2011—2017年重庆市渝中区恶性肿瘤流行趋势分析

Epidemic trend analysis of malignant tumors in Yuzhong District of Chongqing from 2011 to 2017

目的了解重庆市渝中区2011—2017年肿瘤发病趋势、发病顺位及死亡趋势,为开展恶性肿瘤的预防控制工作提供理论依据。方法根据国际疾病分类(ICD-10分类),计算恶性肿瘤发病率、标化发病率、死亡率、标化死亡率和年度变化百分比(APC)等指标,采用Excel2016、SPSS19.0进行统计分析,评估恶性肿瘤发病、死亡的趋势变化。结果2011—2017年重庆市渝中区恶性肿瘤发病率由242.02/10万上升至319.94/10万(APC=2.54%,P>0.05),标化发病率由153.71/10万上升至225.56/10万(APC=3.99%,P>0.05),死亡率由164.42/10万上升至179.47/10万(APC=1.98%,P>0.05),标化死亡率由95.58/10万上升至116.48/10万(APC=3.14,P>0.05),肺癌、结直肠肛门癌、肝癌、乳腺癌、胃癌、甲状腺癌为主要发病癌种,女性甲状腺癌发病率持续升高,差异有统计学意义(APC=28.45%,P<0.05)。结论重庆市渝中区2011—2017年恶性肿瘤发生和死亡率趋于稳定,肺癌是最主要的恶性肿瘤,女性甲状腺癌发病率持续升高,应注意对主要恶性肿瘤的早期防治。

Objective To investigate the incidence trend,incidence order and death trend of tumors in Yuzhong district,Chongqing from 2011 to 2017,and to provide theoretical basis for the prevention and control of malignant tumors.Methods According to the International Classification of Diseases(ICD-10),the incidence of malignant tumors,standardized incidence,mortality,standardized mortality and annual percentage change(APC)were calculated,and the trends of incidence and death of malignant tumors were evaluated by Excel2016 and SPSS19.0.Results The incidence of malignant tumors in Yuzhong District of Chongqing increased from 242.02/105 to 319.94/105 from 2011 to 2017(APC=2.54%,P>0.05),the standardized incidence rate of cancer increased from 153.71/105 to 225.56/105(APC=3.99%,P>0.05),and the mortality rate of cancer increased from 164.42/105 to 179.47/105 in 2011-2017(APC=1.98%,P>0.05),the standardized mortality rate increased from 95.58/105 to 116.48/105(APC=3.14%,P>0.05).The main types of cancer included lung cancer,colorectal cancer,liver cancer,breast cancer,gastric cancer and thyroid cancer.The incidence rate of thyroid cancer in felmale continued to rise,with statistical significance(APC=28.45%,P<0.05).Conclusion The incidence and mortality of cancer in Yuzhong,Chongqing tends to be stable from 2011to 2017.Lung cancer is the most common malignant tumor,and incidence rate of thyroid carcinoma in female is constantly elevated.Therefore,it should focus on the early prevention and treatment of major malignant tumors.