徐州市区居民恶性肿瘤死亡率29年变化趋势分析

Analysis on Change Trend of Mortality Rate of Malignant Tumors in 29 Years Among Urban Residents in Xuzhou

目的了解1982-2010年徐州市区居民恶性肿瘤死亡率变化趋势。方法病例统一按国际疾病分类(ICD-10)进行编码,对徐州市区居民1982-2010年肿瘤死亡情况及变化趋势进行统计分析。结果 1982-2010年间,徐州市区恶性肿瘤平均死亡率为113.98/10万,呈逐年递增趋势。肺癌、肝癌、肠癌、白血病和乳腺癌的死亡率呈上升趋势,胃癌、食管癌和宫颈癌的死亡率呈下降趋势。前5位死因分别为肺癌(27.18%)、肝癌(20.74%)、胃癌(13.73%)、食管癌(7.57%)和肠癌(4.75%)。男女肿瘤死亡数之比为1.92:1。从30岁年龄组开始,恶性肿瘤死亡率随年龄增长而迅速上升。结论徐州市区恶性肿瘤死亡率呈上升趋势,严重威胁居民生命健康,应采取有效的预防控制措施。

Objective To analyze malignant tumors mortality during 1982-2010 among urban residents in Xuzhou,and determine time-trend of various malignancies. Methods The registered cases were coded according to the ninth revision and the tenth revision of the ICD.Different indicators of malignant tumors such as mortality,death trend and constitutional ratio in Xuzhou from 1982 to 2010 were analyzed. Results During 1982-2010,mortality for all malignant tumors combined were averagely 113.98 per 100,000 and remarkably ascended.Mortalities increased notably for cancers of the lung,liver,colon and rectum,blood-forming tissues and breast.Rates declined for cancers of stomach,esophagus and uterine cervix.Five leading causes of deaths in order were cancers of lung,liver,stomach,esophagus, colon and rectum,and the constitutional ratio was 27.18%,20.74%,13.73%,7.57% and 4.75%,respectively.The cancer death rate of males was higher than the females.Mortality for all cancers combined ascended quickly with the aging since thirty years old. Conclusions Cancer mortality was affected by the factores such as lifestyle,diet habit,survival environment,economic condition,et al.We should take some effective measures to prevent and control cancer mortality.