北京肺癌暴增43%,疾病预防刻不容缓

2016-10-20 综合整理自真伙伴最懂我公众号,搜狐健康 盛诺一家

导语:10年间,北京市肺癌的发病率约增长了43%,肺癌的发病年龄趋于年轻化。自2000年开始,肿瘤就已经超过了心脑血管疾病,成为世界头号“死神”——每年有超过500万人死于肿瘤。为了激发全球共同攻克癌症的决心与期盼,UICC于2000年发起了“世界癌症日”活动,就在今年,两个惊人的统计数据,又一次给我们敲响了防癌控癌的警钟。消息一:据北京市肿瘤防治办公室专家透露,10年间,北京市肺癌的发病率约增长

导语:10年间,北京市肺癌的发病率约增长了43%,肺癌的发病年龄趋于年轻化。


自2000年开始,肿瘤就已经超过了心脑血管疾病,成为世界头号“死神”——每年有超过500万人死于肿瘤。


为了激发全球共同攻克癌症的决心与期盼,UICC于2000年发起了“世界癌症日”活动,就在今年,两个惊人的统计数据,又一次给我们敲响了防癌控癌的警钟。



消息一:据北京市肿瘤防治办公室专家透露,10年间,北京市肺癌的发病率约增长了43%,肺癌的发病年龄趋于年轻化;


消息二:中国首个评估PM2.5长期暴露对公众健康所产生影响的研究报告出炉,报告指出,大气PM2.5污染导致全国31座省会城市或直辖市中25.7万人超额死亡,超额死亡率平均接近1‰。而在超额死亡的病例中,有相当一部分是肺癌。



肺癌,我国发病率、死亡率均位于第一的癌症,现在死亡率还在以每年4.45%的速度在上升。2006年我国第三次居民死亡原因抽样调查结果显示,肺癌占全部癌症死亡的22.7%。


中国抗癌协会科普宣传部部长、北京宣武医院胸外科主任支修益形象地比喻肺癌为被烟气、大气、油气、生气等“气”出来的病。


吸烟、环境污染、职业接触、肺部慢性病以及遗传基因易感性等是导致肺癌的主要原因。虽然吸烟一直被认为是导致肺癌的第一诱因,可近年来的多项研究表明,伴随着控烟措施的推行,吸烟导致的肺癌发病率上升势头得到明显控制,但与环境影响呈正向相关的肺癌发病率却出现飞速上涨势头。



在北京、天津等雾霾高发地区,肺癌的发生率明显高于全国平均水平。北京市肿瘤防治办公室副主任王宁说,北京市肺癌发病率由2002年的39.56/10万上升至2011年的63.09/10万,已远远高出全国平均水平。天津市的肺癌发病率约为60/10万,新发癌症患者中有1/5为肺癌患者,且呈现明显年轻化趋势。



去年国际癌症研究机构(IARC)已把大气污染认定为致癌物,严格地讲,大气颗粒物,也就是所谓的PM2.5,是一种确认的人类致癌物。


北京的生活节奏、工作强度之大,估计也只有身在北京的人才能深刻体会到!生活在北京真的太不容易了,关注健康已经刻不容缓!


如何预防肺癌?


1、戒烟。戒烟越早,患肺癌危险越低;同时避免被动吸烟,远离吸烟环境;吸烟者也应为他人着想,主动自觉控制,不在公共场所吸烟。


2、远离放射物。在有毒有害环境下作业时,应做好防护措施,减小职业危害;避免室内烟尘和装修污染,并注意厨房的良好排风;此外,应远离放射物。


3、营养均衡蔬菜、水果中富含胡萝卜素、维生素C、维生素E、叶酸等营养元素,有利肺部健康,应适当多吃;大蒜、海产品、谷物、蘑菇、芝麻、蛋类等富含硒元素,有防癌、抗癌功效,应适当多吃。


4、控制饮食。尽量少吃或者不吃,腌制熏制食品、烧烤食品、霉变食品、隔夜菜等致癌食物。


5、保持规律生活。心情愉快,劳逸结合,坚持锻炼身体,增加防病抗病能力。


6、每年进行肺部检查。要早期发现肺癌,就要提高意识,加强肺部检查。


需要早期进行肺癌筛查的人群主要包括四类:长期吸烟,尤其是男性年龄大于50岁者;直系亲属有肺癌者;工作和生活环境中存在致癌因素者;肺部反复慢性损伤,如反复感染、肺结核等。


出现以下几种异常的时候需要早期筛查:咳嗽久治不愈;胸痛,尤其是在深呼吸时加重者;肩痛伴有手指麻木;伴有或不伴有眼睑下垂;声音嘶哑;其他如体重下降、呼吸短促、支气管炎反复发作等。


临床上医生根据肺癌治疗原则分为肺癌三级预防:


