2006—2011年杭州市下城区恶性肿瘤发病与死亡情况分析

目的]分析杭州市下城区恶性肿瘤发病与死亡情况及流行趋势,为制定预防控制措施提供科学依据。方法]根据下城区公共卫生监测系统2006—2011年恶性肿瘤发病和死因监测数据,采用国际疾病分类法(ICD-10)进行编码,对发病率、死亡率及潜在寿命损失年数(YPLL)等进行分析。结果]2006—2011年下城区恶性肿瘤发病率为423.75/10万,标化发病率为244.98/10万;死亡率为208.74/10万,标化死亡率为100.93/10万;男性高于女性,恶性肿瘤发病率和死亡率均随着年龄的升高而上升。肿瘤发病前5位依次是肺癌、结直肠癌、胃癌、乳腺癌和肝癌,死亡前5位依次为肺癌、结直肠癌、肝癌、胃癌和胰腺癌;恶性肿瘤YPLL前5位顺位与死因顺位有所不同。结论]恶性肿瘤已严重影响下城区居民的健康,应制定相应的预防控制措施,开展有针对性的健康教育及做好早期筛查,是降低恶性肿瘤发病率和死亡率的重要方法。

Morbidity and Mortality analysis on malignant tumor from 2006 to 2011 in Xiacheng District of Hangzhou City

Objective ] To analyze the morbidity, mortality and incidence trend of malignant tumor from 2006 to 2011 in Xiacheng District of Hangzhou City, and to provide scientific basis for intervention policies. Methods] Data came from database on cancer incidence and mortality （2006--2011） in Public Health Surveillance System of Xiacheng District. The incidence rate, mortality rate, and years of potential life lost （ YPLL} were analyzed using the ICD - 10. Results ] In Xiacheng District from 2006 to 2011, the cancer incidence rate was 423.75/lakh. Standardized incidence rate was 244.98/lakh. Mortality rate was 208.74/lakh and standardized mortality rate 100.93/lakh , which were higher in male population than in female population. Both incidence and mortality increased with age. The top 5 cancers in onset order were with lung, colon, stomach, breast, and liver . The front 5 cancers in the order of the highest mortality were lung, colon, liver, stomach, and pancrea. The order for YPLL was different than that for mortality in top 5 cancers. Conclusion] Cancers have severely affected the health of residents in Xiacheng District. Measures for prevention and control of cancer should be formulated and proper health education and early screening carried out, which are of great importance in lowering incidence and mortality rates of cancer.