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目的了解重庆市长寿区恶性肿瘤发病情况及流行趋势,为开展肿瘤防治工作提供依据。方法分析长寿区2012-2015年肿瘤数据,计算肿瘤发病率、标化发病率,年龄组发病率及不同性别主要肿瘤发病率等,采用Logistic曲线估计对发病率进行趋势判断。结果长寿区恶性肿瘤粗发病率由180.05/10万上升至244.58/10万(F=31.32,P<0.05),标化发病率由118.07/10万上升到206.75/10万(F=31.62,P<0.05)。50~岁及60~80岁等年龄组的发病率呈上升趋势,差异有统计学意义。发病率居前6位的恶性肿瘤是肺癌、肝癌、结直肠肛门癌、食道癌、胃癌以及乳腺癌。男性肝癌(F=69.98,P<0.05)、结直肠肛门癌(F=339.72P<0.05)及胃癌(F=61.08,P<0.05)发病率呈逐年上升趋势,女性的肺癌(F=50.94,P<0.05)、乳腺癌(F=20.57,P<0.05)发病率呈逐年上升趋势。结论长寿区恶性肿瘤发病率逐年升高,中老年人发病率上升是主要原因,肿瘤防控工作应引起高度重视。
Objective To understand the prevalence and epidemic trend of malignant tumor in Changshou District, Chongqing, and to provide evidence for the prevention and treatment of cancer. Methods Tumor data from 2012 to 2015 in Changshou District were analyzed. The incidence of tumor, normalized incidence, incidence of age group and the incidence of major cancer in different genders were calculated. Logistic curve was used to estimate the trend of incidence. Results The crude incidence of malignant tumors in longevity area increased from 180.05 / 100 000 to 244.58 / 100 000 (F = 31.32, P <0.05), and the standardized incidence increased from 118.07 / 100 000 to 206.75 / 100 000 (F = 31.62, P <0.05). The incidence of the age group of 50 ~ 60 and 80 ~ 80 years old is on the rise, the difference is statistically significant. The top 6 malignant tumors are lung cancer, liver cancer, colorectal anorectal cancer, esophageal cancer, gastric cancer and breast cancer. The incidence of liver cancer (F = 69.98, P <0.05), colorectal anorectal cancer (F = 339.72 P <0.05) and gastric cancer (F = 61.08, P <0.05). The incidence of breast cancer (F = 20.57, P <0.05) showed an increasing trend year by year. Conclusion The incidence of malignant tumors in longevity area is increasing year by year, and the incidence of middle-aged and elderly patients is the main reason. Cancer prevention and control should be given high priority.