2001～2007年无锡市惠山区恶性肿瘤死亡趋势分析

Analysis on death tendency of malignant tumor among Huishan district citizens in Wuxi during 2001～2007

目的：分析惠山区居民恶性肿瘤死亡趋势,为恶性肿瘤的预防控制提供科学依据。方法：根据ICD-9（2001年）、ICD-10（2002年～2007年）对惠山区农村居民2001～2007年间的生命统计监测资料进行死因编码,用1990年全国人口普查结果进行标化率计算,进一步计算各主要类型的恶性肿瘤的PYLL率;用对数线性回归法计算年度变化百分比进行时间趋势分析。结果：2001～2007年间惠山区居民恶性肿瘤死亡率呈上升趋势（APC为4.91,P〈0.05）,且一直位居顺位第二位。7年间肺癌呈上升趋势,肝癌呈下降趋势。男性恶性肿瘤上升速度超过女性。PYLL分析结果显示：对惠山区居民威胁最大的恶性肿瘤为肝癌、肺癌、胃癌。结论：7年间惠山区居民恶性肿瘤死亡率呈上升趋势,男性高于女性。肝癌、胃癌、肺癌为威胁青壮年的主要恶性肿瘤,应重点加强这些肿瘤的控制与预防。

Objective：To analyze death tendency of malignant tumor among Huishan district citizens in Wuxi city and provide scientific evidence for control and prevention of malignant tumor.Methods：Cause of death was coded based on ICD-9（2001year） and ICD-10（2001 to 2007year） in Huishan district in Wuxi during 2001～ 2007.The standardized mortality was calculated based on the result of national census in 1990 and then calculated the YPLL rates of malignant tumor.Time trends for malignant tumor was assessed by a annual percentage change.（APC） of crude rates and age-adjusted rates.The APC was calculated by fitting a least squares regression line to the natural logarithm of the rates,using the calendar year as a variable.Results：The mo rtality of malignant tumo r w as increasing in Huishan district in Wuxi from 2001 to 2007（APC：4.91,P〈0.05）,and w as locked in the second in all death cause.Themortality of hepatocarcinoma carcinoma decreased,but the mo rtality of pulmonary carcinoma w ere increasing in Huishan district in Wuxi from 2001 to 2007.Male cancer rose faster than women.YPLL rate showed that the threatening supremelymalignant tumor was hepatocarcinoma,pulmonary carcinoma and gastric carcinoma.Conclusion：The incidence of malignant tumor was increasing in Huishan district in Wuxi.Male cancer rose.The pulmonary carcinoma,hepatocarcinoma and gast ric carcinoma were major malignant tumors that threatened the life of young and prime of life.We should strengthen control and prevention of these tumors.