论文部分内容阅读
目的了解仙游县胃癌死亡特征、变化趋势及生存状况。方法分析2011-2012年仙游县18个乡镇的全死因回顾调查中胃癌死亡数据及生存数据,按2000年全国人口普查的标准人口构成对死亡率进行标化。结果仙游县2011-2012年仙游恶性肿瘤粗死亡率为177.93/10万,占死亡总数33.57%,其中胃癌死亡数合计1 176例,占恶性肿瘤死亡的30.43%,是仙游县首位恶性肿瘤。胃癌粗死亡率54.14/10万,标化死亡率49.47/10万,男性高于女性(2.44∶1),胃癌死亡率基本随年龄增长而上升。与1973-1975年仙游县胃癌死亡数据相比,仙游县胃癌粗死亡率(54.14/10万)上升65.11%,而标化死亡率(29.36/10万)下降22.55%。与福建省相比,胃癌死亡率高于2010年福建省监测点(23.38/10万)。不同乡镇间胃癌死亡率差异明显,最高的为西苑乡(69.58/10万)是最低枫亭镇(19.56/10万)的3.56倍,且呈现出从西北到东南随海拔降低胃癌死亡率逐渐降低的现象。仙游县居民胃癌总的减寿年数为11 022.5年,占全死因减寿年数的20.27%,为首位减寿死因。胃癌患者1、3、5年生存率分别为0.46、0.10、0.05,平均生存时间及中位生存时间为657d、365d,经手术治疗比未经手术治疗能增加胃癌患者的生存时间。结论仙游县仍属于胃癌高发区,40年来仙游县胃癌粗死亡率呈上升趋势,标化死亡率呈下降趋势。仙游县胃癌分布呈现较明显地区差异。仙游县胃癌患者生存时间普遍较低,提高高危人群的“三早”率和胃癌患者生存时间以及肿瘤防治是目前工作重点。
Objective To understand the characteristics, trends and survival of gastric cancer in Xianyou County. Methods To analyze the mortality and survival data of gastric cancer in a retrospective survey of 18 all townships in Xianyou County from 2011 to 2012. The mortality rate was standardized according to the standard population composition of the 2000 national census. Results In Xianyou County, the crude death rate of Xianyou cancer was 177.93 / 100 000, accounting for 33.57% of the total deaths in 2011 and 2012. The total number of deaths from gastric cancer was 1 176, accounting for 30.43% of the deaths from malignant tumors. It was the first malignant Tumor. The crude mortality rate of gastric cancer was 54.14 / 100000, the standardized mortality rate was 49.47 / 100000, higher than that of female (2.44:1). The mortality of gastric cancer increased with age. Compared with the data of gastric cancer death in Xianyou County in 1973-1975, the crude death rate of gastric cancer in Xianyou County increased by 54.7% (54.14 / 100000), while the standardized death rate (29.36 / 100000) decreased by 22.55%. Compared with Fujian Province, the mortality rate of gastric cancer was higher than that of Fujian Province in 2010 (23.38 / 100000). There was significant difference in the mortality rate of gastric cancer among different townships, with the highest being Xiyuan Township (69.58 / 100,000) 3.56 times the lowest in Fengting Town (19.56 / 100,000), showing a gradual decrease in mortality from gastric cancer with altitude from northwest to southeast Decreased phenomenon. The total life expectancy of gastric cancer in Xianyou County was 11 022.5 years, accounting for 20.27% of the total number of people who died of all causes of death. The 1, 3, 5-year survival rates of patients with gastric cancer were 0.46,0.10,0.05 respectively. The mean survival time and median survival time were 657 days and 365 days. Survival of patients with gastric cancer was significantly better than that without surgery. Conclusions Xianyou County still belongs to the high incidence area of gastric cancer. In the past 40 years, the crude mortality rate of gastric cancer in Xianyou County has been increasing, and the standardized mortality rate has been decreasing. Xianyou County gastric cancer showed a more obvious regional differences. Xianyou County patients with gastric cancer generally have lower survival time, improve the high-risk population “three early ” rate and survival of patients with gastric cancer and cancer prevention and control is the focus of the current work.