摘要
目的对2012-2016年我院癌症住院患者分布特点进行分析,为医疗资源配置提供参考依据。方法应用ICD-10编码,利用SQL语句,从医院信息系统(hospital information system,HIS)中提取癌症住院患者病例资料并进行分类统计。结果近5年,我院共收治癌症住院患者243200例,占住院总例数的32.54%,其中男性占57.99%,女性占42.01%;占比前10的癌症在男性中依次是肺癌(18.50%)、肝癌(13.21%)、胃癌(11.50%)、结直肠癌(11.40%)、淋巴癌(5.43%)、耳鼻咽喉癌(4.56%)、白血病(4.52%)、食管癌(3.84%)、肾癌(2.63%)和胰腺癌(2.54%);在女性中依次是乳腺癌(20.08%)、肺癌(12.63%)、结直肠癌(8.79%)、卵巢癌(7.06%)、宫颈癌(5.56%)、胃癌(4.99%)、淋巴癌(4.53%)、甲状腺癌(4.35%)、白血病(3.84%)和肝癌(3.76%)。癌症住院患者病例数随年龄呈"倒U型"分布,0~39岁较少,40岁以上明显增多,50~69岁年龄段最多,70岁之后开始下降。目前,癌症治疗仍以化疗(57.66%)和手术(24.49%)为主。结论我院癌症住院患者逐年增多,男性占比高于女性。癌症疾病谱随时间推移有变化,且存在性别、年龄差异,与国内外相关癌症数据统计报告相比,有数据源和统计结果方面的相似处和不同点。
Objective To analyze the data of cancer inpatients in our hospital from 2012 to 2016,so as to help staff understanding the distribution characteristics of cancers and allocating medical resources.Methods Using ICD-10 code and SQL statement,the data of cancer inpatient were extracted from HIS(Hospital Information System)and analyzed.Results In the past 5 years,there were 243200 cancer inpatient admitted to our hospital,accounting for 32.54%of the total inpatient volume.Among them,male accounted for 57.99%and female accounted for 42.01%.Ten most common cancer in male were lung cancer(18.50%),liver cancer(13.21%),gastric cancer(11.50%),colorectal cancer(11.40%),lymphoma(5.43%),otolaryngologic cancer(4.56%),leukemia(4.52%),esophageal cancer(3.84%),renal cancer(2.63%)and pancreatic cancer(2.54%),while ten most common cancer in female were breast cancer(20.08%),lung cancer(12.63%),colorectal cancer(8.79%),ovarian cancer(7.06%),cervical cancer(5.56%),gastric cancer(4.99%),lymphoma(4.53%),thyroid cancer(4.35%),leukemia(3.84%)and liver cancer(3.76%).The relationship between age and cancer incidence demonstrated an inverted U-shape,with patient number peaked in 50-69 years,and declined in both 0-39 years and>70 years groups.Currently,chemotherapy(57.66%)and surgery(24.49%)were still the main treatment for cancer.Conclusion The number of cancer inpatients in our hospital is increasing year by year,and the incidence of cancer is higher in male than that in female.The most common cancer types vary by gender and age.Similarities and differences in data sources and statistical results lead to the differences when compared with relevant cancer data reports at home and abroad.
作者
罗辉
薛万国
雷永红
LUO Hui;XUE Wanguo;LEI Yonghong(Medical Information Institute of Chinese PLA General Hospital,Beijing 100853,China;Department of Inpatient Management,Hainan Hospital of Chinese PLA General Hospital,Sanya 572013,Hainan Province,China)
出处
《解放军医学院学报》
CAS
2019年第8期740-744,共5页
Academic Journal of Chinese PLA Medical School
基金
部委级资助项目
解放军总医院医疗大数据研发项目(2018MBD-004)