摘要
目的:对哈尔滨市南岗区结直肠癌(CRC)发病流行分布特点进行统计分析,探讨CRC对哈尔滨市南岗区人群的危害.方法:CRC发病资料来源于哈尔滨市南岗区肿瘤发病死亡登记报告,按ICD-9疾病分类进行编码,性别计算初发病率、世界人口调整发病率,35-64岁截缩发病率和0-64岁累积发病率,对近期CRC发病率进行预测.结果:CRC发病率呈显著的逐年增加趋势(u =2.87,P<0.05),由1992/1993年13.06/100 000增加到2004/2005年23.54/100 000,平均每年以5.73%的速度增加.其中男性每年以6.94%的速度增加,女性每年以4.46%的速度增加.60-79岁年龄组段男性发病率明显高于女性(u=5.47,P<0.01).CRC发病以非体力劳动者所占比重最大.预测2010年CRC发病率将达到33.19/100 000,男女CRC发病率将分别达到44.85/100 000和31.89/100 000.结论:哈尔滨市南岗区居民CRC发病率呈逐年上升趋势.
AIM: To determine the epidemiological characteristics of colorectal carcinoma (CRC) morbidity in the nangang district, Harbin, and to highlight the harmful effects of CRC on the community.
METHODS: Data on morbidity and mortality of CRC in the nangang district (1992-2001) were sorted and coded according to ICD-9 cri- teria. The crude morbidity and mortality, agestandardized morbidity (adjusted by the world population), truncated morbidity (35-64 years old), as well as cumulative rates (0-65 years old) were respectively calculated. Morbidity in the near future was predicted based on Gray Modeling (GM1, 1).
RESULTS: The CRC morbidity had been significantly increasing annually (u = 2.87, P 〈 0.01). Morbidity increased from 13.06/100 000 (1992-1993) to 23.54/100 000 (2004-2005), with an average of 5.73% for each year. The increasing average rates of morbidity were 6.94% and 4.46% for males and females, respectively. In the 60-79-year-old age group, morbidity for men was significantly higher than the incidence for women (u = 5.47, P 〈 0.01). The largest proportion of CRC patients were white-collar workers. The predicted morbidity for CRC in 2010 is 44.85/100 000 and 33.19/100 000 for males and females, respectively.
CONCLUSION: The morbidity rate for CRC will continue to increase in the future.
出处
《世界华人消化杂志》
CAS
北大核心
2007年第22期2442-2446,共5页
World Chinese Journal of Digestology