摘要
目的评估乙型和丙型肝炎相关肝硬化、肝癌死亡率及分布特征。方法按死亡时间对2013年自《人口死亡信息登记管理系统》肝硬化肝癌死亡数据排序,通过系统抽样抽取死者名单,通过家属和医院调查来确认其死亡根本原因与乙、丙肝病毒慢性感染的关联及特征等,然后根据比例方程推算全市死亡情况。结果抽取的770例死者中经核查后与乙肝相关的有391例,丙肝相关31例。推算乙肝硬化死亡率为1.94/10万,乙肝肝癌死亡率为5.05/10万,分别高于丙肝肝硬化的0.18/10万和肝癌的0.42/10万(χ2=207.36和551.64,P<0.01)。男性乙肝肝硬化和肝癌死亡率均高于女性,并随着年龄增大死亡率也成升高趋势。结论天津乙肝导致的相关肝硬化和肝癌死亡率仍较高,应进一步完善乙、丙肝死亡负担监测。
Objective To evaluate the mortality rate and epidemic characteristics of hepatitis B and C related liver cirrhosis and hepatocellular carcinoma. Methods Liver cirrhosis and cancer death data records in 2013 were sorted by death date,which were downloaded from the population death registration management information system. After which,a certain number of records were chosen randomly to investigate their families and hospitals for conforming the association to the hepatitis B and C chronic infection. The whole population deaths were inferred by proportion equation. Results Altogether 391 deaths were associated to hepatitis B and 31 were associated to related hepatitis C after checking 770 deaths. The hepatitis B liver cirrhosis estimated mortality rate was 1. 94 /105,and that of hepatocellular carcinoma rate was 5. 05 /105,respectively higher than the hepatitis C liver cirrhosis（ 0. 18 /105） and hepatocellular carcinoma（ 0. 42 /105）（ χ2= 207. 36 and 551. 64,P〈0. 01）. The male hepatitis B liver cirrhosis and hepatocellular carcinoma mortality rate was higher than the female,and both rate were also increasing with the age.Conclusion The hepatitis B related liver cirrhosis and carcinoma mortality rate is high in Tianjin. The hepatitis B and C mortality burden surveillance quality need to be improved.
出处
《预防医学情报杂志》
CAS
2016年第9期941-944,共4页
Journal of Preventive Medicine Information
