本文選題：延邊地區(qū) + 青年��； 參考：《延邊大學(xué)》2015年碩士論文

【摘要】：目的：研究延邊地區(qū)男、女青年肺癌患者的發(fā)病情況,分析其發(fā)病率趨勢。為防治本地區(qū)青年肺癌患者提供基本資料。方法：利用延邊大學(xué)附屬醫(yī)院病歷檔案室電子病例系統(tǒng)輸入的1995年1月1日至2014年12月31日醫(yī)院收治的青年肺癌新發(fā)病例資料,按每5年為一個(gè)時(shí)期,按其性別、年齡、地區(qū)分布及不同的病理學(xué)分型,計(jì)算其粗發(fā)病率、截縮率和累計(jì)率及居住地等情況進(jìn)行對比分析。結(jié)果：男性青年肺癌的構(gòu)成比及調(diào)整發(fā)病率均略減低,粗發(fā)病率逐年上升(由1991-1995年間的8.37/10萬上升至2010-2014年的12.8/10萬)；女性青年肺癌構(gòu)成比及粗發(fā)病率上升(粗發(fā)病率由8.37/10萬上升至11.0/10萬,但調(diào)整發(fā)病率由10.38/10萬下降至6.0/10萬)；男性35-64歲截縮率逐漸升高,由10.38/10萬升至15.50/10萬,女性35-64歲截縮率由10.38/10萬上升為13.7/10萬,0-64歲累積率逐漸增高,由51.9/10萬上升至68.3/10萬。青年男、女患者的鱗癌及小細(xì)胞癌構(gòu)成比略下降,而青年男、女患者的腺癌的發(fā)病率呈上升趨勢；青年男、女肺癌患者有吸煙史的構(gòu)成比明顯高于不吸煙者；居住地在農(nóng)村的青年男、女肺癌患者構(gòu)成比明顯高于市區(qū)。朝族與漢族患者發(fā)病情況無明顯差異。結(jié)論：1.延邊地區(qū)青年女性肺癌中,鱗癌及小細(xì)胞癌構(gòu)成比逐年下降,腺癌的構(gòu)成比呈逐年上升趨勢,男患無顯著變化。其病理學(xué)類型構(gòu)成變化與多數(shù)發(fā)達(dá)國家的流行特征基本相符。2.延邊地區(qū)男、女青年肺癌粗發(fā)病率、35-64歲截縮率及0-64歲積累率均明顯上升,但調(diào)整發(fā)病率逐年下降；發(fā)病頻數(shù)最高的為40歲組。青年女性患者的別發(fā)病率呈逐年增高,且顯著高于男性。與2009年全國惡性腫瘤監(jiān)測肺癌發(fā)病率呈現(xiàn)持續(xù)上升趨勢結(jié)果相一致。3.青年男、女肺癌患者有吸煙史的構(gòu)成比明顯高于不吸煙者；居住地在農(nóng)村的青年男、女肺癌患者構(gòu)成比明顯高于市區(qū)。且女性患者發(fā)病率相差懸殊。與我國其他地區(qū)發(fā)病趨勢類似。朝、漢族患者發(fā)病構(gòu)成比無顯著差異。
[Abstract]:Objective: to study the incidence of lung cancer in young men and women in Yanbian area. To provide basic data for prevention and treatment of young lung cancer patients in this area. Methods: the data of young patients with lung cancer admitted from January 1, 1995 to December 31, 2014 were recorded by electronic case system in the medical records of Yanbian University affiliated Hospital. According to the period of 5 years, according to their sex and age. The regional distribution and different pathological types were compared and analyzed by calculating the crude incidence rate, truncation rate, cumulative rate and place of residence. Results: the constitution ratio and adjusted incidence rate of lung cancer in young men decreased slightly. The crude incidence rate increased year by year (from 8.37% / 100,000 in 1991-1995 to 12.8% / 100,000 in 2010-2014), and the proportion of lung cancer in young women and the crude incidence rate increased (from 8.37% / 100 000 to 110% / 100 000, respectively). But the adjusted incidence rate dropped from 10.38 / 100 million to 6.0 / 100, 000; the truncation rate of 35-64 years in men gradually increased, from 10.38 / 100 million to 1550 / 100, 000; in women, the rate of truncation in 35-64 years increased from 10.38 / 100 million to 13.7 / 100,000 to 68.3 / 100 million years old, from 519.1 / 100 million to 68.3 / 100 thousand. The proportion of squamous cell carcinoma and small cell carcinoma in young male and female patients decreased slightly, while the incidence of adenocarcinoma in young male and female patients showed an increasing trend, the proportion of young male and female lung cancer patients with smoking history was obviously higher than that of non-smoker. The constitution ratio of young men and women with lung cancer in rural areas was significantly higher than that in urban areas. There was no significant difference in the incidence between Korean and Han nationality. Conclusion 1. In young female lung cancer in Yanbian area, the proportion of squamous cell carcinoma and small cell carcinoma decreased year by year, and that of adenocarcinoma increased year by year, but there was no significant change in male lung cancer. The change of pathological type composition is basically consistent with the epidemic characteristics of most developed countries. 2. 2. In Yanbian area, the incidence rate of lung cancer in male and young women aged 35-64 years old and the accumulation rate of 0-64 years old increased obviously, but the adjusted incidence rate decreased year by year, and the highest incidence frequency was 40 years old group. The specific incidence rate of young women increased year by year and was significantly higher than that of men. The incidence rate of lung cancer in the surveillance of malignant tumor in China in 2009 is consistent with the results of the rising trend. 3. 3. The proportion of lung cancer patients with smoking history was significantly higher than that of non-smokers, while that of young men and women with lung cancer patients living in rural areas was significantly higher than that in urban areas. And the incidence of female patients varies greatly. The incidence trend is similar to that in other regions of China. There was no significant difference in morbidity ratio between Han and Korean patients.
【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R734.2

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