福建省晋江市2009-2013年恶性肿瘤住院患者统计分析

Analysis of 30075 cancer cases covered by New Rural Cooperative Medical Scheme in Jinjiang city,Fujiang province during 2009- 2013

目的研究福建省晋江市新农合恶性肿瘤住院患者情况,为指导疾病防治和学科发展建设提供参考。方法对晋江市新农合恶性肿瘤住院患者30 075例次进行统计分析。结果 2009-2013年晋江市新农合恶性肿瘤住院率总体呈快速上升趋势,住院率以年均11.2%的速度递增,总住院率630.3/10万。2013年男性住院率954.6/10万,女性606.1/10万,男女住院性别比1.7∶1;住院率高峰在70～74岁年龄组。2009-2013年年龄0～95岁,中位年龄55岁,平均年龄54.3岁,其中45～59岁年龄组13 425例次（44.6%）,45～64岁17 348例次（55.7%）,〉60岁老年患者10 558例次（35.1%）。住院患者居第1位的是肺癌,其次是肝癌、食管癌、结直肠癌、胃癌、乳腺癌、淋巴瘤、鼻咽癌、子宫颈癌、白血病,前10种住院疾病占80.6%～84.5%。5年来,在晋江市住院的恶性肿瘤例次23.1%,转外住院例次76.9%,在晋江市治疗的住院总费用为10.8%,转外住院总费用89.2%,转外医疗机构主要集中在泉州、福州、厦门地区。结论晋江市恶性肿瘤住院率呈快速上升趋势,严重影响群众身体健康,要加强恶性肿瘤预防治疗工作,加强晋江市恶性肿瘤医学学科发展。

Objective To analyze the information of cancer patients covered by New Rural Cooperative Medical Scheme（ NRCMS） in Jinjiang city,Fujiang province. Methods The data of 30 075 malignant tumor cases under NRCMS in Jinjiang city from 2009 to 2013 were collected and statistically analyzed. Results During 2009- 2013,the hospitalization rate related to malignant tumor was 630. 3 /100 000,with an average annual increase rate of 11. 2%. In2013,the hospitalization rates for male and female patients were 954. 6 /100 000 and 606. 1 /100 000 with a ratio of 1. 7∶ 1.The peak age group was 70 ～ 74 years. For inpatients the median age was 55 years and the mean age was 54. 3（ 0 ～ 95）years; patients in age group of 45 ～ 59 years accounted for 44. 6%（ 13 425 /30 075）,those in age group of 45 ～ 64 years accounted for 55. 7%（ 17 348 /30 075）,and those in age group of 〉60 years accounted for 35. 1%（ 10 558 /30 075）. Lung cancer ranked the first,followed by liver cancer,esophageal cancer,colorectal cancer,gastric cancer,breast cancer,lymphoma,nasopharyngeal cancer,cervical cancer and leukemia; these 10 diseases accounted for 80. 6% ～ 84. 5% of total tumor-related hospitalization. During 2009- 2013,only 23. 1% patients were admitted in local hospitals and the medical costs accounted for 10. 8%; 76. 9% patients were transferred to hospitals outside Jinjiang（ maily Quanzhou,Fuzhou,Xiamen） and the expenses accounted for 89. 2%. Conclusion The hospitalization rate of malignant tumor grew rapidly in Jinjiang city. Cancer prevention and related discipline should be strengthened to cope with the situation.