2017年新疆疏附县户籍居民恶性肿瘤死亡特征分析

目的了解新疆疏附县户籍居民恶性肿瘤死亡状况，为该地区恶性肿瘤的防治工作提供参考依据。方法整理2017 年1 月1 日至12 月31 日期间疏附县户籍居民死亡情况，计算恶性肿瘤死亡率。 抽样进行死因回顾调查，通过死因构成比等指标分析疏附县户籍居民肿瘤死亡和减寿的主要原因。 结果2017年新疆疏附县户籍居民恶性肿瘤死亡率为66.31/10万，标化死亡率为82.05/10万。 前5位恶性肿瘤分别是食管癌（死亡率16.41/10万），占24.75%，随后是胃癌、肺癌、白血病、肝癌，分别占17.82%、6.93%、5.94%、4.95%。 30岁以后恶性肿瘤死亡率随着年龄增长呈上升趋势，65 ~ 70岁组达到峰值，死亡数占恶性肿瘤死亡总数的21.78%，70岁以后随着年龄增长呈下降趋势。结论2017年新疆疏附县户籍居民恶性肿瘤为全人群死亡第5位死因，食管癌位于恶性肿瘤死亡的首位。 采取有效措施，加强恶性肿瘤的防治工作，可以有效降低新疆疏附县恶性肿瘤死亡率。

Mortality of malignant tumors of residents in Shufu county of Xinjiang, 2017

ObjectiveTo understand the mortality of malignant tumors of residents in Shufu county of Xinjiang and provide evidence for the local prevention and control of malignant tumor.MethodsThe incidence data of deaths in local residents in Shufu in 2017 were collected to calculate the mortality rate and constituent ratio of death causes. A sampling retrospective survey was conducted to understand the causes of deaths. ResultsIn 2017, the mortality rate of malignant tumor was 66.31/100 000 and the standardized mortality rate was 82.05/100 000 in residents in Shufu. The first five malignant tumors were esophageal cancer (mortality rate: 16.41/100 000), accounting for 24.75% of the total, followed by gastric cancer, lung cancer, leukemia and liver cancer, accounting for 17.82%, 6.93%, 5.94% and 4.95% of the total respectively. Before the age of 30 years, the mortality rate of malignant tumor was low. After the age of 30 years, the mortality rate of malignant tumor increased with age, the peak was in age group 65–70 years, accounting for 21.78% of the total malignant tumor deaths. After the age of 70 years, the mortality rate of malignant tumor declined with age.ConclusionIn 2017, malignant tumor was the fifth cause of death in residents in Shufu; esophageal cancer was the first cause of death of malignant tumor. It is urgent to take effective measures to strengthen the prevention and control of malignant tumors to reduce the death rate of malignant tumors in Shufu.