河北省磁县2013—2017年恶性肿瘤死亡特征分析

Cancer Death and Distribution Characteristics from 2013 to 2017 in Cixian,Hebei Province

目的了解磁县居民恶性肿瘤死亡情况与分布特征。方法按照肿瘤登记规范,收集整理并分析2013—2017年磁县恶性肿瘤死亡资料,统计和计算恶性肿瘤粗死亡率、中国标化死亡率和世界标化死亡率等指标。结果2013年1月1日—2017年12月31日五年累计恶性肿瘤死亡6490例,年平均粗死亡率为202.88/10万,中国标化死亡率为186.49/10万,世界标化死亡率为189.02/10万。男性死亡率前10位恶性肿瘤顺位为食管癌、胃癌、支气管肺癌、肝癌、直肠癌、脑神经系统肿瘤、结肠癌、白血病、胰腺癌、膀胱癌;女性死亡率前10位恶性肿瘤依次是食管癌、支气管肺癌、胃癌、肝癌、乳腺癌、子宫颈癌、结肠癌、脑神经系统肿瘤、直肠癌、卵巢癌。死亡率从40岁年龄组以后上升明显,并随年龄的增高而升高,至85~岁年龄组死亡率达最高峰。结论2013—2017年上消化道癌、肺癌是威胁磁县居民的主要恶性肿瘤,开展高危人群筛查及综合防治仍然是当前恶性肿瘤预防控制的主要工作任务。

Objective To investigate the cancer death and distribution characteristics of residents in Cixian County.Methods In accordance with the norms of cancer registration,cancer death data from 2013 to 2017 in Cixian were collected and analyzed,and the crude cancer death rate,age-standardized mortality rates by the Chinese standard population(ASMRC),age-standardized mortality rates by the global standard population(ASMRW).Results From January 1st,2013,to December 31st,2017,6490 cases of cancer death were recorded.The average annual crude mortality rate was 202.88/100000,ASMRC was 186.49/100000,and the ASMRW was 189.02/100000.The top 10 male mortality cancers were esophageal cancer,stomach cancer,trachea,bronchus and lung cancer,liver cancer,rectal cancer,cerebral nervous system cancer,colon cancer,leukemia,pancreatic cancer,and bladder cancer in order.The top 10 female mortality cancers were esophageal cancer,trachea,bronchus and lung cancer,stomach cancer,liver cancer,breast cancer,cervical cancer,colon cancer,brain,nervous system cancer,rectal cancer,and ovarian cancer.The age of death increased considerably from the age of 40 years.It increased with the increase in age and reached the peak at the age of 85 years.Conclusion Upper gastrointestinal cancer and lung cancer were the main cancers that threatened the residents of Cixian County from 2013 to 2017.Screening and comprehensive prevention of high-risk groups are still the main targets of cancer prevention and control.