宁波市镇海区2016-2018年恶性肿瘤死亡监测分析

Analysis on death monitoring of malignant tumors in Zhenhai District in Ningbo from 2016 to 2018

目的分析2016-2018年镇海区户籍居民的恶性肿瘤死亡特征,为精确开展区域内恶性肿瘤防治工作提供科学依据。方法运用Deathreg2005软件、中国疾病预防控制中心死因监测数据分析统计软件和Excel2007对镇海区户籍恶性肿瘤死亡资料进行统计分析,计算死亡率、标化死亡率、死因构成、死亡顺位等指标。结果 2016-2018年,镇海区居民恶性肿瘤年均死亡率为208.81/10万,标化死亡率为137.39/10万。男性恶性肿瘤年均粗死亡率为283.63/10万,女性恶性肿瘤年均粗死亡率为133.12/10万,男性高于女性,差异有统计学意义(P<0.05)。男女恶性肿瘤死亡率前五顺位依次为肺癌、胃癌、肝癌、结直肠肛门癌、食管癌,死因顺位略有不同。随着年龄增长恶性肿瘤死亡率呈上升趋势,各年龄组差异有统计学意义(P<0.05)。结论恶性肿瘤是造成镇海区居民死亡的首要原因,应查找并控制恶性肿瘤的各项高危致病因素,根据不同性别、年龄人群的死亡分布特点制定个性化的肿瘤防治策略。

Objective To analyze the death characteristics of malignant tumors among the residents with registered permanent residents in Zhenhai District from 2016 to 2018, so as to provide scientific basis for accurate prevention and treatment of malignant tumors in the region. Methods Deathreg2005 software, analysis and statistics software of death cause monitoring data of China Center for Disease Control and Prevention(CDC) and Excel 2007 were used to analyze the death data of malignant tumors among the registered residents in Zhenhai District, and the mortality rate, the standardized mortality rate, composition of cause of death, order of cause of death and other indicators were calculated.Results From 2016 to 2018, the average annual mortality rate of malignant tumors in Zhenhai District was 208.81/100000, and the standardized mortality rate was 137.39/100000. The average annual crude mortality rate of malignant tumors of male was 283.63/100000, and that of female was 133.12/100000, male was higher than female, the difference was statistically significant(P<0.05). The top five mortality rate of malignant tumors in both male and female were lung cancer, gastric cancer, liver cancer, colorectal and anal cancer, esophageal cancer, and order of cause of death was slightly different. The mortality rate of malignant tumors was on the rise with the increase of age, the difference was statistically significant in each age group(P<0.05). Conclusion Malignant tumors is the primary cause of death for the residents in Zhenhai District. It is necessary to find out and control the high risk factors of malignant tumors as soon as possible. It is necessary to formulate personalized prevention and treatment strategies for cancers, according to the characteristics of death distribution of different gender and age groups.