福清市2007—2009年居民肝癌死因分析

Analysis on the Liver Cancer Mortality for Residents in Fuqing from 2007 to 2009

目的了解福建省福清市2007—2009年居民肝癌死亡情况及其特征,为进一步开展肝癌危险因素调查和疾病预防提供科学依据。方法对福清市2007—2009年居民死因进行回顾性调查,按照ICD-10编码对福清市居民死亡资料进行分类整理,计算肝癌死亡率,描述其三间分布特征。结果 2007—2009年福清市户籍居民死于肝癌1 078例,总死亡率为29.03/10万,居恶性肿瘤死因顺位的首位;标化死亡率为20.47/10万,与1996—1998年肝癌标化死亡率相比虽然有所下降,但仍高于1973—1975年水平;男性肝癌死亡率是女性的4.48倍,沿海农村地区高发。结论福清市肝癌死亡率呈下降趋势,但依然是该市城乡居民主要的恶性肿瘤死因,是当前肿瘤防治工作的重点,特别是对≥40岁年龄组人群和沿海农村地区居民,应采取早发现、早诊断和早治疗措施,以期达到降低其死亡率的目的。

OBJECTIVE This study sought to examine mortality rate of liver cancer and its demographic characteristics in Fuqing city during 2007-2009,and to provide the basis for the prevention and control of liver cancer.METHODS A retrospective investigation study was performed on death records in Fuqing during 2007-2009.Classify putting in order according to ICD-10 to death materials,it calculated mortality rates for liver cancer and describe its demographic characteristics.RESULTS During 2007-2009,a total of 1078 cases died of liver cancer in the residents of Fuqing city,and the crude mortality of liver cancer was 29.03/105（the standardized mortality was 20.47/105）.Liver cancer was the top 1 of death causes of malignant tumors,which was 25.06%of all cancer deaths.The crude death rate of liver cancer was 46.58/105 in males,which was significantly higher than that in females（10.39/105）.The mortality of liver cancer was 0.15/105 in population aged 0 through 14,5.95/105 in population aged 15 through 39,53.90/105 in population aged40 through 64 years old,and 133.55/105 in population aged 65 or older.In the analyzing the area characteristic,itfound that the top ten areas of liver cancer mortalities were rural areas,nine of which were coastal areas.The standardized mortality of liver cancer during 2007-2009 was higher than that during 1973-1975,but lower than that during 1996-1998.During these years,the standardized mortality of liver cancer in males was always higher than that in females.The fourth most frequently diagnosed cancer and China.CONCLUSION Liver cancer is a burdensome common disease,which was the first leading cause of cancer death in Fuqing city.Public health initiatives should put more emphasis on the prevention and control of liver cancer,especially for groups aged 40 or above and the residents living in the rural coastal areas.