2011-2015年溧阳市恶性肿瘤死亡状况分析

目的描述溧阳市恶性肿瘤死亡的分布特征和流行趋势,为政府部门制定卫生决策提供科学的依据。方法分析溧阳市2011-2015年恶性肿瘤死亡数据,计算粗死亡率、标化死亡率,比较不同性别、年龄间死亡率的差异。结果溧阳市2011-2015年恶性肿瘤死亡病例共6747人,粗死亡率170.50/10万,中标率80.42/10万。男性粗死亡率224.27/10万,中标率102.63/10万,女性粗死亡率115.54/10万,中标率56.81/10万,男性与女性死亡率之间有统计学差异(χ^2=691.16,P<0.01)。溧阳市2011-2015年恶性肿瘤死亡前10位死亡原因分别是肺癌、胃癌、肝癌、食管癌、结直肠癌、胰腺癌、脑癌、白血病、淋巴瘤、乳腺癌,前十位占所有恶性肿瘤的85.92%。恶性肿瘤死亡从36~50岁年龄组开始逐渐上升,50岁后快速上升在80~84岁年龄组达到高峰,最高值为1254.77/10万。结论溧阳市恶性肿瘤防治的重点是肺癌、胃癌、肝癌,同时需要关注男性前列腺癌和女性乳腺癌、子宫癌,性别、年龄都是恶性肿瘤死亡的主要影响因素。

Analysis on the death status of malignant tumor from 2011 to 2015 in Liyang City

Objective To describe the distribution characteristics and epidemic trends of deaths of malignant tumor in Liyang City,and provide a scientific basis for government departments to make health decisions.Methods The deaths data of malignant tumor in Liyang City from 2011 to 2015 were analyzed,and the crude mortality and standardized mortality were calculated.The differences in mortality between different genders and ages were compared.Results There were 6747 deaths of malignant tumors in Liyang City from 2011 to 2015,with a crude death rate of 170.50/105 and the Chinese population standardized incidence rate of 80.42/105.The crude death rate for males is224.27/105,the Chinese population standardized incidence rate is 102.63/105,the crude death rate for females is 115.54/105,and Chinese population standardized incidence rate is 56.81/105.There is a significant statistical difference in mortality between male and female(χ^2=691.16,P<0.01).The top ten causes of death of malignant tumors in Liyang city from 2011 to 2015 are lung cancer,stomach cancer,liver cancer,esophageal cancer,colorectal cancer,pancreatic cancer,brain cancer,leukemia,lymphoma and breast cancer.The top ten causes of death accounted for 85.92%of deaths of all malignant tumors.Malignant tumor deaths increases gradually from the age group of 36 to 50 years old,and escalates rapidly after the age of 50 years.The mortality peaks in the 80-84 age group and is 1254.77/105.Conclusion Greater emphasis should be given to the prevention and treatment of lung cancer,stomach cancer,and liver cancer in Liyang city.Meanwhile,it is necessary to pay attention to prostate cancer in male and breast cancer and uterine cancer in female.Gender and age are main influencing factors of malignant tumor deaths.