广东省某市2013～2015年县级及以上医疗机构恶性肿瘤死亡报告情况分析

Mortality Report of Malignant Tumor in Medical Institutions at County Level and Above in Huizhou City Guangdong Province from 2013 to 2015

目的：分析广东省某市县级及以上医疗机构网络报告的2013-2015年因恶性肿瘤死亡的病例数据,为相关部门制定医疗机构恶性肿瘤的医疗资源分配方案提供数据支持。方法：收集2013-2015年某市县级及以上医疗机构恶性肿瘤死亡个案信息,死因分类按照国际疾病分类标准（ICD-10）进行编码,应用SPSS16.0软件对死亡资料进行统计分析。结果：2013-2015年广东省某市县级及以上医疗机构网络报告恶性肿瘤死亡病例3 632例,其中男性2 436例,女性1 196例,男女性别比为2.04∶1;患者年龄0-101岁,平均年龄（59.69±16.95）岁。60岁及以上老年人群恶性肿瘤死亡病例数占全部恶性肿瘤死亡病例的52.97%（1 924/3 632）。男性、女性死亡病例也均集中在60岁及以上老年人群,分别占男性和女性恶性肿瘤死亡病例数的54.06%（1 317/2 436）和50.75%（607/1 196）。前10位死因顺位依次为：肺癌、肝癌、结直肠癌、胃癌、白血病、食管癌、鼻咽癌、乳腺癌、胰腺癌、子宫颈癌,占全部恶性肿瘤死亡病例的82.21%。0-岁组恶性肿瘤的主要死因为白血病、脑癌,18-岁组主要死因为肝癌和白血病,40-岁组及65-岁组主要死因为肺癌、肝癌和结直肠癌。结论：肺癌是该市县级及以上医疗机构报告恶性肿瘤死因的首位;肺癌、消化系统恶性肿瘤是县级及以上医疗机构需重点关注的癌种。

Objective： To describe the mortality of malignant tumor reported by county level medical institution and above in Huizhou City Guangdong Province from 2013 to 2015, providing evidence for the government policy makers for disease prevention strategies. Methods： The data of malignant tumor deaths reported by county level medical institutions and above in Huizhou City were collected from 2013 to 2015. Classification for the causes of death was coded according to the International Classification of Diseases （ICD -10）. SPSSI6.0 software was used to analyze the data. Results： 3,632 cases of malignant tumor deaths were reported in county level medical institution and above in Huizhou City from 2013 to 2015. Among them, 2,436 cases were male, 1,196 were female, and the sex ratio was 2.04 ： 1. The age ranged from 0 to 101 years, the mean age was 59.69 ± 16.95 years. The mortality of malignant tumor in the group of 60 - yearsold was 52.97% （ 1,924/3,632）. Male and female deaths were also mainly in the elderly population aged 60 years and older, and the percentage of all tumor death was 54.06% （ 1,317/2,436） and 50.75% （607/1,196） respectively. The top 10 causes of malignant tumor death were lung cancer, liver cancer, eolorectal cancer, gastric cancer, leukemia, esophageal cancer, nasopharyngeal carcinoma, breast cancer, pancreatic cancer, and cervical cancer, accounting for 82.21% of all malignant tumor deaths. The main causes of malignant tumor death were leukemia and brain cancer in 0 - age group, liver cancer and leukemia in 18 ~ age group, lung cancer, liver cancer and colorectal cancer in 40 - age group, and lung cancer, liver cancer and colorectal cancer in 65- age group. Condusion： Lung cancer is the first cause of malignant tumor death. Lung cancer and digestive system carcinoma are the mainly concerned malignant tumor in county level medical institution and above.