CAJ | 학술논문

目的：评价2009年河北省保定市区居民的主要恶性肿瘤的疾病负担，确定预防控制重点，使有限的卫生资源得到合理配置。方法对2009年保定市3个区居民恶性肿瘤的发病与死亡病例资料进行分析，通过由早死生命损失年(YLL)和伤残生命损失年(YLD)计算的恶性肿瘤伤残调整寿命年(DALY)来评价保定市区居民2009年的恶性肿瘤疾病负担。结果2009年保定市区居民恶性肿瘤的发病率和死亡率分别为232.44/10万和75.58/10万；居民恶性肿瘤疾病负担前5位的是支气管与肺癌、肝癌、胃癌、食管癌和直结肠癌，每1000人DALY分别为4.8、1.9、1.2、1.1和0.9年；2009年恶性肿瘤造成保定市每1000人损失12.8个寿命年；恶性肿瘤的疾病负担主要集中在45岁以上居民。结论保定市区居民支气管与肺癌、肝癌、胃癌、食管癌和直结肠癌的疾病负担较重，主要集中在45岁以上人群。
목적：평개2009년하북성보정시구거민적주요악성종류적질병부담，학정예방공제중점，사유한적위생자원득도합리배치。방법대2009년보정시3개구거민악성종류적발병여사망병례자료진행분석，통과유조사생명손실년(YLL)화상잔생명손실년(YLD)계산적악성종류상잔조정수명년(DALY)래평개보정시구거민2009년적악성종류질병부담。결과2009년보정시구거민악성종류적발병솔화사망솔분별위232.44/10만화75.58/10만；거민악성종류질병부담전5위적시지기관여폐암、간암、위암、식관암화직결장암，매1000인DALY분별위4.8、1.9、1.2、1.1화0.9년；2009년악성종류조성보정시매1000인손실12.8개수명년；악성종류적질병부담주요집중재45세이상거민。결론보정시구거민지기관여폐암、간암、위암、식관암화직결장암적질병부담교중，주요집중재45세이상인군。
Objective To guide the formulation of prevention focus of disease control and get reasonable configuration of the limited health resources through the evaluation of main malignant tumors burden in Baoding urban residents of Hebei province in 2009.Methods This paper evaluated Baoding urban resident's malignant tumor burden by analyzing the incidence of malignant tumors and the death cases. Besides, it used the method of the disability adjusted life years(DALY), which was calculated by the early loss of life years (YLL) death and disability loss of life years (YLD).Results In 2009, the incidence in urban residents of Baoding was 232.44/100000 and the cancer mortality was 75.58/100000, the top 5 burden of malignant tumor were bronchial and lung cancer, liver cancer, gastric cancer, esophageal cancer and colorectal cancer, the DALY for per thousand were 4.8, 1.9, 1.2, 1.1 and 0.9 years respectively, the malignant tumor in 2009 in Baoding city caused the loss of 12.8 life years per thousand people, the burden of malignant tumor mainly occurred in the people over 45 years old.Conclusion In the urban residents of Baoding, the burden of bronchial and lung cancer, liver cancer, gastric cancer, esophageal cancer and colorectal cancer is heavy and mainly concentrated in the people over 45 years old.