2012年-2016年某院恶性肿瘤住院患者流行病学分析

Epidemiological Analysis of Hospitalized Patients with Malignant Tumor in a Hospital from 2012 to 2016

目的分析某三甲综合医院恶性肿瘤住院患者的流行病学特征,为恶性肿瘤防治工作提供依据。方法利用医院信息化系统,提取某院2012年至2016年恶性肿瘤住院患者病案首页信息,对恶性肿瘤住院患者的主要疾病构成及其性别、年龄分组构成进行统计分析。结果 5年间首次诊治的恶性肿瘤患者9168例,其中男性5384例,占58.73%,女性3784例,占41.27%,男女之比为1.42:1。恶性肿瘤住院患者的前10位疾病构成分别为:支气管和肺恶性肿瘤、胃恶性肿瘤、食管恶性肿瘤、肝和肝内胆管恶性肿瘤、结直肠恶性肿瘤、白血病、乳腺恶性肿瘤、宫颈恶性肿瘤、甲状腺恶性肿瘤和淋巴瘤,占全部恶性肿瘤住院患者的81.51%。男性患者前3位的恶性肿瘤依次为胃恶性肿瘤、食管恶性肿瘤、支气管和肺恶性肿瘤;女性患者前3位的恶性肿瘤依次为乳腺恶性肿瘤、宫颈恶性肿瘤、支气管和肺恶性肿瘤。肿瘤发病的年龄段有所差异,主要集中在45岁~64岁年龄段,占患者总数的48.63%。结论恶性肿瘤住院患者疾病构成存在性别年龄差异,应结合实际,因地制宜的开展肿瘤三级预防,减少恶性肿瘤的发病。

Objective To analyze the epidemiological characteristics of hospitalized patients with malignant tumor in a general hospital, and to provide evidence for prevention and treatment of malignant tumor. Methods The hospital information system was used to extract the medical information of the hospitalized patients in the hospital from 2012 to 2016. The main disease constitution, sex and age group composition of the patients were analyzedstatistically. Results There were 9168 cases totally of the first diagnosis and treatment of malignant tumors during the 5 years, of which male has 5384 cases, accounting for 58.73%, 3784 cases were women, accounting for 41.27%,the ratio of male to female is 1.42： 1. The top 10 diseases of the in-patients with malignant tumors are： bronchial and pulmonary malignancies, gastric malignancies, esophageal malignancies, liver and intrahepatic bile duct malignant tumors, colorectal malignancies, leukemia, breast malignancies, cervical malignancies, thyroid malignancy and lymphoma, accounting for 81.51% of all hospitalized patients. The first three malignancies of male were malignant tumors, malignant tumors of the esophagus, bronchial and pulmonary malignancies. The first three malignancies of female were breast malignancies, cervical malignancies, bronchial and pulmonary malignancies.The age of the tumor was different, mainly in the age of 45 to 64 years old, accounting for 48.63% of the total number of patients. Conclusion There were differences in gender and age of the malignant tumor inpatient disease composition, so should be combined with the actual, according to local conditions to carry out three levels of tumor prevention, reduce the incidence of malignant tumors.