中国医学科学院肿瘤医院2005～2013年首诊肺癌住院患者特征分析

Analysis on Characteristics of Inpatients with Primary Diagnosed Lung Cancer in Cancer Hospital,Chinese Academy of Medical Sciences from 2005 to 2013

[目的]评价2005～2013年间中国医学科学院肿瘤医院肺癌住院患者特征的动态变化。[方法]资料来源于医院收治的首次就诊肺癌住院患者的病案首页信息，包括患者的一般信息、诊断和手术等基本临床信息，描述该人群各种特征值随年份的变化趋势．并利用线性回归模型对各种特征值的变化趋势进行统计学检验。[结果]2013年与2005年相比，医院收治的首诊肺癌患者例数由1285例增加到269l例（P〈0．01），男女性别比由2．42降低至1．59（P〈0．01），平均年龄由58．81岁增加到59．50岁（P=0．12）；来自北京市的患者所占比例由17．12％增加到22．56％（／9=0．02），全自费患者所占的比例由37．43％降低到7．21％（P〈0．01）。[结论]近年来医院收治的肺癌住院患者呈现递增趋势，医院应积极改进和完善医院管理和运行水平，合理优化分配医疗资源、

[Purpose] To investigate dynamic changes of characteristics of inpatieuts with primary diagnosed lung cancer in Cancer Institute and Hospital,Chinese Academy of Medical Sciences （CAMS） from 2005 to 2013. [Methods] The data of medical records for inpatients with primary di- agnosed lung cancer were collected,including some general information of individuals and some basic clinical data such as diagnoses and operations. Trends of all kinds of characteristic values during 2005-2013 were described. Linear regression was used to analyze the trends of characteris- tic values. [Results] Compared to 2005,the number of inpatients with primary diagnosed lung can- cer increased from 1285 in 2005 to 2691 in 2013 with significant difference（P〈0.01）. The sex ratio of inpatients male over female decreased from 2.42 to 1.59 （P〈0.01）. The average age of inpatients increased from 58.81 years-old to 59.50 years-old without significant difference （P=0.12）. The per- centage of inpatients from Beijing increased from 17.12% to 22.56%（P=0.02）. The percentage at one＇s own expenses decreased from 37.43% to 7.21%（P〈0.01）. [Conclusion ] In recent years,hos- pitalized patients with lung cancer show an increasing trend. So, the hospital should actively per- fect the hospital management and running level, and optimize allocation of medical resources.