衡水市某三甲医院2011年-2014年恶性肿瘤住院病例统计分析

Statistical Analysis on the Hospitalized Malignant Tumor Cases of a Grade A and Tertiary Hospital in Hengshui city from 2011 to 2014

目的通过对衡水市某三甲医院恶性肿瘤住院病例进行统计分析,了解该院恶性肿瘤构成特点,为预防、筛查、监控措施提供科学依据。方法通过医院信息化系统,调取2011年-2014年所有住院患者电子病历首页信息,对恶性肿瘤病例按照主诊断ICD-10疾病编码进行分类汇总统计分析。结果 2011年-2014年恶性肿瘤病例逐年增多(P<0.01),恶性肿瘤住院病例共8017例,男性4354例,女性3663例,男女例数之比为1.19:1。前十位恶性肿瘤顺位:肺、乳腺、胃、结直肠、食管、肝、甲状腺、子宫、膀胱、血液系统恶性肿瘤。恶性肿瘤性别构成:除子宫恶性肿瘤均为女性,乳腺、甲状腺恶性肿瘤女性多于男性外,余均男性多于女性。男性前五位为:肺、胃、食管、结直肠、肝恶性肿瘤;女性前五位为:乳腺、肺、结直肠、甲状腺、子宫恶性肿瘤。不同年龄段恶性肿瘤构成及男女构成比:恶性肿瘤患者数随年龄增加逐渐增多,≥60岁年龄段最高,为56.72%(P<0.01);≤14岁及≥60岁组男性多于女性,余年龄组女性多于男性。≥60岁恶性肿瘤高发人群前三位肿瘤:肺、胃、食管恶性肿瘤。恶性肿瘤患者地区分布:桃城区1561例,病例数最多,达19.47%(P<0.01)。结论医院及当地卫生行政部门应重视肺、乳腺等顺位较前恶性肿瘤的医疗技术发展,提高患者生存期及生活质量。并加大对60岁以上人群及病例较多地区的监控,降低恶性肿瘤在该地区的发病率。

Objective To understand the characteristics of malignant tumor in this hospital through analyzing on the medical records of malignant tumor cases in a first class hospital, and provide scientific evidence for the development of medical technology as well as the formulation of the prevention, screening, monitoring and control measures made by the hygiene administrative department.Methods Draw the first page of the medical records in year 2011-2014 through the hospital information system, and do statistic analysis and classify the hospitalized malignant tumor cases through ICD-10 principal coding of the main diagnosis. Results The medical records of malignant tumor cases increased year by year from 2011 to 2014（P〈0.01）,and there were 8017 in all, including 4354 male and 3663 female. The average ratio of male and female was 1.19：1. 1The top 10 malignant tumors were lung cancer,breast cancer, stomach cancer, Colon / rectal cancer, esophageal cancer, liver cancer, thyroid cancer, uterine cancer, bladder cancer and leukemia. Sex composition of malignant tumor： Uterine malignant tumors were all female patients. Wemen were more likely to have breast cancer and thyroid cancer, while men were more likely to have the rest. The top 5 malignant tumors in male were lung cancer, stomach cancer, esophageal cancer, Colon / rectal cancer and liver cancer. The top 5 malignant tumors in female were breast cancer, lung cancer, Colon / rectal cancer, thyroid cancer and uterine cancer. 3Constituent ratio of sex and age：The number of patients with malignant tumor increased with age increasing, the high-risk age group was ≥60years old, which was 56.72%（P〈0.01）;There were more male patients than female ones in the group ≤14 years old and≥60 years old, while the rest group are instead.4Malignant tumor of lung, stomach, esophageal took the first three places in the group ≥60 years old5 Regional distribution of malignant tumors：The highest prevalence was in Taocheng District, which was 19.47%.And there were 1561 cases in all（P〈0.01）. Conclusion Hospitals and the hygiene administrative department should pay attention to the development of medical technology of the top 10 malignant tumors, and improve the survival and quality of the patients. We should increase the understanding, screening and control measures in people over 60 years old and prime location to reduce the incidence of malignant tumors gradually.