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目的了解大连市沙河口区居民恶性肿瘤死亡率、死亡原因、减寿情况,为开展进一步健康教育和综合防治提供科学依据。方法采用沙河口区2002—2007年死因监测资料,对死因采用国际疾病分类标准ICD-10进行编码,录入Access数据库进行分析处理。结果沙河口区2002—2007年居民恶性肿瘤死亡数为7069例,死亡率为188.08/10万,标化死亡率为120.39/10万。死亡率随着时间的推移呈现较为明显的上升趋势,P<0.05(t=3.378,P=0.028)。男女死亡率分别为234.76/10万、141.22/10万,性比值为:1.66∶1,男性明显高于女性。前5位肿瘤死因为肺癌、肝癌、胃癌、肠癌、食管癌。2002—2007年因肿瘤导致的减寿年为45190.5a,在全死因中列第1位。恶性肿瘤中潜在寿命损失年(YPLL)前3位的分别是肺癌、肝癌、胃癌。结论由于恶性肿瘤的高死亡率,亟待加强对恶性肿瘤的综合防治。
Objective To understand the mortality rate, cause of death and life expectancy of malignant tumor among residents in Shahekou District of Dalian City and to provide scientific basis for further health education and comprehensive prevention and control. Methods According to the monitoring data of the cause of death in Shahekou District from 2002 to 2007, the cause of death was coded by International Classification of Diseases ICD-10 and entered Access database for analysis and treatment. Results The number of deaths of malignant tumors among residents in Shahekou between 2002 and 2007 was 7069, with a mortality rate of 188.08 / 100 000 and a standardized mortality rate of 120.39 / 100 000. The mortality rate showed a more obvious upward trend with time, P <0.05 (t = 3.378, P = 0.028). Male and female mortality rates were 234.76 / 100,000, 141.22 / 100000, the sex ratio was: 1.66: 1, men were significantly higher than women. The top five cancer causes of death are lung cancer, liver cancer, stomach cancer, intestinal cancer and esophageal cancer. The year of longevity due to cancer in 2002-2007 was 45190.5a, ranking the first in the cause of death. Malignant tumor potential years of life lost (YPLL) before the three are lung cancer, liver cancer, stomach cancer. Conclusion Due to the high mortality rate of malignant tumors, it is urgent to strengthen the comprehensive prevention and treatment of malignant tumors.