贵阳市1973～1998年恶性肿瘤死亡变动趋势分析

目的：通过贵阳市1973～1998年不同时期恶性肿瘤死因回顾调查资料对比分析，提供拟定干预性防治措施的依据。方法：按ICD-9编码不同时期贵阳市居民病伤死因进行回顾性调查，分类比较恶性肿瘤死亡率变动。结果：90年代恶性肿瘤死亡率74．62／10万，较70年代50．07／10万上升了50．43％。25年间死亡率按2．02％的幅度递增，恶性肿瘤死因顺位从疾病死因谱的第6位上升为第3位。肺癌、肝癌、直肠癌、乳腺癌死亡率呈上升趋势，肺癌死亡率增长最多，为148．83％；宫颈癌、食管癌、胃癌死亡率呈下降趋势，女性较男性下降幅度显著。20岁以下各年龄组死亡率均未超过10／10万．45岁以上男、女各组的死亡率随年龄增大而上升，65岁组以后死亡率涨幅均超过70％。结论：在我国西部大开发战略中，应加强以肺癌防治为中心肿瘤Ⅲ级预防，强化防癌健康教育及健康促进的社区服务，有效地控制降低恶性肿瘤死亡率。

Analysis of the Variation Tendency of Denth in Malignant Tumors from 1973 to 1998 in Guiyang

Objective:For the prevention and treatment of tumor by way of comparative analysis of the retrospective investigation of the death caused by malignant tumors during the different periods. Methods: It was investigated of resident death from wounds and diseases during these 25 years in Guiyang and compared the variation of death rate of malignant tumor according to the ICD-9 coding classification. Results: the death rate of malignant tumor in the 90s of the 20th century was 74.62 out of 100 000, increasing by 50.43% in comparison with that in the 70s. It increased 2.02% by degrees during these 25 years and the rank of the death-cause of malignant tumor rose from the sixth place to the third place. The death rate of hepatoma, lung cancer, protocolon cancer and mammary gland cancer was on the rise while that of uterine cervix, esophagus and gastric cancer was on the the decrease. The female death rate decreased markedly in comparison with that of the male. The death rate of different age groups under 20 was below 10 out of 100 000; that of those above 45 increased as they grew in age and that of those above 65 was beyond 70%. Conclusion: the death rate of malignant tumor can be effectively controlled and decreased by tumor prevention Type Ⅲ with priority to the prevention and treatment of lung cancer and strengthening health education of cancer prevention as well as promoting community service.