河南省1987—2006年消化系统恶性肿瘤死亡率变化趋势

Analysis of mortality trends of digestive system cancer in Henan Province from 1987 to 2006

背景与目的:河南省是农业大省,消化道恶性肿瘤死亡率高预后差,严重威胁人民生命健康,本文通过描述河南省消化道恶性肿瘤死亡水平及分布特征,为制订防治策略提供科学依据。方法:利用河南省14个县市人口全死因登记报告数据,统计分析河南省1987—2006年消化道恶性肿瘤死亡率及年龄调整死亡率。结果:河南省1987—2006年消化道恶性肿瘤粗死亡率为81.95/10万,中调率为71.31/10万,占恶性肿瘤总死亡的71.29%。男性消化道恶性肿瘤的死亡率和年龄调整死亡率分别为101.17/10万和94.81/10万,女性分别为61.58/10万和49.28/10万,前4位死因依次为胃癌、食管癌、肝癌和肠癌。20年间消化系统恶性肿瘤死亡率呈下降趋势,其中胃癌、食管癌呈明显下降趋势,标化死亡率分别从1987年的30.38/10万、34.12/10万下降至2006年的21.27/10万、15.70/10万;肠癌死亡率无明显上升或下降趋势,但肝癌呈明显上升趋势,标化死亡率从1987年的12.45/10万上升至2006年的18.26/10万。结论:20年间河南省消化道恶性肿瘤的死亡状况发生了巨大改变,建议进行相应的防治策略调整。

Background and purpose：Henan is a big agricultural province and the high mortality rate of digestive system cancer threatened the life and the health of the people.In order to make some good strategies,we investigated the mortality rate and characteristic distribution of digestive system cancer in Henan province.Methods：The mortality and age-standardized mortality rate from 1987 to 2006 in Henan province were analyzed by using the data from registration system of all causes of death from 1/10 population in Henan province.Results：The crude mortality rate of digestive system cancer from 1987 to 2006 in Henan province was 81.95/10^5,and the age-standardized mortality in Chinese standard population was 71.31/10^5,which accounted for 71.29% of all eancers.The mortality rates,age-standardized mortality in male was 101.17/10^5 and 94.81/10^5 resperctively,compared to 61.58/10^5 and 49.28/10^5 respectively in female.The foremost four in rank of the digestive system cancer were gastric cancer,esophageal cancer,liver cancer and intestinal cancer.The mortality of digestive system cancer has desecended in the reccnt twcnty years.Comparing in 1987 and in 2006,the age-standardized mortality rates of gastric cancer and esophageal cancer had decreased significantly from 30.38/10^5 to 21.27/10^5 and from 34.12/10^5 to 15.70/10^5 respectively.The death rate of intestinal cancer remained constant.But age-standardized mortality rate of liver cancer had increased significantly from 12.45/10^5 in 1987 to 18.26/10^5 in 2006.Conclusions：The distribution of death rate of digestive system cancer had changed greatly,so the prevention measures have to be changed accordingly.