深圳沙井劳务工白血病发病情况分析

摘要：目的　掌握深圳市沙井街道劳务工白血病的发病及流行特征。方法　用ＳＰＳＳ１７．０统计软件分析医
院２００６－２０１２年白血病患者的发病率和标化发病率。结果　２００６－２０１２年劳务工白血病发病１９１ 例，发
病率为４．１７／１０万，标化发病率４．０２／１０万，呈逐年递增趋势；男、女发病率分别为６．２２／１０万、２．７８／１０
万，男性∶女性＝１．５１∶１ （χ
２＝７．９６，犘＝０．００４）；在各个年龄组男性发病率均明显高于女性，男性在
２５～２９岁组发病率达高峰（６．９３／１０万），女性在１５～１９ 岁和２０～２４ 岁组发病率（３．３６／１０ 万、３．９３／１０
万）高于全国平均水平；夏、秋季发病率（５．３４／１０ 万，４．９８／１０ 万） 明显高于春、冬两季（３．１２／１０ 万，
２．９８／１０万）；急性白血病以Ｍ３、Ｌ２多发，ＣＭＬ 主要在２５～２９岁发病（４８．１％）。结论　深圳沙井劳务工
白血病发病呈年青化趋势，且与性别、年龄、季节明显相关，临床应进行针对性预防及诊治以降低白血病
发病率。
关键词：劳务工；白血病；发病率；标化发病率
中图分类号：Ｒ７３３．７　　文献标识码：Ａ　　文章编号：１００９ ６６３９ （２０１４）０３ ０２６０ ０４

The prevalence of leukemia among migrant labor workers in Shajing of Shenzhen

Objective To understand the prevalence and epidemiological features of leukemia among migrant labor workers in Shajing of Shenzhen. Methods SPSS 17.0statistical software was used to analyze the incidence and standardized incidence of leukemia among migrant workers in Shajing hospital from 2006to 2012.Results A total of 191leukemia patients were reported in 7years with the incidence and standardized incidence of 4.17and 4.02per 100,000population which tended to increase annually.The incidences of leukemia in male and female workers were 6.22and 2.78per 100,000population with the ratio of 1.51to 1and the difference was significant（χ^2=7.96,P=0.004）.Male workers aged 25-29years had the highest incidence of 6.93 per 100,000population,while the incidence in female workers aged 15-24years was higher than the national average.More patients appeared in summer and fall（5.34and 4.98per 100,000population）than in spring and winter（3.12and 2.98per 100,000population）.M3and L2were common types of acute leukemia,and almost half patients with CML type leukemia were in 25-29age group. Conclusions Leukemia,in general, has the tendency to attack younger individuals among migrant labor workers in Shajing of Shenzhen,and the incidence is closely related to gender,age and season.