湖南省主要恶性肿瘤30年死亡变化趋势分析

Variation Trend Analysis of Major Malignant Tumor Mortality Among Residents of Hunan Province During the Past 30 Years

目的了解湖南省居民自上世纪70年代以来,人群主要恶性肿瘤死亡的变化趋势,为卫生行政主管部门和肿瘤防治机构制订恶性肿瘤防治规划提供科学依据。方法利用1973-1975年、1990-1992年及2004-2005年三次全死因回顾性抽样调查结果,对其中恶性肿瘤死亡的数据进行比较分析。结果主要恶性肿瘤标化死亡率2004-2005年与1973-1975年及1990-1992年相比均有不同程度的变化。2004-2005年肺癌、肝癌、胃癌不仅标化死亡率位居前三位,在主要恶性肿瘤中的构成比也居前三位,其中肺癌的构成比越来越高(P<0.05)。宫颈癌在主要恶性肿瘤中的构成比虽然越来越低(P<0.05),但它的标化死亡率有上升势头。结论湖南省主要恶性肿瘤死亡率正在以不同的幅度上升,各级部门必须加大力度防治各类恶性肿瘤,特别是肺癌、肝癌、胃癌。

Objective To analyze the variation trend of the major malignant tumor mortality among residents of Hunan Province during the past 30 years, and to provide the scientific basis for making the plan of malignant tumor prevention and control. Methods The entire causes of death during three periods of 1973-1975. 1990--1992. and 2004--2005 were reviewed through sampling investigation result. The death data of malignant tumor were compared and analyzed. Results＇ The standardized mortality of major malignant tumor during the period of 2004--2005 showed various degree alteration as compared with those in the periods of 1973-- 1975 and 1990-- 1992. Lung cancer, iver cancer, and gastric cancer ranked the first in the standardized mortality and the constitution ratio of the major malignant tumor. The composition ratio of lung cancer rose significantly （P〈 0.05）. The composition ratio of cervical cancer decreased markedly （P〈 0.05 ）. but its standardized mortality showed an increasing trend. Conclusions The major malignant tumor mortality in Hunan Province increases at different range. All levels of government departments must pay special attention to preventing and controlling each kind of malignant tumor, especially lung cancer, iver cancer, and gastric cancer.