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目的 研究低发区食管癌流行特征及动态变化。方法 对河南省开封县 1988～ 2 0 0 3年食管癌死亡登记报告资料进行分析。结果 开封县食管癌年均死亡率 11.35 / 10万 ,中国标准人口调整死亡率 7.2 6 / 10万 ,世界标准人口调整死亡率为 12 .2 9/ 10万。开封县食管癌死亡率自 1988～ 2 0 0 3年均呈下降趋势 ,男、女性分别下降了2 8.5 6 %和 5 9.81%。结论 要完善开封县恶性肿瘤监测系统 ,开展食管癌防治对策研究 ,加强针对可疑病因预防知识的宣传 ,改变不良生活方式和行为习惯 ,降低食管癌的发病率和死亡率。
Objective To study the epidemiological characteristics and dynamic changes of esophageal cancer in the low incidence area. Methods The data of death report of esophageal cancer from 1988 to 2003 in Kaifeng County of Henan Province were analyzed. Results The annual average death rate of esophageal cancer in Kaifeng County was 11.35 / lakh, with the standard Chinese population adjusted death rate 7.26 / lakh. The world standard population adjusted mortality was 12.29 / lakh. The death rate of esophageal cancer in Kaifeng County showed a downward trend from 1988 to 2003, with a drop of 2.856% and 5.8% respectively for males and females. Conclusion To improve the monitoring system of malignant tumors in Kaifeng County, the prevention and treatment of esophageal cancer should be studied, the propaganda of prevention of suspicious etiology should be strengthened, the unhealthy lifestyles and behaviors should be changed, and the morbidity and mortality of esophageal cancer should be reduced.