摘要
目的回顾性分析1990～2010年成都市前三位恶性肿瘤的发病率、死亡率、流行病学趋势和分布特征,以了解成都市主要恶性肿瘤的发病危险因素、肿瘤类别及顺位情况,为制定地区肿瘤防治策略提供依据。方法收集成都市1990年以来恶性肿瘤发病和死亡的监测数据,采用ICD-10编码进行疾病分类,统计不同年龄、性别、地区、种类的恶性肿瘤发病和死亡情况。结果 1990～2010年成都市发病率报告前三位的恶性肿瘤分别是肺癌、肝癌、肠癌,与1990～2005年死亡率报告相同;但2005～2010年间,胃癌超过肠癌成为死亡率第三的恶性肿瘤。前三位恶性肿瘤的死亡率男性均高于女性,城市和农村地区恶性肿瘤死亡率差异无统计学意义,主要恶性肿瘤的死亡率均随年龄增加而增高。结论肺癌、肝癌和胃癌是危害成都市居民健康的主要恶性肿瘤,且发病率和死亡率逐年上升,应有针对性地开展几种主要肿瘤的早诊早治等防控措施。
Objective To retrospectively analyze the morbidity, mortality, epidemiologic trends and distribution characteristic of top-three malignant tumors in Chengdu from 1990 to 2010, and to be aware of the incidence risk factors, and types and syn-position of main tumors, so as to provide evidence for the policy-making of tumor prevention and control. Methods ICD-10 coding method was used to categorize diseases and analyze the morbidity and mortality of malignant tumors seen in different ages, genders, areas and types, based on the surveillance data in Chengdu collected since 1990. Results The morbidity reports of top-three malignant tumors in Chengdu from 1999 to 2010 were lung cancer, liver cancer and colorectal cancer, the same as the mortality reports from 1999 to 2005, But the mortality of gastric cancer exceeded that of colorectal cancer and ranked as the third from 2005 to 2010. The mortality of top-three malignant tumors in male patients was higher than those in female patients. No difference was observed between urban and rural ar- eas. 3he mortality of main malignant tumors rose along with the age growth. Conclusion Lung cancer, liver cancer and gastric cancer have become the main malignant tumors threatening Chengdu civilians, and their morbidity and mortality are rising yearly, which suggests that the prevention and control measures such as early diagnosis and treatment should be implemented aiming directly at those main tumors.
出处
《中国循证医学杂志》
CSCD
2012年第10期1171-1174,共4页
Chinese Journal of Evidence-based Medicine
关键词
恶性肿瘤
发病率
死亡率
流行病学特征
Malignant tumor
Morbidity
Mortality
Epidemiological characteristic
