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目的分析金华市居民恶性肿瘤死亡率的流行特征,为恶性肿瘤防治提供依据。方法按照国际疾病分类法(ICD-10)对2006-2012年金华市3个省级死因监测点(婺城区、东阳市、武义县)死亡监测系统的恶性肿瘤死亡数据进行根本死因编码与分类,以2000年标准人口构成进行率的标化,使用死亡率、死亡构成比和主要恶性肿瘤死因顺位等指标,应用Excel 2003进行统计学分析,率的比较采用χ2检验,P<0.05为差异有统计学意义。结果 2006-2012年金华市居民恶性肿瘤平均死亡率为166.36/10万,标化死亡率为127.01/10万,死亡率排名居前5位的恶性肿瘤分别是肺癌、肝癌、胃癌、食管癌和结肠直肠肛门癌,占全部恶性肿瘤死亡的75.55%。男女死亡率居前5位的恶性肿瘤类别相同,顺位略有差异。肺癌在男女性中均为第1位的恶性肿瘤死亡原因,死亡率男女性别比为2.82∶1,男性死亡率高于女性。肺癌、肝癌、胃癌、结肠直肠肛门癌的死亡率在除儿童组外的各年龄组均居前列,且随年龄增长而增高的趋势明显。按年度分析,肺癌始终是死亡率最高的癌种,且死亡率随时间推移呈上升趋势。结论恶性肿瘤是危害金华市居民的主要疾病,应采取有针对性的防治措施,有效降低恶性肿瘤的发病和死亡。
Objective To analyze the prevalence of malignant tumor mortality in Jinhua residents and provide the basis for the prevention and treatment of malignant tumors. Methods According to the International Classification of Diseases (ICD-10), the death-cause codes of death from 3 death-monitoring stations in Wuhua, Dongyang and Wuyi from 2006 to 2012 were analyzed. The standardization of the standard population composition in 2000, the use of mortality, mortality ratio and the major cause of death and other major malignant tumor rank indicators, the use of Excel 2003 for statistical analysis, the rate of comparison using χ2 test, P <0.05 for the difference Statistical significance. Results The average death rate of malignant tumors was 166.36 / 100 000 in Jinhua City from 2006 to 2012. The standardized death rate was 127.01 / 100 000. The top 5 death rates were cancer of lung, liver, stomach, esophagus, Colorectal anorectal cancer, accounting for 75.55% of all cancer deaths. The top 5 death rates for men and women were the same for malignant tumors, with a slight shift in overall rankings. Lung cancer is the No. 1 cause of death for both men and women with a mortality rate of 2.82: 1, with a higher male mortality rate than that of women. Mortality rate of lung cancer, liver cancer, gastric cancer and colorectal anorectal cancer ranks forefront among all age groups except children group, and the trend of increasing with age is obvious. Analyzed annually, lung cancer has consistently been the most highly cancer-of-the-kind and mortality has been on the rise over time. Conclusion Malignant tumors are the major diseases endangering residents in Jinhua City. Therefore, targeted prevention and treatment measures should be taken to effectively reduce the incidence and mortality of malignant tumors.