恶性肿瘤患者住院次数与远期生存率关系分析

Analysis on the Relationship Between Admission Times and Long Term Survival Rate of Malignant tumor Patients

目的通过分析不同类型恶性肿瘤住院次数与远期生存率的关系,了解不同类型恶性肿瘤住院规律。方法以某三甲医院2014年至2015年157,203份住院病案为统计资料,调阅重复住院肿瘤患者前8位恶性肿瘤共计3185例患者。利用Excell2007透视表,采用非参数检验分析不同类型恶性肿瘤住院次数,并根据计算出的住院次数秩均值顺次与肿瘤5年生存率对比。结果不同类型恶性肿瘤住院次数具有统计学意义(P<0.05)。其中前三位为支气管和肺恶性肿瘤1109例(34.82%),乳房恶性肿瘤592例(18.59%),胃恶性肿瘤548例(17.21%);将恶性肿瘤5年生存率与住院次数秩次排序进行相关性检验(不包括甲状腺恶性肿瘤),r=0.928,P=0.003,可认为恶性肿瘤5年生存率与住院次数之间呈明显的正相关关系。结论不同恶性肿瘤类型患者之间住院次数存在差异,并与远期生存率具有关联,临床医师需要正确引导患者就医意愿。

Objectives To realize the hospitalized rules in different types of malignant tumor patients analyzing the relationship between admission times and long term survival rate of malignant tumor patients. through Methods 3185 malignant tumor patients hospitalized were selected from the first 8 types of malignant tumor patients hospitalized by using Excel2007 pivot table. To analyze the number of different types of malignant tumor patients hospitalized by using non-parametric tests and contrast mean rank of inpatient times with tumor survival rate in five years. Results There was statistically significant on the number of malignant tumor patients hospitalized in different types （P〈0. 05）. By contrasting the inpatient times, the most was malignant tumor of breast, the second was malignant malignant tumor of colon and the last was malignant tumor of thyroid; at the same times, the inpatient times with tumor was line with long term survival rate comparison. Conclusions There were differences between admission times of different types of malignant Clinicians should zuide the desire of malignant tumor patients, and had relationship with the long term survival rate. tumor patients correctly.