深圳市福田区某三甲综合医院2003—2017年恶性肿瘤出院病例分析

Analysis of Inpatients with Malignant Tumors of a Class A Tertiary Comprehensive Hospital in Futian district of Shenzhen from 2003 to 2017

了解深圳市福田区某三甲综合医院2003-2017年恶性肿瘤出院病例的时间变化趋势。方法 收集整理该院2003年1月1日-2017年12月31日的病案首页资料数据,采用年度变化百分比(Annual Percent Change, APC)及其95%可信区间(95% Confidence Interval,95%CI)分析时间趋势,用帕累托图对出院病例的恶性肿瘤种类构成进行因素归类。结果 构成比居前五位分别是:支气管和肺癌、结直肠和肛门癌、甲状腺癌、乳腺癌、肝和肝内胆管癌。在时间变化趋势方面,该院恶性肿瘤出院病例有随时间增长的趋势;<40岁男、女性恶性肿瘤出院病例均呈降低趋势,40~59岁男、女性增长趋势较明显。结论 该院近15年恶性肿瘤出院病例呈上升趋势,支气管肺癌、乳腺癌是危害深圳市福田区居民的重要恶性肿瘤,中老年人群为重点医疗对象。

Objective To investigate the development tendency of inpatients with malignant tumors in a Class A tertiary comprehensive hospital in Futian district of Shenzhen from 2003 to 2017. Methods Information on the front page of medical records of this hospital from January 1st 2003 to December 31st 2017 was collected. The Joinpoint regression was applied to estimate the annual percent change (APC) and 95% confidence interval (95%CI) for malignant tumors during the 15 years. Pareto diagram was drawn for the composition ratio of inpatients with malignant tumors. Results The top 5 malignant tumors in this hospital were bronchial and lung cancer, colorectal and anal cancer, thyroid cancers, breast cancer, liver and intrahepatic cholangiocarcinoma. In terms of temporal trends, patients with malignant tumors discharged from this hospital were on the rise. Both sexes under the age of 40 showed a decreasing trend in the number of hospitalized patients with malignant tumors, while those aged 40-59 years showed an upward trend. Conclusion The number of inpatients malignant tumors discharged from the increased from 2003 to 2017. Bronchial lung cancer and breast cancer are common cancers which harm the health of Futian residents;middle-aged and aged population were the key target of medical treatment.