河南省西峡县2011—2015年恶性肿瘤发病特征分析

An analysis of characteristics of malignant tumor incidence from 2011 to 2015 in Xixia Country,Henan Province

目的应用新型农村合作医疗数据库,描述河南省西峡县2011—2015年恶性肿瘤基本流行特征。方法对2011—2015年西峡县新型农村合作医疗数据库进行筛选,确定恶性肿瘤的新发病例。计算5年间恶性肿瘤的发病率,应用χ2检验比较5年间发病率的差异。结果河南省西峡县2011年至2015年恶性肿瘤新发病例共3 820例,其中男性2 129例,女性1 691例,发病率呈逐年上升的趋势,差异有统计学意义(χ2=300.14,P<0.05);恶性肿瘤以上消化道肿瘤高发为主,其发病亦呈逐年上升的趋势,差异有统计学意义(χ2=66.24,P<0.05)。结论河南省西峡县恶性肿瘤发病率呈逐年上升趋势,食管癌和胃癌高发。应尽快启动和开展本地区农村癌症筛查和早诊早治项目,尽快遏制该地区上消化道肿瘤高发态势。

Objective To describe the epidemiological characteristics of malignancy from 2011 to 2015 in Xixia Country,Henan Province by using the data from the local NCMS( New Rural Cooperative Medical System). Methods The newly diagnosed cases of malignant tumor were acquired from the NCMS in Xixia County from 2011 to 2015 through a screening procedure.The incidence of malignancy for 5 years was calculated,and χ2-test was used to evaluate the differences of incidence rate among5 years. Results There were 3 820 new cases of malignant tumors from 2011 to 2015 in Xixia County,Henan Province,including 2 129 males and 1 691 females. There was an upward trend in incidence,and the difference was statistically significant( χ~2= 300. 143,P < 0. 05). The main malignant neoplasms were upper gastrointestinal tumors,the incidence also showed a rising trend year by year,and the difference was statistically significant( χ2= 66. 24,P < 0. 05). Conclusion There is an upward trend in the incidence of malignant tumors,with a high incidence of esophageal and gastric cancer. We should start to carry out the region rural screening and early diagnosis and early treatment project of cancer to curb the high incidence of upper gastrointestinal tumor in the region as soon as possible.