| 朱晓云,马碧萍.2002~2014年上海市金山区肺癌死亡水平及潜在寿命损失的趋势分析[J].中国肿瘤,2016,25(7):509-513. |
| 2002~2014年上海市金山区肺癌死亡水平及潜在寿命损失的趋势分析 |
| An Analysis of Trend of Death Rate and Potential Years of Life Loss Caused by Lung Cancer in Jinshan District of Shanghai，2002～2014 |
| 投稿时间：2015-12-16 |
| DOI：10.11735/j.issn.1004-0242.2016.07.A003 |
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| 中文关键词: 肺癌 死亡率 寿命损失 趋势 金山区 |
| 英文关键词:lung cancer mortality life loss trend Jinshan district |
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| 摘要点击次数: 1921 |
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| 中文摘要: |
| 摘 要：［目的］ 分析上海市金山区居民肺癌死亡率及其所致寿命损失的变化趋势，为制定肺癌防治策略和措施提供参考依据。［方法］ 采用Microsoft Access对2002～2014年各级医疗机构上报的肺癌死亡病例建立数据库，并计算不同性别、年龄组人群肺癌死亡率、标化死亡率、潜在寿命损失率、标化寿命损失率等指标及其变化趋势。［结果］ 2002～2014年，肺癌居金山居民首位肿瘤死因，其粗死亡率为59.16/10万，标化死亡率为29.65/10万，肺癌死亡占同期肿瘤死亡数的27.92%。金山男性、女性和全人群合计肺癌粗死亡率呈较明显的上升趋势（APC=3.53%，4.67%，3.70%，P均＜0.01），而同期标化死亡率均未表现出明显升降趋势（APC=-0.70%，0.26%，-0.50%，P均＞0.05）。金山居民肺癌死亡率自20～岁年龄组随年龄增长呈快速上升趋势，并在80～岁组达到最高值（369.13/10万）。同期，金山居民肺癌所致金山居民寿命损失率呈上升趋势（APC=1.52%，P＜0.05），而标化寿命损失率呈下降趋势（APC=-1.66%，P＜0.05）。［结论］ 肺癌是造成金山居民最致命威胁的恶性肿瘤之一，宜对肺癌开展综合性防制措施，如进行中年人群肺癌筛查，开展对包括男性等重点人群肺癌致死危险因素的研究工作，并建立合适的肺癌防制成效评估机制。 |
| 英文摘要: |
| Abstract：［Purpose］ To analysis the trend of death rate and life loss caused by lung cancer in Jinshan district from 2002 to 2014 and provide evidences and recommendations for making policy for preventing from lung cancer.［Methods］ A database based on death reports of lung cancer in Jinshan district from 2002 to 2014 provided by hospitals was created by Microsoft Access. And the mortality，standardized mortality，potential years of life loss rate and standardized potential years of life loss rate of lung cancer by gender an and all age groups and analyze the trend of the above indexes were calculated.［Results］ Lung cancer was the number one death cause in all kinds of cancers in Jinshan district from 2002 to 2014 and the mortality of lung cancer was 59.16/105 and standardized mortality was 29.65 /105，and the percent of lung cancer was 27.92% in all death caused by cancers. In 13 years the mortality of lung cancer increased obviously in male，female and total people (APC=3.53%，4.67% and 3.70%，P＜0.01) ，and standardized mortality of lung cancer did not increase or decrease in the same period (APC=-0.70%.0.26% and -0.50%，P＞0.05). The age-specific mortality increased quickly since 20～ years age group and attached the top level in 80～years age group (369.13/105) in 13 years. In the same periods the potential years of life loss rate increased in residents of Jinshan district (APC=1.52%，P＜0.05) ，but standardized potential years of life loss rate decreased (APC-1.66%，P＜0.05). ［Conclusions］ Lung cancer is the one of most obviously life-threaten cancer in residents in Jinshan district. It should provide all-around measure to prevent and control lung cancer，including lung cancer screening in middle-aged crowd and research on risk factors of lung cancer in male and other high risk crowd and establish the correct effect evaluation system for prevent from lung cancer. |
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