2007-2013年安徽省肥西县胃癌发病情况分析

Analysis of gastric cancer incidence in Feixi County of Anhui Province from 2007 to 2013

目的了解安徽省肥西县胃癌发病率及趋势,为农村地区胃癌综合防治提供决策依据。方法收集2007-2013年安徽省肥西县国家肿瘤登记信息系统全部胃癌发病登记信息,采用描述性统计分析和卡方检验,分析肥西县胃癌发病率及趋势。结果 2007-2013年肥西县人群胃癌年平均发病率为72.25/10万（中标率52.27/10万）,男性高于女性且差异有统计学意义（P〈0.001）;胃癌发病率在50岁之后呈现增长趋势,发病率在75-79岁年龄组达到高峰（发病率为607.91/10万）;全县胃癌潜在减寿年数（potential years of life lost,PYLL）为15 823人年,平均减寿年数（average years of life lost,AYLL）为9.71年,减寿率为2.49‰。结论肥西县胃癌呈高发状态,建议将50岁以上男性人群作为胃癌重点防控人群,重视女性患者预后及康复治疗,加强防治胃癌知识宣传,加大危险因素干预,结合早诊早治开展胃癌综合防治工作。

Objective To learn about the incidence of gastric cancer and the change trend,and provide basis for decision of the prevention and treatment of gastric cancer in rural areas. Methods The data from Feixi County,Anhui province from 2007 to 2013 in the National Cancer Registration system was collected,and the changing trends of gastric cancer incidence was analyzed by descriptive statistical analysis and Chi-square test. Results The average incidence of gastric cancer in Feixi was 72. 25 /100 000（ age-standardized rate of China was 52. 27 /100 000） during 2007 and 2013,and the difference of gender was statistically significant（ P〈0. 001）. The incidence of gastric cancer turned to rise in the residents overy age of 50 years and reached the peak at the 75-79 age（ incidence： 607. 91 /100 000）. The PYLL of gastric cancer was 15 823 person-years. The AYLL was 9. 71 years. The PYLL rate was 2. 49 ‰. Conclusions It is a period currenty of a high incidence of gastric cancer in Feixi period. Therefore people over 50 years of age in Feixi should be treated as high risk group and the prognosis follow up of female patients should be improved. Health education,health promotion and risk factor intervention should be also enhanced.