摘要
Gastric cancer is one of the most frequent cancers in the world; almost two-thirds of gastric cancer cases and deaths occur in less developed regions. In China, based on two national mortality surveys conducted in 1970s and 1990s, there is an obvious clustering of geographical distribution of gastric cancer in the country, with the high mortality being mostly located in rural areas, especially in Gansu, Henan, Hebei, Shanxi and Shaanxi Provinces in the middle-western part of China. Despite a slight increase from the 1970s to early 1990s, remarkable declines in gastric cancer mortality were noticed in almost the entire population during the last decade in China. These declines were largely due to the dramatic improvements in the social-economic environment, lifestyle, nutrition, education and health care system after economic reforms started two decades ago. Nevertheless, gastric cancer will remain a significant cancer burden currently and be one of the key issues in cancer prevention and control strategy in China. It was predicted that, in 2005, 0.3 million deaths and 0.4 million new cases from gastric cancer would rank the third most common cancer. The essential package of the prevention and control strategy for gastric cancer in China would focus on controlling Helicobacter pylori （H pylori infection, improving educational levels, advocating healthy diet and anti-tobacco campaign, searching for cost-effective early detection, diagnosis and treatment programs including approaches for curable management and palliative care.
胃的癌症是在世界上的最经常的癌症之一；几乎三分之二个胃的癌症盒子和死亡在更少的发达区域发生。在中国，基于在1970年代和1990年代进行的二国家死亡调查，有在这个国家的胃的癌症的地域分布的一个明显的聚类，与死亡主要是在农村区域定位了的高度，特别在 Gansu ，河南省， Hebei ，在中国的中间西方的部分的山西和 Shaanxi 省。尽管有到 1990 年代初的从 1970 年代的细微增加，在胃的癌症死亡的显著衰落被注意在几乎全部人口在在中国的最后十年期间。在经济改革二十年以前开始了以后，这些衰落大部分由于在社会经济的环境，生活方式，营养，教育和护理系统的戏剧的改进。不过，胃的癌症将当前仍然是重要癌症负担并且在中国是在癌症预防和控制策略的关键问题之一。在 2005，从胃的癌症的 30 万死亡和 40 万个新盒子将评价第三很普通的癌症，这被预言。为在中国的胃的癌症的预防和控制策略的必要包裹将集中于控制 Helicobacter pylori (H。pylori ) 感染，改善教育层次，倡导的健康食谱和反烟草竞选，寻找划算的早察觉，诊断和治疗为可医好的管理和辩解的照顾包括途径编程序。