Ⅰ级预防又称病因预防,是在疾病未发生时针对病因采取的措施,根本在于加强对病因的研究,减少对危险因素的接触。


肺癌进展迅速且预后不良,缺乏有效的二期预防措施,应把一级预防放在首位。


1、控制吸烟是首要措施。


2、改善环境是另一重要手段。如加强居室内的有效通风,采用空气净化装置,选用环保型室内装修材料,烹调时选择合适的油类并使用油烟机,预防吸入有害气体等。


3、加强职业防护工作,预防职业性肺癌,定期查体。


4、饮食预防与化学预防,旨在通过使用药物、食物或营养成分来干预癌前病变,预防肺癌发生和分化逆转肿瘤细胞来预防和控制肺癌。研究证实多种食物对预防肺癌有作用。


Ⅱ级预防又称“三早预防”,包括早发现、早诊断和早治疗。尽可能筛查高危人群,早期发现,及时采取措施,防止进一步发展。


Ⅲ级预防是在疾病的临床期为了减少疾病的危害而采取的措施,主要包括对症治疗和康复治疗,目的是为了防止伤残和促进功能恢复,提高生存质量,延长寿命,降低病死率。对确诊的肺癌病人给予及时、最合理的综合有效的治疗,提高疗效,减少并发症,有效防止癌症的复发和转移。注重康复、姑息和止痛治疗,进行生理、心理、营养和锻炼指导,尽量提高病人的生存率和生存质量。


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    2018-02-04 15991890016白熊

    学习了.这个知识点很重要

    0

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    2016-10-28 1e0ece0dm09(暂无匿称)

    谢谢分享学习

    0

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    2016-10-25 忠诚向上

    好好看下

    0

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    2016-10-21 187清风

    癌症年轻化

    0

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    2016-10-21 186****0580(小山羊)

    学习了,知道了!

    0

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    2016-10-20 1e11f6a6m77(暂无匿称)

    国家啊,完了,为了利益,为了经济,不择手段

    0

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    2016-10-20 1e11aec8m53(暂无匿称)

    学习下

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=285085, encodeId=db3528508517, content=学习了.这个知识点很重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20221028/11610bd349304a3a86a2c437d4cf0b47/30aeaebb323a43c193abde39a65e8ce0.jpg, createdBy=957a2221566, createdName=15991890016白熊, createdTime=Sun Feb 04 16:54:23 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=151608, encodeId=58cb15160896, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K46ZAxBHmHsph32KkfsWGwmickB6RsCUD8KruE4vo5CpvXfdu16GBpp4ibh6WJu1o9iatP1LWKDmvmic/0, createdBy=be6f1940165, createdName=1e0ece0dm09(暂无匿称), createdTime=Fri Oct 28 00:06:50 CST 2016, time=2016-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=151068, encodeId=ebda15106805, content=好好看下, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Tue Oct 25 10:05:15 CST 2016, time=2016-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=150195, encodeId=29f31501958c, content=癌症年轻化, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Fri Oct 21 22:24:47 CST 2016, time=2016-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=150057, encodeId=177615005ed5, content=学习了,知道了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLPeNmuNF9ibgMfMOAs7Iic5MpiaU8RLmRH67xCKuk5wzfhb7G4ib7ia6z9lrnsTicj1nAUfEOMecZDtvvu/0, createdBy=d7f91939785, createdName=186****0580(小山羊), createdTime=Fri Oct 21 08:05:23 CST 2016, time=2016-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=150021, encodeId=f22b150021ff, content=国家啊,完了,为了利益,为了经济,不择手段, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cf3f1954203, createdName=1e11f6a6m77(暂无匿称), createdTime=Thu Oct 20 22:45:10 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=150011, encodeId=f996150011d7, content=学习下, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1dd1952835, createdName=1e11aec8m53(暂无匿称), createdTime=Thu Oct 20 21:58:34 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=150009, encodeId=63c8150009be, content=如此雾霾天气!还不能解决吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCYbPBa7AiaIy1pMpp7CF9lHORw4icR9GOrMO6RVNCb1qSUSY9TFBzW5zlrpDia0HKafiarjvcweMaVdg/0, createdBy=f1d61928636, createdName=simayunhe, createdTime=Thu Oct 20 21:09:41 CST 2016, time=2016-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=150008, encodeId=ba4f1500089e, content=国家不下大力度管理,个人再注意,雾霾环境犹在,又有何用?!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5HlpTjwkFlMsMFMCMc56MmW2TNuicV4dChWSUvqxiaqa7ZjveFKmplloCkoVYVwwSpXNdWCPIWnm7Q/0, createdBy=80841732949, createdName=ms6277455255647614, createdTime=Thu Oct 20 21:04:05 CST 2016, time=2016-10-20, status=1, ipAttribution=)]
    2016-10-20 simayunhe

    如此雾霾天气!还不能解决吗?

    0

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    2016-10-20 ms6277455255647614

    国家不下大力度管理,个人再注意,雾霾环境犹在,又有何用?!

    0

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