1989至2009年江苏省海门市居民肝脏疾病死亡率变化

Variation tendency of the mortality rate among population with liver disease from 1989 to 2009 in Haimen County,Jiangsu province

目的分析江苏省海门市居民1989—2009年病毒性肝炎、肝硬化和肝癌的死亡率,为今后制定防治决策提供参考。方法利用海门市居民全死因资料和历年人口资料,计算病毒性肝炎、肝硬化、肝癌疾病死亡率、年龄别死亡率和调整死亡率。结果海门市居民肝癌死亡率1989年开始下降,1996—2003年又呈现上升趋势,2009年下降到49.43/10万。病毒性肝炎和肝硬化等肝脏良性疾病死亡率1989—1997年呈上升趋势,1997—2009年呈下降趋势。2009年肝脏疾病第一次死亡高峰年龄比1989年推迟,肝癌死亡率随年龄组增大呈上升趋势。肝癌死亡率在40~50岁开始明显超过肝脏良性疾病。结论海门市肝脏疾病死亡率总体呈下降趋势,肝癌仍是严重危害海门市居民特别是40岁以上人群的重要肝脏疾病。

Objective To analyze the mortality of viral hepatitis,liver cirrhosis and liver cancer from 1999 to 2009 in Haimen city,Jiangsu province so as to provide the evidence for policy making.Methods The mortality were calculated through all-cause information and the calendar year population data of Haimen residents age-specific mortality and adjusted mortality of viral hepatitis,cirrhosis,liver cancer.Results Liver cancer mortality began dropped since 1989 and dropped to 49.43/100 000 in 2009,while from 1996 to 2003,it showed a short upward trend.Viral hepatitis and liver cirrhosis mortality had the ascenting trend from 1989 to 1997,but decline from 1997 to 2009.The death peak age due to liver disease in 2009 was older than that in 1989.Liver cancer mortality increases with the rise of age.Liver cancer mortality in the fortieth and fiftieth was significantly more than the benign liver disease.Conclusion Liver disease mortality shows a downward trend in general in Haimen.Liver cancer is still a serious hazard for Haimen residents,especially for those over 40 years.