1982～2003年徐州市市区居民恶性肿瘤死亡趋势分析

目的对徐州市1982～2003年恶性肿瘤死因资料进行统计分析，了解肿瘤死亡率的变化趋势。方法病例统一按国际疾病分类（ICD-9、ICD-10）进行编码，对徐州市1982～2003年肿瘤死亡率、变化趋势、构成比等指标进行统计分析。结果22年间，徐州市恶性肿瘤平均死亡率为99．46／10万，呈逐年上升趋势。肺癌、肝癌和肠癌的死亡率呈上升趋势，胃癌和食管癌死亡率呈下降趋势。前5位死因分别为肺癌（25．45％）、肝癌（21．00％）、胃癌（15．51％）、食管癌（9．01％）和肠癌（4．39％）。男、女性肿瘤死亡数之比为2．02：1。从30岁年龄组开始，恶性肿瘤死亡率随年龄增长而迅速上升。结论生活方式、饮食习惯、生存环境、经济状况等因素均对徐州市肿瘤死亡率产生影响，应对肿瘤采取综合性的防治措施。

Cancer mortality trends in residents of Xuzhou City from 1982 to 2003

Objective To analyze cancer mortality during the period of 1982 to 2003 among urban residents in Xuzhou City, and explore time-trend of various malignancies. Methods The registered cases were coded according to the ninth revision and the tenth revision of ICD. Different indicators of malignant tumors such as mortality, death trend and constitutional ratio in Xuzhou City from 1982 to 2003 were analyzed. Results Over the 22-year period, the mortality for all cancers combined were averagely 99.46 per 100 000 and remarkably ascended. Mortalities increased notably for cancers of lung, liver, colon and rectum. The rates declined for cancers of stomach and esophagus. Five leading causes of deaths in order were cancers of lung, liver, stomach, esophagus, colon and rectum, and the constitutional ration was 25.45%, 21.00%, 15.51%, 9.01% and 4.39%, respectively. The cancer death rate of males was higher than that of females. Mortality for all cancers combined ascended quickly with the aging since thirty years old. Conclusions Cancer mortality is affected by the factors such as lifestyle, diet habit, survival environment, economic condition, etc. Some effective measures should be taken for prevention and control of cancer.