2015-2019年河北省沧州市运河区肿瘤发病流行病学分析

Analysis on epidemiological characteristics of malignant tumors, Yunhe district, Cangzhou city Hebei province 2015-2019

目的了解河北省沧州市运河区恶性肿瘤发病情况及流行病学特征,为肿瘤防控提供科学依据。方法分析2015-2019年河北省沧州市运河区居民恶性肿瘤发病数据,统计并比较恶性肿瘤发病率、中国人口标化率(以下简称中标率)和年龄别发病率。结果2015-2019年沧州市运河区恶性肿瘤总发病率为221.33/10万,男性为209.03/10万,女性为233.09/10万,女性恶性肿瘤发病率高于男性(P<0.05)。中标率为208.43/10万,男性为203.36/10万,女性为216.33/10万。恶性肿瘤发病率随年龄增长而上升,在≥85岁年龄组达高峰(发病率达1025.12/10万)。25~59岁各年龄组女性发病率均高于男性,尤其是45~54岁年龄组女性恶性肿瘤发病率(66.63/10万)接近男性(33.33/10万)的2倍。60岁以后男女发病率均快速上升,并且男性发病率水平超过女性。发病前10位的恶性肿瘤依次为气管支气管肺癌、乳腺癌、甲状腺癌、结直肠癌、胃癌、肝癌、肾及泌尿系统癌、子宫颈癌、膀胱癌、食管癌。前10位恶性肿瘤5年间发病率水平除食管癌、甲状腺癌、胃癌有小幅度下降外,其余各癌种均呈上升趋势,年均上升幅度居前5位的是子宫颈癌(26.92%)、膀胱癌(21.71%)、支气管和肺癌(13.74%)、乳腺癌(12.68%)、结直肠癌(8.13%)。结论2015-2019年河北省沧州市运河区恶性肿瘤发病呈上升趋势,女性发病率高于男性,45~54岁女性的恶性肿瘤发病尤其要引起关注。肺癌和乳腺癌分别居男性和女性恶性肿瘤发病的首位。

Objective To understand the incidence and epidemiological characteristics of malignant tumors in Yunhe district of Cangzhou city,so as to provide scientific basis for tumor prevention and control.Methods The incidence of malignant tumor,standardized rate of Chinese population and age-specific incidence rates of residents in Yunhe district of Cangzhou city during 2015-2019 were analyzed,and chi-square test was used to compare those rates above.Results From 2015 to 2019,the total incidence of malignant tumors in Yunhe district was 221.33/10~5,with 209.03/10~5 males and 233.09/10~5 females,and the incidence of malignant tumors in females was higher than that in males(P<0.05).The standardized rate of Chinese population was 208.43/10~5,with male 203.36/10~5 of male and 216.33/10~5 of female.The incidence of malignant tumor increased with age,and reached its peak in the age group of 85+years(the incidence reached 1025.12/10~5).The incidence of malignant tumors in women aged 25-59 was higher than that in men,especially in women aged 45-54(66.63/10~5),which was nearly twice as high as that in men(33.33/10~5).After 60 years old,the incidence of both men and women increased rapidly,and the incidence of men exceeded that of women.The top 10 malignant tumors were tracheobronchial lung cancer,breast cancer,thyroid cancer,colorectal cancer,gastric cancer,liver cancer,kidney and urinary system cancer,cervical cancer,bladder cancer and esophageal cancer.Except for the slight decrease in esophageal cancer,thyroid cancer and gastric cancer,the incidence level of the top 10 malignant tumors in the past 5 years have shown an increasing trend.The top 5 annual increase rates were cervical cancer(26.92%),bladder cancer(21.71%),bronchial and lung cancer(13.74%),breast cancer(12.68%)and colorectal cancer(8.13%).Conclusion The incidence of malignant tumor in Yunhe district of Cangzhou city is still on the rise,and the incidence of female is higher than that of male.Besides,women aged 45-54 should be paid more attention.Lung cancer and breast cancer rank first in male and female malignant tumors respectively.