2012-2014年重庆市万州区居民恶性肿瘤死因构成及顺位分析

摘要:目的　了解2012-2014年重庆市万州区居民恶性肿瘤死因构成及顺位情况，为恶性肿瘤的防治工作提供依据。方法　资料来源于2012-2014年万州区疾病预防控制中心收集的居民死亡病例，输入DeathReg2005，应用SPSS13.0进行统计学分析，计算死亡率、标化死亡率、期望寿命和去肿瘤死因期望寿命。结果　2012-2014年，万州区恶性肿瘤年均死亡率189.50/10万。男性恶性肿瘤年均粗死亡率为251.41/10万，女性恶性肿瘤年均粗死亡率为127.56/10万，不同性别之间差异有统计学意义（χ2＝962.88，P＝0.000＜0.01），除宫颈癌、乳腺癌外，肺癌、食管癌、肝癌、胃癌、肠癌、白血病、膀胱癌、鼻咽癌死亡率男女差异均有统计学意义（P＝0.000＜0.01），其恶性肿瘤死亡率男性均明显高于女性。恶性肿瘤中，肺癌死亡率为55.17／10万，居第1位，其次为食道癌和肝癌；居民平均期望寿命77.21岁，去恶性肿瘤死因后期望寿命增加4.12岁。结论　肺癌、食道癌、肝癌、胃癌、肠癌、白血病以及女性乳腺癌、宫颈癌是危害万州区居民健康的主要恶性肿瘤死因，是万州区制定恶性肿瘤防控策略的重点。

Analysis of Wanzhou district residents' cancer mortality composition and the ranking of the compositions between 2012 and 2014

Abstract: Objective This work aimed to learn Wanzhou District residents' cancer death composition and the related ranking in 2012-2014, so as to provide the basis for the prevention and treatment of malignant tumors. Methods Data of the death cases were collected from Wanzhou CDC, and entered into DeathReg2005. Then the data were statistically analyzed by SPSS13.0 software for mortality, standardized mortality, life expectancy and tumor removal life expectancy. Results The average cancer death rate was 189.50/100,000 in Wanzhou District during 2012-2014. The average crude mortality of cancer for men was 251.41/100,000 and that for women was 127.56/100,000, with a significant difference between genders (χ2=962.88, P=0.000<0.01). There were significant differences between men and women about the mortality of lung cancer, esophageal cancer, liver cancer, stomach cancer, colon cancer, leukemia, bladder cancer and nasopharyngeal carcinoma (P=0.000<0.01), except for that of cervical cancer and breast cancer. Cancer mortality in males were significantly higher than in females. Among them, Lung cancer mortality (55.17/100,000) ranked No.1, which was followed by esophageal and liver cancer. The average life expectancy was 77.21 years old. Tumor removal Life expectancy increased 4.12 years. Conclusion Lung, esophagus, liver, stomach, colon cancer, leukemia, cervical and breast cancer were the focus of cancer prevention and control strategies in Wanzhou District.