CAJ | 학술논문

目的核实媒体报道的癌症高发村居民恶性肿瘤死亡现状及死因,为防制措施提供科学依据.方法采取回顾性调查方法,对仙桃市胡场镇前丰村1994-2009年恶性肿瘤等慢性疾病死亡情况进行普查,统计整理后作时间、空间和人间流行病学分析,并结合村民饮食、饮水、环境卫生等现状进行综合判定.结果前丰村恶性肿瘤死亡高峰具有周期性,1998年和2006-2007年恶性肿瘤年均标化死亡率分别为190.69/10万和133.91/10万;各村小组恶性肿瘤死亡率比较无统计学差异(x2=7.5404,p=0.5810);恶性肿瘤死亡男女性别比为2.83:1,青壮年(30-60岁)死亡占52.17%,死亡一户1人的占95.65%,各姓氏死亡率比较存在统计学差异(x2=20.4923,p=0.0249);消化系统恶性肿瘤占65.22%;2003-2009年慢性疾病主要死因分别为心脑血管疾病(38.36%)、肝炎和肺结核(23.80%)、恶性肿瘤(18.92%);无明显饮食、饮水及环境致癌因素.结论前丰村恶性肿瘤死亡率明显高于全国平均水平(91.24/10万),并以消化系统恶性肿瘤为主,主要病因初步考虑为不良生活方式、遗传和传染病,应在重点做好肝炎、肺结核等传染病防治工作的基础上,加强健康教育和慢病筛查,积极倡导村民健康的生活方式,做到病情的早期发现和干预,提高生活质量.
목적핵실매체보도적암증고발촌거민악성종류사망현상급사인,위방제조시제공과학의거.방법채취회고성조사방법,대선도시호장진전봉촌1994-2009년악성종류등만성질병사망정황진행보사,통계정리후작시간、공간화인간류행병학분석,병결합촌민음식、음수、배경위생등현상진행종합판정.결과전봉촌악성종류사망고봉구유주기성,1998년화2006-2007년악성종류년균표화사망솔분별위190.69/10만화133.91/10만;각촌소조악성종류사망솔비교무통계학차이(x2=7.5404,p=0.5810);악성종류사망남녀성별비위2.83:1,청장년(30-60세)사망점52.17%,사망일호1인적점95.65%,각성씨사망솔비교존재통계학차이(x2=20.4923,p=0.0249);소화계통악성종류점65.22%;2003-2009년만성질병주요사인분별위심뇌혈관질병(38.36%)、간염화폐결핵(23.80%)、악성종류(18.92%);무명현음식、음수급배경치암인소.결론전봉촌악성종류사망솔명현고우전국평균수평(91.24/10만),병이소화계통악성종류위주,주요병인초보고필위불량생활방식、유전화전염병,응재중점주호간염、폐결핵등전염병방치공작적기출상,가강건강교육화만병사사,적겁창도촌민건강적생활방식,주도병정적조기발현화간예,제고생활질량.
Objective To verify the media reports that vilagers in a high incidence of cancer, cancer mortality status and cause of death, in order to provide a scientific basis for control measures. Methods Adopts the retrospective survey methods, to Qianfeng vilage of Huchang town in Xiantao city 1994-2009 year cancer and so on the chronic disease death situations carries on the general survey, after the statistical processing makes the time, the space and the world epidemiology analysis, and unifies present situations and so on vilagers diet, potable water, environmental sanitation carries on the synthesis determination. Results The cancer death peak has the periodicity in Qianfeng vilage, in 1998 and 2006-2007 year cancer yearly average sign mortality rate respectively was 190.69/100,000 and 133.91/100,000; various vilages group cancer mortality rate compares the non-statistics difference(x2=7.5404,p=0.5810); the cancer death men and women sex ratio is 2.83:1, the young adults (30-60 year old) died account for 52.17%, died a household 1 person to account for 95.65%, various surnames mortality rate comparison existence statistics difference (x2=20.4923,p=0.0249); the digesting system cancer accounts for 65.22%;2003-2009 year chronic disease main cause of death respectively is heart blood vessel of brain disease (38.36%), the hepatitis and pulmonary tuberculosis (23.80%), the cancer (18.92%);Not obvious diet, potable water and environment carcinogenicity factor. Conclusions The cancer mortality rate of Qianfeng vilage is higher than the national average level obviously (91.24/100,000), and take the digesting system cancer primarily, the main cause of disease preliminary suggestion as not the good life style, the heredity and the infectious disease, should complete infectious diseases and so on hepatitis, pulmonary tuberculosis in the key point prevents and controls the work in the foundation, the enhancement health education and the slow sickness sieve look up, initiates the vilagers health life style positively, achieves the condition the early discovery and the intervention, improves the quality of life.