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目的分析2009-2014年沈阳市消化系统主要恶性肿瘤死亡情况,为肿瘤防控工作提供依据。方法利用居民病伤死亡原因年报资料,计算消化系统恶性肿瘤粗死亡率、标化率及构成比等指标,率的比较采用检验。结果 2009-2014年沈阳市消化系统主要恶性肿瘤为大肠癌、肝癌、胃癌、食管癌共死亡15 738例,粗死亡率为69.60/10万,标化率为25.13/10万。沈阳市消化系统恶性肿瘤死因顺位前4位的依次为大肠癌、肝癌、胃癌、食管癌,男性前4位依次为肝癌、大肠癌、胃癌和食管癌,女性与合计一致,大肠癌粗死亡率有上升趋势。恶性肿瘤年龄别死亡率均随年龄的增长而升高,男性高于女性,差异有统计学意义(=1 953.38,P<0.001)。消化系统恶性肿瘤死亡主要集中在45~85岁高龄组。结论消化系统恶性肿瘤对沈阳市居民健康危害严重,应进一步加强预防控制。
Objective To analyze the death of major malignant tumors of the digestive system in Shenyang from 2009 to 2014 and provide basis for the prevention and control of tumors. Methods According to the annual reports of the causes of death caused by the illness of the residents, the indexes of crude mortality, standardization rate and composition ratio of digestive system malignant tumors were calculated. Results A total of 15 738 deaths from colorectal cancer, liver cancer, gastric cancer and esophageal cancer were found in Shenyang city from 2009 to 2014. The crude death rate was 69.60 / 100 000 and the standardization rate was 25.13 / 100 000. In Shenyang, the top 4 places for the cause of death of digestive system malignant tumor were colorectal cancer, liver cancer, gastric cancer and esophageal cancer. The top 4 men followed by liver cancer, colorectal cancer, stomach cancer and esophageal cancer were female, Rate is on the rise. The age-specific mortality rates of malignant tumors increased with age, and were higher in males than in females (= 1 953.38, P <0.001). Death of digestive system malignancies mainly in the 45 to 85 age group. Conclusion Malignant tumor of digestive system is seriously harmful to the health of inhabitants in Shenyang City. Prevention and control should be further strengthened.