摘要
[目的]了解富源县居民肺癌发病水平,为肺癌防治研究提供科学数据。[方法]采取国际癌症研究中心主动调查法调查省、市、县、乡医疗机构,搜集2002～2004年经县级以上医院一、二级诊断的富源县籍肺癌新发病例,以1998～2001年当地县级医院诊断的肺癌病例用于核查、剔除重复病例。[结果]2002～2004年,富源县新发肺癌病例1198例,男、女肺癌世界调整发病率分别为93.01/10万、58.83/10万;0～74岁累积发病率为9.25%,35～64岁截缩发病率159.64/10万;男女肺癌发病率差距较小(男∶女=1.58),65岁以前和发病率较高的乡镇男女差距更小,其特点不同于其他以吸烟为主要原因的地区或人群。年龄别发病率从25～岁以后明显上升,至65～74岁达到高峰,比国内、外其他地区提前20～25年。富源县不同地域的肺癌发病率相差甚大,出产烟煤、以烟煤为生活燃料的北部乡(镇)男、女肺癌世调率分别为132.95/10万、88.12/10万;南部地区仅分别为14.94/10万、7.76/10万,二者相差近10倍。[结论]富源县肺癌疾患是目前世界农村地区中最严重的地区之一,男、女发病率差距不大,而且发病年龄提前,比其他地区更早暴露于更强烈的致癌因素,肺癌发病率与煤矿资源种类分布有关,以出产烟煤并以其为主要燃料的烟煤区人群肺癌发病率明显大于以无烟煤、植物材料为燃料的人群。
[ Objective ] To investigate the characteristics of lung cancer incidence in population in Fuyuan county, Yunnan province. [ Methods ] All lung cancer new cases diagnosed by province, city and county hospitals from 2002 to 2004 were analyzed. [ Results ] The total number of newly diagnosed lung cancer cases were 1 198 in Fuyuan. The world age-adjusted incidence rates were 93.01/10^5 in male and 58.83/10^5 in female, with the ratio of males to females 1.58. The cumulative rate（0-74 ） and truncate rate（ 35-64 ）were 9.25% and 159.64/10^5, respectively. The rates vary greatly among Fuyuan townships. The incidence was 132.95/10^5 in male and 88.12/10^5 in female in north Fuyuan area where bituminous coal was abundant and was widely used for domestic cooking and heating, while it was only 14.94/10^5 in male and 7.76/10^5 in female in south Fuyuan area whare anthracite or wood were used. [ Conclusion ] Distribution and use of different type of coal influenced the lung cancer incidence in population in Fuyuan county.
出处
《环境与职业医学》
CAS
北大核心
2008年第6期515-518,共4页
Journal of Environmental and Occupational Medicine
关键词
肺癌
发病率
烟煤
富源
lung cancer
incidence
bituminous coal
Fuyuan
