2008-2012年苏州市相城区某镇居民恶性肿瘤死亡情况及减寿分析

目的 对苏州相城区某镇居民2008-2012年恶性肿瘤死亡情况及减寿年数进行分析,为评价恶性肿瘤对该镇居民健康的危害程度及制定综合性干预措施提供依据.方法 使用Excel 2003对该镇居民2008-2012年的死因资料进行数据整理和统计分析,计算恶性肿瘤死亡率、性别死亡率、年龄别死亡率、潜在减寿年数（PYLL）及潜在减寿率（PYLL‰）等指标.结果 2008-2012年该镇共报告恶性肿瘤死亡病例597例,死亡率为249.77/10万,占全死因的构成比为36.14％.除胰腺癌、肠癌、乳腺癌和子宫癌外,男性死亡率均高于女性,特别是胃癌、肺癌、食管癌和肝癌的死亡率明显高于女性.恶性肿瘤死亡率随着年龄增高而上升,65岁以上组居民恶性肿瘤死亡率最高,40～64岁组以及65岁以上组居民胃癌、肺癌均居恶性肿瘤死亡前2住.前10位恶性肿瘤减寿总人年数为6 541人年,总减寿率为27.37‰,男性减寿率高于女性.结论 恶性肿瘤是导致该镇居民死亡的主要原因,应根据不同肿瘤和不同人群的特点,采取综合性干预措施,预防和减少恶性肿瘤的发生.

Analysis on Death Circumstances and the Potential Years of Life Lost of Malignant Tumors in a Town of Xiangcheng District in Suzhou from 2008 to 2012

OBJECTIVE To analyze the death circumstances and the potential years of life lost of malignant tumors in a town in Suzhou City from 2008 to 2012, so as to provide a basis for assessing the extent of injury on residents＇ health caused by malignant tumors and formulate comprehensive intervening measures. METHODS With Excel 2003, the monitor data of death cause from 2008 to 2012 of the town were collected and analyzed for death rate, age-sex specific death rate, the potential years of life lost（PYLL） and the rate of potential years of life lost（PYLL%o）. RESULTS The reported death case of malignant tumor from 2008 to 2012 were 597, and the crude death rate of the residents in the town was 249.77/100 000. Accounted for 36.14% of all causes of death. The crude death rate of male is higher than that of female exclude pancreatic cancer, intestinal cancer, breast cancer and metrocarcinoma. Especially the male death rates of stomach cancer, lung cancer, esophagus cancer and liver cancer were apparently higher than the death rate of female. The mortality of malignant cancer has increase trend along with the age growth and it was highest among the people over 65. The top two death causes by malignant tumor were stomach cancer and lung cancer among the people of age between 40 and 64 and the group of age beyond 65. The total potential years of life lost of the top ten death causes by malignant tumor were 6 541 and the rate of PYLL was 27.37%o. The rate of male PYLL is higher than that of female. CONCLUSION Malignant tumor has become one of the major causes of death, and it should take comprehensive intervention measure to prevent and control the malignant tumor based on different population and different tumor characteristics.