咸阳某医院就诊胃癌患者临床发病和治疗的城乡差异

The differences of pathogenesis and clinical treatment of gastric cancer between patients from urban and rural area of Xianyang a hospital

目的:评价陕西省核工业二一五医院不同户口类型的胃癌患者在发病和临床治疗上的差异。方法:抽取我院1582例胃癌患者病历,分为农村合作医疗保险组(854例)和城镇(职工和居民)医疗保险组(728例),对两组患者的病情分布、临床治疗情况及预后生存情况等各项指标进行综合分析。结果:医保组和合疗组的胃癌患者发病和治疗情况存在明显的差异。两组患者按年龄分布合疗组峰值出现在60-岁组而医保组出现在50-岁组,按病情分布合疗组Ⅲ期为最多(423例,占总体49.5%)而医保组Ⅱ期患者最多(230例,占总体31.6%);医保组人均住院(8.2±2.3)次、人均单次住院(9.6±1.8)天、人均单次治疗费用(7753±468)元、3年生存率33.47%,合疗组人均住院(6.5±1.2)次、人均单次住院(7.6±1.6)天、人均单次治疗费用(5368±136)元、3年生存率21.56%,两组间各项指标均有统计学差异(P<0.05)。结论:本地区胃癌的发病和临床治疗情况存在城乡差异。

Objective：To investigate the differences of pathogenesis and clinical treatment of gastric cancer patients between patients from urban and rural area of Xianyang,Shaanxi provience.Methods：Patients with gastric cancer were divided into two groups,rural patients （854 cases） and urban patients （728 cases）.We analyze the index,including distribution of condition of patients,clinical treatment and survival rate.Results：There were differences of the pathogenesis and clinical treatment between rural and urban patients.The most cases of patients were in 60-years old or in stage Ⅲ for rural patients,and in 50-years old or stage Ⅱ for urban patients.Clinical treatment and prognosis between the two groups existed obvious differences,the index of urban patients were higher,including the number of average per capita hospitalization,single hospitalization days per capita,charge of treatment per capita single and 3 year survival rates （P ＜ 0.05）.Conclusion：There are differences of pathogenesis and clinical treatment between the patients of gastric cancer from rural and urban area.