2004年嘉兴市秀洲区恶性肿瘤发病与死亡情况分析

目的分析秀洲区2004年恶性肿瘤发病与死亡的分布情况及流行趋势。方法对秀洲区2004年恶性肿瘤发病与死亡进行流行病学分析。结果秀洲区2004年恶性肿瘤发病率和死亡率为227.98/10万和166.73/10万,分别高于浙江省的213.92/10万和131.85/10万;前五位恶性肿瘤(女性乳房和生殖道肿瘤除外)与有关报道基本相同。40岁以前各年龄段的发病率与死亡率之比呈倍比增长,50岁以后各年龄段的发病率和死亡率明显增长。在509例恶性肿瘤死亡病例中,有47例生前无发病报告,20例生前有发病报告但死亡报告为非恶性肿瘤死亡,分别占死亡总数的9.27%和3.39%。结论秀洲区2004年恶性肿瘤的发病率和死亡率男性均高于女性,发病有低龄化趋势,患者从确诊到死亡有82.91%在2年内死亡。从恶性肿瘤死亡报告中查发病或从发病报告中查死因,可纠正本地区实际发病数和死亡数,是做好恶性肿瘤监测报告管理工作的环节之一,开展恶性肿瘤的早期监测对提高健康质量具有十分重要的意义。

Analysis on the morbidity and mortality of malignant tumors in 2004 in Xiuzhou district of Jiaxing City

Objective This study was conducted to analyze the distribution and the epidemic trend of morbidity and mortality of malignant tumors in 2004 in Xiuzhou district of Jiaxing city. Methods Epidemiological analysis was performed on the morbidity and mortality of malignant tumors in 2004 in Xiuzhou district. Results The morbidity and mortality of malignant tumors were 227.98 /Lakh and 166.73/Lakh respectively in 2004 in Xiuzhou district, higher than those in Zhejiang province (morbidity 213.92/Lakh and 131.85/Lakh). The top five malignant tumors (except the tumors of the female breast and reproductive tract) were much the same as those in reports concerned. The ratio of morbidity and mortality presented multiproportional growth in various age groups of less than 40 years. The morbidity and mortality of malignant tumors in those more than 50 years of age increased remarkably. Of the 509 cases who died of malignant tumors, there were 47 cases with no report of disease before death, and twenty cases with morbidity reports before death, but identified as death from non-malignant tumors in their death reports, accounting for 9.27% and 3.39% of the total of the dead, respectively. Conclusion The morbidity and mortality of malignant tumors in male are higher than those in female in 2004 in Xiuzhou district, with a tendency of their attacking younger population. 82.91% patients died of the diseases within two years from the definitive diagnosis to death. The actual number of the suffers and the dead can be corrected by checking up the death reports of malignant tumor or investigating causes of death from the morbidity reports, which is one of the links in good surveillance reports and management of malignant tumors. It is believed that early surveillance of malignant tumors is of substantial significance in the improvement of health care.