浙江省1990～2002年恶性肿瘤死亡特征分析

目的]分析恶性肿瘤的死亡特征，为开展恶性肿瘤防治和研究工作提供信息。方法]以死亡率作为分析指标，比较全部恶性肿瘤和主要肿瘤的分城市农村和性别的年龄别死亡率，分别计算1990年～1992年和2000年～2002年标化死亡率，并比较其变化情况。结果]城市农村恶性肿瘤死亡均占全死因的首位。1990年～2002年浙江省恶性肿瘤死亡率为131．85／10万，城市居民死亡率前3位分别为肺癌、肝癌和胃癌，农村地区则为胃癌、肝癌和肺癌。1990年～1992年和2000年～2002年两阶段总恶性肿瘤死亡率比较．城市居民男女分别上升5．44％和3．75％，而农村居民男性上升了17．55％，女性上升了18．06％。无论城市还是农村地区，女性肺癌死亡率上升均超过36％。结论]胃癌、肝癌、肺癌是浙江省肿瘤的主要死亡原因，在重视城市地区肿瘤防治的同时，农村地区工作不容忽视。女性肺癌快速上升原因有待进一步研究。

An Analysis of Cancer Mortality from 1990 to 2002 in Zhejiang Province

To explore the characteristics of cancer mortality in Zhejiang province and to provido imformation for cancer prevention and control.Using the death data from Zhejiang Provincial Death Registration System,we compared mortalities of malignancies by age,gender and areas,and analyzed the trends of mortalities of malignancies by calculating the standarized mortality rates in 1990 to 1992 and in 2000 to 2002 respectively.Cancer was the leading cause of death in Zhejiang wherever in urban or rural areas.From 1990 to 2002, the cancer mortality was 31.85 per 100000.The leading cause of death due to malignancy was lung,liver and stomach cancer in urban area, and stomach, lung, liver cancer in rural area.Comparing with the period from 1990 to 1992, the mortality in male and female from 2000 to 2002 increased slightly(5.44%,3.75%)in urban area,and increased remarkably(17.55%,18.06%)in rural area.The mortality rate of lung cancer in female increased more than over 36% in both urban and rural areas.Conclusion]Stomach,liver and lung cancer are the main causes of death due to malignancy in Zhejiang Poavince.And the prevention and control should be strengthened not only in urban area,but also in rural area.The further research should be conducted especially on risk factors of female lung cancer.