对某“癌症高发村”1990～2010年恶性肿瘤死亡调查分析

Investigation on the Mortality of Malignant Tumor in A "Cancer High-incidence Village" from 1990 to 2010

目的:对某"癌症高发村"村民1990年～2010年恶性肿瘤死亡情况进行回顾性调查,以确认村民所述"癌症高发"的真实性。方法:收集该地最近20年恶性肿瘤死亡患者资料,计算恶性肿瘤构成比和死亡率,并与全国水平相比较。结果:恶性肿瘤死亡率为337.84/10万,高于全国农村平均水平128.65/10万;肝癌死亡率168.92/10万,高于全国农村平均水平26.93/10万;男性死亡率为472.94/10万,女性死亡率为202.70/10万,分别高于全国农村平均水平161.69/10万和93.75/10万;40岁以上的恶性肿瘤死亡患者有17人,占85.0%;13名死亡患者(65.0%)其疾病最高诊断单位为三级甲等医院。结论:恶性肿瘤是该地区村民的主要死亡原因之一,其死亡率高于全国农村平均水平,肝癌应为重点防治疾病。

Objective： To investigate the mortality of malignant tumor in a ＂Cancer High-incidence village＂ from 1990 to 2010, and to further support the authenticity and reliability of the information reported by villagers. Methods： Collected the cancer death data in the last 20 years, calculating the cortstituent ratio of malignant tumors and mortality and compared with the national level. Results： Malignant tumor mortality was 337.84/10^5 , which was higber than the national average level in rural areas of 128.65/10^5 ; liver cancer mortality was 168. 92/10^5 , which was higher than the national average level in rural areas of 26.93/10^5 ; male mortality was 472.94/10^5 , female mortality was 202. 70/10^5 which was higher than the national average level in rural areas of 161.69/10^5 and 93.75/10^5 respectively; 17 （85.0%） dead cancer patients were over 40 years old. 13 （65.0%） dead patients were diagnosed in top hospitals. Conclusion ： Cancer is one of the region＇ s leading causes of death, its mortality rate is higher than the national average level in rural areas. Liver cancer shoud be the focus of cancer prevention and treatment.