2012-2015年重庆市长寿区恶性肿瘤发病与流行趋势分析

The Malignant Tumors Incidence and Epidemic Trend in Changshou District of Chongqing from 2012 to 2015

目的了解重庆市长寿区恶性肿瘤发病情况及流行趋势,为开展肿瘤防治工作提供依据。方法分析长寿区2012-2015年肿瘤数据,计算肿瘤发病率、标化发病率,年龄组发病率及不同性别主要肿瘤发病率等,采用Logistic曲线估计对发病率进行趋势判断。结果长寿区恶性肿瘤粗发病率由180.05/10万上升至244.58/10万(F=31.32,P<0.05),标化发病率由118.07/10万上升到206.75/10万(F=31.62,P<0.05)。50~岁及60~80岁等年龄组的发病率呈上升趋势,差异有统计学意义。发病率居前6位的恶性肿瘤是肺癌、肝癌、结直肠肛门癌、食道癌、胃癌以及乳腺癌。男性肝癌(F=69.98,P<0.05)、结直肠肛门癌(F=339.72P<0.05)及胃癌(F=61.08,P<0.05)发病率呈逐年上升趋势,女性的肺癌(F=50.94,P<0.05)、乳腺癌(F=20.57,P<0.05)发病率呈逐年上升趋势。结论长寿区恶性肿瘤发病率逐年升高,中老年人发病率上升是主要原因,肿瘤防控工作应引起高度重视。

Objective To investigate the incidence and epidemic trend of malignant tumors in Changshou district of Chongqing, and provide the evidence for malignant tumors prevention and control. Methods The data of ma- lignant tumors were collected to analyze the incidence and normalization incidence in different ages and gender from 2012 to 2015, and the epidemic trend was identified by the logistic regression analysis. Results The inci- dence of malignant tumor increased from 180. 05/105 to 244. 58/105 （F = 31.3, P 〈 0. 05 ）, normalization incidence increased from 118.07/105 to 206. 75/105 （F =31.62, P 〈0. 05）. The trend of malignant tumor significantly increased in 50 - years and 60 - 80 years groups. The top 6 kinds of malignant tumor were lung cancer, liver cancer, colorectal anal cancer, esophagus, gastric cancer and breast cancer. In the male cases, the liver cancer （F =69.98, P 〈0. 05）, colorectal cancer （F =339.72 P 〈0. 05） and gastric cancer （F = 61.08, P 〈0. 05） increased significantly. In the female cases, the lung cancer （F =50. 94, P 〈0. 05） and brest cancer （ F = 20.57, P 〈 0.05 ） increased significantly. Conclusion The malignant tumor incidence in- creased significantly year by year in Changshou district. The main reason was the high incidence in middle age and elder people, which need to pay more attention on prevention and control.