福州市2011—2017年居民肺癌死亡状况分析

Analysis on death status of lung cancer in Fuzhou city from 2011—2017

目的了解福州市居民肺癌死亡的原因分布,为制定肺癌的综合防治策略和措施提供依据。方法采用入户调查的方法,按照ICD-10的标准和方法进行死因分类,对福州市2011—2017年居民肺癌死亡状况进行全面分析。结果 2011—2017年福州市居民肺癌死亡10 012例,平均死亡率为28.72/10万,男性(38.07/10万)高于女性(18.90/10万),差异有统计学意义(Z=33.404,P<0.001),城市(30.29/10万)高于农村(27.73/10万),差异有统计学意义(Z=4.355,P<0.001);40岁以上人群是肺癌死亡率高发人群。居民减寿率为1.64‰、潜在工作损失率2.40‰,肺癌对男性潜在寿命损失和潜在工作损失的影响较女性大(2.07‰vs.1.19‰,3.09‰vs. 1.68‰),差异有统计学意义(Z=64.562、84.966,P<0.001)。结论肺癌是威胁福州市居民的主要死亡原因之一,且对男性影响更大,应采取综合性干预措施,预防或减少肺癌的发生。

Objective To explore the death cause distribution of lung cancer in Fuzhou city and to provide evidences and recommendations for making policy for comprehensive prevention of lung cancer.Methods Through the household survey, the death causes of lung cancer in Fuzhou city from 2011 to 2017 were overall analyzed according to the standard and method of ICD-10. Results Totally 10 012 death patients with lung cancer were reported in Fuzhou city from 2011 to 2017 with the average mortality rate of 28.72/100 000, and the mortality rate in males(38.07/100 000) were higher than that in females(18.90/100 000), and the difference was highly significant(Z=33.404, P<0.001). Urban mortality(30.29/100 000) was higher than the countryside(27.73/100 000), and the difference was highly significant(Z=4.355, P<0.001). People above 40 years old was the high-risk group. The rate of years of potential life lost and potential working life lost among residents was1.64‰ and 2.40‰, respectively. The influences of potential life lost and potential working life lost from lung cancer in male’s were more conspicuous than those in females, which in males was 2.07 ‰and 3.09‰, respectively, while those in females was 1.19‰ and 1.68‰, respectively, and the difference was highly significant(Z=64.562,Z=84.966,all P<0.001). Conclusions Lung cancer have become the main cause of death among residents in Fuzhou city, and the influence in males is more conspicuous. It is necessary to carry out the comprehensive intervention measures to prevent and decrease the incidence of lung cancer.