温州市瓯海区2010-2012年居民恶性肿瘤死亡原因分析

[目的]分析浙江省温州市瓯海区城乡居民恶性肿瘤死亡的死因特征,为制定针对性干预措施提供依据。[方法]2010-2012年的死因分类按国际疾病分类(ICD-10)标准进行分类,使用DeathReg 2005死因统计软件、Excel、SPSS 13.0进行统计分析。[结果]2010-2012年瓯海区居民恶性肿瘤死亡率为150.41/10万,标化死亡率为130.02/10万,男性死亡率197.48/10万,女性死亡率101.93/10万,男女死亡率差异有统计学意义。前5位死因依次为肺癌、肝癌、胃癌、结直肠肛门癌、食管癌。不同年龄组恶性肿瘤死因不同,且死亡率随着年龄增长而升高。恶性肿瘤死因减寿年数为14 634.5人年,平均减寿年数为8.01年/人,减寿率为12.05‰。[结论]恶性肿瘤是温州市瓯海区居民的第一位死因,应针对不同人群、不同肿瘤的特点,采取综合性干预措施,预防和减少恶性肿瘤的发生。

Death causes of malignant tumors among residents in Ouhai District of Wenzhou City from 2010 to 2012

[Objective] To analyze the death causes of malignant tumors among residents in Ouhai District of Wenzhou City and provide basis for formulating targeted intervention. [Methods] The causes of death from 2010 to 2012 were classified according to International Classification of Diseases (ICD-10) and statistically analyzed by the death cause statistical software DeathReg 2005, Excel, and SPSS13.0. [Results] The annual average mortality of malignant tumors among residents in Ouhai District was 150.41/100 000, the standardized mortality rate was 130.02/100 000. The mortality of malignant tumors was 197.48/100 000 in males and 101.93/100 000 in females, and there was significant gender difference. The top five death causes of malignant tumors were lung cancer, hepatic carcinoma, gastric cancer, colon-rectum-anus cancer, and esophagus carcinoma. The malignant tumor death causes in different age groups were different,and the mortality rate rose with the increase of age.The potential years of life lost(PYLL) of malignant tumor death was 14 634.5 person-years.The average years of life lost(AYLL) and PYLL rate were 8.01 years/person and 12.05‰, respectively. [Conclusion] The first cause of death among residents is malignant tumor in Ouhai District of Wenzhou City.According to characteristics of different tumors for different population,comprehensive intervention measures should be implemented to reduce the morbidity of malignant tumors.