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[目的]了解安徽省涡阳县恶性肿瘤死亡状况及趋势,为制订本地区肿瘤防治策略提供依据。[方法]采用流行病学回顾性调查法,由各村医生收集本村所有死亡病例上报,设计调查表入户调查;计算恶性肿瘤死亡率;用Cox鄄Stuart法分析其死亡趋势。[结果]1992年~2001年安徽省涡阳县的恶性肿瘤死亡率呈总体上升趋势(P<0.05),粗死亡率从81.78/10万(标化率为78.35/10万)上升至150.93/10万(标化率为143.23/10万),居死因首位。女性恶性肿瘤死亡率增长速度高于男性。男性恶性肿瘤死亡居前6位的分别是胃癌、肝癌、肺癌、食管癌、肠癌、白血病。其中白血病增速最快,其他依次为肠癌、胃癌、肺癌、肝癌;食管癌死亡率呈下降趋势,但未见显著性(P>0.05)。女性恶性肿瘤死亡居前6位的分别为胃癌、肺癌、食管癌、肝癌、乳腺癌、宫颈癌。其中肝癌增速最快,其他依次为宫颈癌、肺癌、乳腺癌。食管癌死亡率呈下降趋势。胃癌死亡率呈下降趋势,但无显著性(P>0.05)。[结论]安徽省涡阳县1992年~2001年恶性肿瘤死亡呈总体上升趋势,胃癌、肺癌、白血病、肝癌、肠癌、女性乳腺癌、宫颈癌为防治的重点。
[Objective] To understand the status and trend of death of malignant tumor in Guoyang County, Anhui Province, and to provide the basis for formulating the strategy of tumor prevention and control in this area. [Methods] Using epidemiological retrospective investigation method, all village doctors collected all the death cases reported in this village, designed questionnaire survey; calculated the mortality rate of malignant tumors; analyzed the mortality trend by Cox-Stuart method. [Results] The mortality rate of malignant tumors in Guoyang County, Anhui Province, from 1992 to 2001 showed an overall upward trend (P <0.05), and the crude mortality rate rose from 81.78 / 100 000 (standardized rate of 78.35 / 100 000) to 150.93 / 100,000 (standardization rate of 143.23 / 100,000), ranking first place. Female malignant tumor mortality rate is higher than that of male. The top 6 male deaths of malignant tumors are stomach cancer, liver cancer, lung cancer, esophageal cancer, intestinal cancer and leukemia. Including leukemia the fastest growth, followed by colon cancer, gastric cancer, lung cancer, liver cancer; esophageal cancer mortality showed a downward trend, but no significant (P> 0.05). The top 6 women who died of malignant tumor were gastric cancer, lung cancer, esophageal cancer, liver cancer, breast cancer and cervical cancer. The fastest growth of liver cancer, followed by cervical cancer, lung cancer, breast cancer. Esophageal cancer mortality is declining. The mortality of gastric cancer showed a downward trend, but no significant (P> 0.05). [Conclusion] The mortality of malignant tumors in Guoyang County, Anhui Province from 1992 to 2001 showed an overall upward trend. The focus of prevention and treatment was gastric cancer, lung cancer, leukemia, liver cancer, intestinal cancer, female breast cancer and cervical cancer.