【摘要】 [目的]了解21世纪初广西居民恶性肿瘤死亡率及死因构成,以及近30多年广西居民恶性肿瘤死亡流行特征和趋势,为制定恶性肿瘤防治策略提供依据。[方法]根据广西居民三次死亡原因回顾性(抽样)调查数据,计算并分析广西居民恶性肿瘤的死亡率、标化死亡率、累积率、截缩率、构成比和死因顺位等指标及其变化规律。[结果]2004~2005年广西居民恶性肿瘤粗死亡率为118.03/10万(男性155.32/10万,女性76.95/10万);在全死因类别中占20.66%(男性23.64%,女性16.13%)。恶性肿瘤死亡率随年龄增加而上升,40～岁组以上人群恶性肿瘤死亡率显著上升。前4位主要恶性肿瘤依次为肝癌、肺癌、胃癌和鼻咽癌。近30年广西居民恶性肿瘤粗死亡率、标化死亡率均随时间升高,死因构成随时间增大。第二次调查粗死亡率和标化死亡率比第一次上升108.71%和76.03%、第三次比第一次上升207.85%和94.71%;男性上升幅度大于女性;第三次调查恶性肿瘤构成比第二次增加7.34%,升幅达55%。恶性肿瘤在全死因顺位中由第3位上升至第2位。[结论]恶性肿瘤严重危害广西居民的生命健康。肝癌、肺癌、胃癌和鼻咽癌预防和控制应作为广西恶性肿瘤防控工作的重点。更多还原

【Abstract】 [Purpose] To acknowledge the mortality and proportion of cancer death in Guangxi at the early 21st century,and the long-term epidemic features and trend of cancer death during the past 30 years,to propose reasonable and effective strategies on cancer prevention and control.[Methods] Based on data of three times retrospective sampling surveys of death causes in Guangxi,cancer mortality,standardized mortality,cumulative rate,truncated rate,proportion,rank of death causes and change of mortality were calculated and analyzed.[Results] The crude mortality of cancer in Guangxi from 2004 to 2005 was 118.03/105(155.32/105 in male and 76.95/105 in female),accounted for 20.66% of all deaths(23.64% in male and 16.13% in female).Mortality of cancer increased with age,especially among the people over 40 years old.The top four cancers were liver cancer,lung cancer,stomach cancer and nasopharyngeal cancer.The crude mortality,standardized mortality and proportion of cancer increased with time during the past 30 years.The crude mortality and standardized mortality from the second survey increased by 108.71% and 76.03% compared to the first survey,207.85% and 94.71% from the third survey compared to the first survey,respectively.The increasing scope in male was significantly higher than that in female.The proportion of cancer from the third survey increased by 7.34% compared to the second survey,the increasing rate was 55%.The rank of cancer ascened from the third place to the second place of all death causes.[Conclusions] Cancer is a major threat to the residents’ life and health in Guangxi.Prevention and control strategies should be further promoted in liver cancer,lung cancer,stomach cancer and nasopharyngeal cancer.更多还原