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[目的]分析杭州市下城区恶性肿瘤发病与死亡情况及流行趋势,为制定预防控制措施提供科学依据。[方法]根据下城区公共卫生监测系统2006—2011年恶性肿瘤发病和死因监测数据,采用国际疾病分类法(ICD-10)进行编码,对发病率、死亡率及潜在寿命损失年数(YPLL)等进行分析。[结果]2006—2011年下城区恶性肿瘤发病率为423.75/10万,标化发病率为244.98/10万;死亡率为208.74/10万,标化死亡率为100.93/10万;男性高于女性,恶性肿瘤发病率和死亡率均随着年龄的升高而上升。肿瘤发病前5位依次是肺癌、结直肠癌、胃癌、乳腺癌和肝癌,死亡前5位依次为肺癌、结直肠癌、肝癌、胃癌和胰腺癌;恶性肿瘤YPLL前5位顺位与死因顺位有所不同。[结论]恶性肿瘤已严重影响下城区居民的健康,应制定相应的预防控制措施,开展有针对性的健康教育及做好早期筛查,是降低恶性肿瘤发病率和死亡率的重要方法。
[Objective] To analyze the incidence and mortality of malignant tumor and its epidemic trend in lower city of Hangzhou, and provide a scientific basis for making prevention and control measures. [Methods] According to the monitoring data of the incidence and death of malignant tumor from 2006 to 2011 in the public health surveillance system of Xiacheng City, the code of International Classification of Diseases (ICD-10) was used to code the incidence, mortality and YPLL Analyze. [Results] The incidence of malignant tumors in the lower urban area from 2006 to 2011 was 423.75 / 100 000, the normalized incidence was 244.98 / 100 000; the mortality rate was 208.74 / 100 000 and the standardized mortality rate was 100.93 / 100 000; the male was higher than The incidence of women, cancer, and mortality increased with age. The top 5 tumors were lung cancer, colorectal cancer, gastric cancer, breast cancer and liver cancer, followed by lung cancer, colorectal cancer, liver cancer, gastric cancer and pancreatic cancer in the top 5 cases. The top 5 malignant tumors of YPLL Bit different. [Conclusion] Malignant tumors have seriously affected the health of urban residents. Corresponding prevention and control measures should be formulated. Targeted health education and early screening should be made. It is an important method to reduce the incidence and mortality of malignant tumors.