and pancreatic cancer in urban and rural areas all increased to some extent, with significant difference (all P <0.01); there was no significant difference in the mortality of liver cancer (P> 0.05); the gastric cancer in rural areas showed an upward trend with the difference being (P <0.01). There was no significant difference in the changes of gastric cancer between cities (P> 0.05). There was no significant difference in the changes of esophageal cancer among cities (P> 0.05), but there was a significant difference in the decreasing trend of esophageal cancer in rural areas P <0.01). Conclusions The death rate of malignant tumor of digestive system in urban and rural areas of Fujian Province has risen steadily, and liver cancer, gastric cancer and esophageal cancer are the focus of prevention and control.