【摘要】 目的　为探讨胃癌对中国人群的危害 ,对中国胃癌死亡流行分布特点进行分析。方法对 1990～ 1992年中国的 1/ 10人口死因抽样调查资料中胃癌死亡情况进行分析。结果　胃癌粗死亡率 2 5 .2 / 10万 (男性为 32 .8/ 10万 ,女性为 17.0 / 10万 ) ,占全部恶性肿瘤死亡的 2 3.2 % ,为恶性肿瘤死亡中的第一位。男性胃癌粗死亡率为女性的 1.9倍。中国胃癌死亡率属世界高死亡率水平 ,其世界人口调整死亡率男性为 40 .8/ 10万 ,女性为 18.6 / 10万 ,中国男性为欧美发达国家的 4.2～ 7.9倍 ,女性为 3.8～ 8.0倍。中国胃癌死亡率分布有明显的地区差异和城乡差别。全国抽样调查的 2 6 3个点 ,胃癌调整死亡率水平在 2 .5～ 15 3.0 / 10万之间 ,城市胃癌调整死亡率为 15 .3/ 10万 ,而农村为 2 4.4/ 10万 ,农村胃癌调整死亡率为城市的 1.6倍。结论　在较长时间内 ,中国的胃癌防治、尤其是农村以及西北经济欠发达地区应予以高度重视 ,胃癌是消化系统恶性肿瘤防治的重点 ,应采取切实可行的预防与早诊措施更多还原

【Abstract】 Objective To assess the impact of stomach cancer on the Chinese population by epidemiological analysis of its mortality distribution. Methods 1990-1992 data on stomach cancer mortality collected by sampling survey involved one tenth of the total Chinese population. Results The crude mortality rate of stomach cancer in China was 25.2 per 10 5 (32.8 per 10 5 for males and 17.0 per 10 5 for females), which comprised 23.2% of the total cancer deaths from 1990 to 1992, making stomach cancer the leading cause of cancer death. The stomach cancer mortality rate of males was 1.9 times of that of females. The Chinese mortality rates of stomach cancer adjusted by the world population were 40.8 per 10 5 and 18.6 per 10 5 of males and females, which were 4.2-7.9 (of males) and 3.8-8.0 (of females) times of those in the developed countries. Age-adjusted mortality rates of stomach cancer in China have distinct geographical difference: form the lowest 2.5 per 10 5 to the highest 153.0 per 10 5 in the 263 surveyed localities, 15.3 per 10 5 in urban areas and 24.4 per 10 5 in rural areas giving a difference of 1.9 times. Conclusion The prevention and treatment of stomach cancer in China, especially in the countryside and the under-developed areas in the northwest, should be a long-term focus in control of cancers of the digestive system. Urgent measures for prevention and early detection of stomach cancer should be taken.更多还原