2014-2018年南阳市内乡县居民上消化道癌发病及死亡趋势分析

doi:10.3969/j.issn.1006-3110.2022.02.017

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摘要目的分析2014-2018年南阳市内乡县居民上消化道癌(食管癌、胃癌)发病及死亡变化趋势。方法采集南阳市内乡县居民2014-2018年上消化道癌发病及死亡数据,采用Joinpoint 4.7.0软件计算年度变化百分比(annual percentage change,APC)及其95%可信区间、粗发病率、粗死亡率、中标发病率、世标发病率、中标死亡率、世标死亡率等。采集部分上消化道癌筛查病例与因症就诊病例对照观察生存率变化。组间比较用χ²检验。结果 5年间该县居民上消化道癌平均发病率为118.91 /10万,平均死亡率为97.79/10万。男性发病率及死亡率均高于女性(P＜0.01)。其发病率及死亡率均呈下降趋势,上消化道癌粗发病率、中标发病率、世标发病率的APC分别为-6.63%、-6.72%、-7.13%(均P＜0.01),上消化道癌粗死亡率、中标死亡率、世标死亡率的APC分别为-6.22%、-6.91%、-6.81%(均P＜0.01)。发病率自55岁后升高迅速,65～74岁达到高峰。死亡率与发病率差别是70～84岁达高峰即高峰较晚且持续时间较长。筛查病例5年生存率为84.27%,因症就诊病例5年生存率为34.83%,差异有统计学意义(χ²=45.153,P＜0.01)。结论 5年间南阳市内乡县居民上消化道癌发病及死亡有下降趋势,上消化道癌筛查可以提高患者的生存率。

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	王成申
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	王卓

关键词 ：食管癌, 胃癌, 发病率, 死亡率, 趋势

Abstract：Objective To analyze the changing trends in incidence and mortality of upper gastrointestinal cancer (including esophageal cancer and gastric cancer) among residents in Neixiang County, Nanyang City from 2014 to 2018. Methods The incidence and mortality data of upper gastrointestinal cancer in residents from Neixiang County during 2014-2018 were collected. Joinpoint 4.7.0 software was used to calculate the annual percentage change (APC) and 95% confidence interval (CI), crude morbidity, crude mortality, incidence rate by Chinese standard population, incidence rate by world standard population, mortality rate by Chinese standard population, and mortality rate by world standard population. We collected part of screening cases of upper gastrointestinal cancer and cases seeking medical treatment due to symptoms, and then observed the changes in their survival rates. χ² test was used for comparison between groups. Results The average incidence rate of upper gastrointestinal cancer in residents from Neixiang County in 2014-2018 was 118.91/100,000, and the average mortality rate was 97.79/100,000. The incidence and mortality rates were higher in males than in females (both P<0.01). The incidence and mortality rates of upper gastrointestinal cancer both showed a downward tread. The APCs of crude morbidity, incidence rate by Chinese standard population, and incidence rate by world standard population were -6.63%, -6.72% and -7.13%, respectively (all P<0.01). The APCs of crude mortality rate, mortality rate by Chinese standard population, and mortality rate by world standard population were -6.22%, -6.91% and -6.81%, respectively (all P<0.01). The incidence rate increased rapidly from the age of 55 years, and reached the peak in 65-74 years old. The difference between mortality and incidence rates was that the peak age of 70-84 years was late and lasted for a long time. The 5-year survival rate of the screened cases was 84.27%, and the 5-year survival rate of the cases seeking medical treatment due to symptoms was 34.83%, showing a statistically significant difference (χ²=45.153, P<0.01). Conclusion The incidence and mortality of upper gastrointestinal cancer in residents from Neixiang County, Nanyang City during 2014-2018 showed a decreasing trend. Upper gastrointestinal cancer screening can improve the patients' survival rate.

Key words： esophageal cancer stomach cancer incidence rate mortality rate trend

收稿日期: 2021-04-20

R735.1

作者简介: 王成申,男,南阳市人,医学学士,副主任医师,研究方向:慢性病预防控制。

引用本文:

王成申, 李亚波, 卢千超, 楚蓝, 金花, 王卓. 2014-2018年南阳市内乡县居民上消化道癌发病及死亡趋势分析[J]. 实用预防医学, 2022, 29(2): 193-196. WANG Cheng-shen, LI Ya-bo, LU Qian-chao, CHU Lan, JIN Hua, WANG Zhuo. Trends in incidence and death of upper gastrointestinal cancer among residents in Neixiang County, Nanyang City, 2014-2018. , 2022, 29(2): 193-196.

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