婺城区2004-2005年居民恶性肿瘤死因模式与潜在减寿年数分析

Death mode of malignant tumor in Wucheng district of Jinhua city in 2004-2005 and PYLL analysis

目的:分析2004-2005年婺城区居民恶性肿瘤死亡模式、减寿年数(PYLL)、减寿率。方法:按照《全国第三次死因回顾抽样调查实施方案》要求进行回顾性调查。结果:前5位死因:肺癌、肝癌、胃癌、食管癌和结肠癌。男性平均期望寿命73.18岁,女性为78.53岁,去恶性肿瘤死因后期望寿命男性为77.05岁、女性为81.22岁。全死因减寿年数(PYLL)为50 464.66人年,标化PYLL为50 802.32人年,标化PYLL率为59.44‰;前5位PYLL为:肝癌、肺癌、胃癌、食管癌和乳腺癌。PYLL顺位与死亡模式顺位相比,肝癌由恶性肿瘤死因模式顺位第二位前移至第一位,肺癌由死亡模式顺位的第一位后移至第二位。结论:去恶性肿瘤死因后婺城区平均期望寿命男女分别可增加3.87岁和2.69岁;恶性肿瘤是造成婺城区男女居民潜在减寿损失的重要原因之一,也是造成婺城区居民相对过早死亡的主要疾病。

Objective To analyze death mode of malignant tumor, PYLL and longevity reduction rate in Wucheng district of Jinhua city in 2004--2005. MethodA retrospective investigation was adopted based on The Scheme for the Third National Sample of Cause of Death. Resultsthe first five causes of death are lung cancer, hepatocarcinoma, gastric carcinoma, cancer of the esophagus and cancer of colon successively. Life expectancies for males and females are 73.18 years old and 78.53 years old, respectively, while those for males and females are 77.05 years old and 81. 22 years old excluding death cause of malignant tumors. PYLL, standard PYLL and Standard PYLL rate amount to 50 464.66 years, 50 802.32 years, and 59.44‰, respectively. The first five causes for PYLL are hepatocarcinoma, lung cancer, gastric carcinoma, cancer of the esophagus and breast cancer. On comparison of cause sequence of PYLL with that of death, hepatocarcinoma shifts from the second cause of death to the first cause of PYLL, while lung cancer shifts from the first to the second. Conclusion To the exclusion of death cause of malignant tumor, average life expectancy of males and females in Wucheng district can be increased by 3. 87 years and 2.69 years, respectively. Malignant tumor is one of the major causes of PYLL in Wucheng district and the main disease causing relatively early death of residents in Wueheng district.