大连市沙河口区恶性肿瘤死因和减寿年分析

目的了解大连市沙河口区居民恶性肿瘤死亡率、死亡原因、减寿情况,为开展进一步健康教育和综合防治提供科学依据。方法采用沙河口区2002—2007年死因监测资料,对死因采用国际疾病分类标准ICD-10进行编码,录入Access数据库进行分析处理。结果沙河口区2002—2007年居民恶性肿瘤死亡数为7069例,死亡率为188.08/10万,标化死亡率为120.39/10万。死亡率随着时间的推移呈现较为明显的上升趋势,P〈0.05（t=3.378,P=0.028）。男女死亡率分别为234.76/10万、141.22/10万,性比值为：1.66∶1,男性明显高于女性。前5位肿瘤死因为肺癌、肝癌、胃癌、肠癌、食管癌。2002—2007年因肿瘤导致的减寿年为45190.5a,在全死因中列第1位。恶性肿瘤中潜在寿命损失年（YPLL）前3位的分别是肺癌、肝癌、胃癌。结论由于恶性肿瘤的高死亡率,亟待加强对恶性肿瘤的综合防治。

Analysis of Malignant Death Cause and Years of Life Lost in Shahekou District, Dalian

[ Objective ] To understand the mortality, death cause and life lost of malignant neoplasm for urban residents in Sahekou District of Dalian, so as to provide the scientific basis for heath education and integrated control. [ Methods] The death cause monitoting data of Shahekou District during 2002-2007 were used and encoded, according to international classification diseases ICD-10. Access database was adopted to analyze the data. [ Results] A total of 7069 death cases of malignant neoplasms were reported in Shahekou District of Dalian during 2002-2007, the mortality was 188.08/100,000, standardized mortality was 120.39/100,000. The mortality showed upward trend significandy over time, P 〈 0.05 （ t = 3. 378 ,P = 0.028）. The male mortality was 234.76/100 000, and the female was 141.22/100 000. Ratio of male to female was 1.66 ： 1, the mortality of male was higher than that of female obviously. Top five death causes were lung cancer, liver cancer, gastric cancer, intestinal cancer, and esophageal cancer. The life lost caused by malignant neoplasm was 45 190.50 years during 2002-2007, which held the first place in all death causes. The top three malignant neoplasms in YPLL were malignant neoplasm of lung, malignant neoplasm of liver and malignant neoplasm of stomach. [ Conclusion] Since the high mortality of malignant neoplasm; it should be reinforced for integrated control