2004-2005年山东省育龄妇女妇科恶性肿瘤死亡的流行病学分析

目的分析山东省育龄期妇女（15～49岁）的妇科恶性肿瘤的死亡特点,为制定干预政策提供依据。方法利用山东省第3次死因调查资料,对山东省2004-2005年育龄期妇女的妇科恶性肿瘤的死亡特点进行描述和分析。结果2004-2005年山东省育龄期妇女的死亡率为85.71/10万,恶性肿瘤死亡率为26.47/10万,位于总死因的第2位。妇科恶性肿瘤死亡人数占肿瘤总死亡的21.35%（363/1700）,总死亡率为5.56/10万,位于恶性肿瘤第1位。妇科恶性肿瘤中,乳腺癌的死亡率为3.25/10万,占妇科恶性肿瘤的57.58%。妇科恶性肿瘤的死亡率随年龄的增高而增高,30岁以上是其高发人群。妇科恶性肿瘤共造成10062.54人年的寿命损失,平均每人为27.72岁。结论妇科恶性肿瘤是危害山东省育龄期妇女身体健康的重要疾病,要采取有针对性的预防措施,降低其发病率和死亡率。

On Death of Gynecologic Malignant Tumors of Women of Childbearing Age From 2004 to 2005 in Shandong Province

Objective To master the mortality and characteristics of the death of gynecologic malignant tumors of women of childbearing age in Shandong province through the analysis of the death data of women aged from 15 to 49 years and provides a basis for the development of prevention and intervention policy. Methods The data of the third death cause investigation in Shandong province was analyzed, the characteristics of the death of gynecologic malignant tumors of women of childbearing age from 2004 to 2005 were described and analyzed. Results The mortality rate of total death cause of women of childbearing age from 2004 to 2005 was 85.71/10^5 ; the mortality rate of malignant tumors is was 26. 47/10^5, which was on the second of all cause of death. Gynecologic malignant tumors accounted for 21.35% of the total death of malignant tumors （ 363/1 700）, the mortality rate of that is 5.56/10^5 , which was on the first of death cause of all malignant tumors. The mortality rate of breast cancer was 3.25/10^5, which was accounted for 57.58% of all death caused by gynecologic malignant tumors. With the increasing of age, the mortality rate of injury was increasing（ 2 trend^2= 208.44, P 〈 0. 05 ）, the population above the age of 30 years was the high risk group. A total of 10 062.54 potentials years of life lost are caused by gynecological malignancies tumor, with an average age of 27.72 per person. Conclusion Gynecological malignancies tumor is an important diseases for women of childbearing age. The targeted preventive measures should be taken to reduce its morbidity and mortality.