【摘要】 目的了解福建省城乡居民2007-2014年消化系统恶性肿瘤死亡的变化趋势。方法采用ICD-10进行根本死因编码和死因分类,2000年中国人口计算标化率,采用SPSS 18.0软件包,P<0.05为差异有统计学意义。结果 2007-2014年福建省居民消化系统恶性肿瘤年均粗死亡率91.59/10万,占恶性肿瘤的59.56%,年均标化死亡率74.76/10万;城乡消化系统恶性肿瘤标化死亡率均呈下降趋势,差异有统计学意义(城市P<0.01,农村P<0.05);城市的粗死亡率变化差异无统计学意义(P>0.05),农村和总体的人群粗死亡率呈上升趋势,差异有统计学意义(均P<0.05)。城市消化系统恶性肿瘤死亡率与农村相当,差异无统计学意义(P>0.05)。肝癌、胃癌和食管癌居消化系统的前三位,占81.82%。城市胃癌、结直肠癌、胰腺癌的死亡率高于农村,差异有统计学意义(均P<0.01);农村肝癌、食管癌死亡率高于城市,差异有统计学意义(均P<0.01)。城乡结直肠癌和胰腺癌死亡率均有不同程度上升趋势,差异有统计学意义(均P<0.01);肝癌死亡率差异无统计学意义(P>0.05);农村胃癌呈上升趋势,差异有统计学意义(P<0.01),城市胃癌变化差异无统计学意义(P>0.05);城市食管癌变化差异无统计学意义(P>0.05),而农村食管癌下降趋势差异有统计学意义(P<0.01)。结论福建省城乡居民消化系统恶性肿瘤死亡率稳中有升,肝癌、胃癌和食管癌是防控重点。更多还原

【Abstract】 Objective To discuss the dynamic change of death rate among residents with digestive malignant tumor in urban and rural areas of Fujian province in 2007-2014. Methods The underlying cause of death was coded and classified according to the International Classification of Diseases 10(ICD-10).Statistical analysis was performed using software SPSS 18.0.The standardized rate was calculated using Chinese population in2000. Results The average crude mortality of digestive malignant tumor in Fujian province was 91.59per100 000 during the year of 2007-2014,with the standardized mortality of 74.76 per 100 000,accounting for59.56% of total malignant tumors.The standardized mortality of digestive malignant tumor decreased significantly in both areas(P<0.01),while the total crude mortality and crude death rate in rural areas increased greatly(P<0.05).Liver cancer,gastric cancer and esophageal cancer were the top three malignant tumors,accounting for 81.82% of total malignant tumors.The mortalities of gastric cancer,colorectal cancer and pancreatic cancer were higher in urban areas than those in rural areas(P<0.01),while the mortalities of liver cancer and esophageal cancer were higher in rural areas than those in urban areas(P<0.01).The mortality of liver cancer had no obvious change(P>0.05).The mortality of gastric cancer increased in rural areas(P<0.01),but stayed stable in urban areas(P>0.05).The death rate of esophageal cancer decreased in rural areas(P<0.01),but not in urban areas(P>0.05). Conclusions The mortality of digestive malignant tumors is going up gradually in Fujian province.Liver cancer,gastric cancer and esophageal cancer are the top three ones causing death which need to be controlled.更多还原