2003～2005年南通市第3次恶性肿瘤死因调查分析

Characteristics of Malignant Tumors death of the third retrospective sampling death survey in Nantong city

目的:了解南通市居民恶性肿瘤死亡现状及变化趋势。方法:通过2003～2005年第3次死因回顾调查南通地区海门市、启东市结果与前2次死因回顾调查结果比较,分析南通市恶性肿瘤死亡的变化趋势。结果:2003～2005年南通市居民恶性肿瘤粗死亡率230.77/10万,与前2次死因回顾调查相比呈上升趋势;标化死亡率为109.43/10万,与前2次死因回顾调查相比呈下降趋势。男性粗死亡率为319.94/10万,女性粗死亡率为149.54/10万,男性粗死亡率明显高于女性。2003～2005年与1990～1992年相比,标化死亡率上升趋势最明显的是肺癌,其次是白血病、乳腺癌、鼻咽癌,而宫颈癌、胃癌、食管癌、肝癌、结直肠癌、膀胱癌则呈下降趋势。肺癌在3次死因回顾调查中,无论是粗死亡率还是标化死亡率,上升幅度最大,均居于首位。标化死亡率上升幅度1973～1990年大于1990～2003年,死亡率儿童青少年组和70岁以上老年组上升明显,青壮年组和中年组呈下降趋势。结论:在进行恶性肿瘤防治同时,必须加强对肺癌、白血病、乳腺癌的防治工作,尤其必须加强肺癌的防治工作。

Objective：To investigate the death actuality and epidemic trend of malignant tumors in Nantong city.Methods：The data of the third national retrospective sampling death survey was compared to analyze the trend of malignant tumor.Results：The crude mortality showing an increasing trend was for 230.77/100000.The standardized mortality rate showing a downward trend was for 109.43/100000 of malignant tumor.The crude mortality of male（319.94/100000） was higher than that of female（149.54/100000）.There was an increasing trend in lung cancer,leukemia,breast cancer and nasopharyngeal carcinoma;a descending trend in cervical cancer,stomach cancer,esophageal cancer,hepatic cancer and colorectal cancer.The mortality rate of adolescents and elderly people over 70 years was increasing significantly;the mortality rates in the younger group and adult group were descending.Conclusions：The disease prevention and controlling measures should be focused on lung cancer,leukemia and breast cancer.