2008-2010年上海市大华地区恶性肿瘤死亡状况分析

目的 分析上海市大华地区居民恶性肿瘤死亡状况,为制定恶性肿瘤防治计划以及采取相应的防治对策和干预措施提供科学依据.方法 根据上海市宝山区大华地区死因监测系统的居民病伤死亡原因报告和大华派出所提供的人口资料,对大华地区2008-2010年恶性肿瘤的粗死亡率、标化死亡率、35～64岁截缩标化死亡率、累积死亡率、死因顺位、潜在减寿年数(potential years of life lost,PYLL)和减寿率等死亡特征进行分析.以2000年中国人口标准构成计算标化死亡率.结果 恶性肿瘤年均死亡率为174.04/10万(男204.71/10万,女142.88/10万),标化率为101.25/10万(男115.97/10万,女85.15/10万).全部恶性肿瘤死亡合计的中位死亡年龄72.00岁(男71.00岁,女74.00岁),男女恶性肿瘤死亡率性别比为1.43∶1.35～64岁截缩标化死亡率为93.54/10万(男114.31/10万,女74.09/10万),0～74岁累积死亡率为109.99/10万(男138.58/10万,女80.35/10万).死亡率较高的前5位恶性肿瘤依次为肺癌、肝癌、胃癌、肠癌和胰腺癌.恶性肿瘤总潜在减寿年数是4 459.09年,减寿率是20.98％(男性25.94％,女性15.86％),标化减寿率是16.14％(男性19.04％,女性13.07％).结论 肺癌和消化道肿瘤是严重危害当地居民身体健康的最主要的恶性肿瘤,是当前肿瘤防治工作的重点.

Analysis on Mortality of Malignant Tumor in Dahua Region of Shanghai from 2008 to 2010

Objective To analysis the mortality of malignant tumor in Dahua region of Shanghai. Methods According to the report on cause of disease/injury death derived from monitoring system of residents causes of death in Dahua region and the demographic data provided by Dahua local police station during 2008 to 2010, the crude mortality rate, standardized mortality rate, 35～64 yrs truncated standardized mortality rate, accumulation rate, the rank order of death, potential years of life lost （PYLL） and life lost rate were analyzed. The standardized death rate was calculated by 2000 Chinese population composition. Results The annual mortality rate of malignant tumor was 174.04/105（male 204.71/105, female 142.88/105）, while the standardized rate was 101.25/105（male 115.97/105, female 85.15/105）. The median age of death in all malignant tumor deaths was 72 years old（male 71, female 74 yrs old）. The sex ratio of cancer mortality was 1.43∶1 between male and female. The intercept standardized mortality rate was 93.54/105（male114.31/105, female 74.09/105） from 35 to 64 years old, cumulative rate was 109.99/105（male 138.58/105, female 80.35/105） from 0 to 74 years old. The top 5 malignant tumors with the higher mortality rates were lung cancer, liver cancer, gastric cancer, intestinal cancer and pancreatic cancer. The PYLL of malignant tumor was 4 459.09 yrs, the rate of PYLL was 20.98%（male 25.94%, female 15.86%）, the standardized rate of PYLL was 16.14%（male 19.04%, female 13.07%）. Conclusion Lung cancer and digestive cancer are major cancers which harm bodies seriously. The prevention and control of them should be focused on.