20500例恶性肿瘤患者贫血情况分析

Analysis of anemia in 20500 patients with malignant tumors

目的分析20500例恶性肿瘤患者的贫血情况。方法回顾性分析2018年1~11月浙江省肿瘤医院收治的20500例恶性肿瘤患者临床资料,计算不同肿瘤相关性贫血(CRA)的发生率;分析不同CRA的严重程度;分析CRA的年龄分布和性别分布。结果20500例CRA发生率为23.7%,CRA发生率最高的为妇科肿瘤,其次为消化和泌尿系统肿瘤,头颈部肿瘤伴发贫血的发生率最低。CRA严重程度多数为1~2级[4424例(91.1%)],3~4级CRA 434例(8.9%)。CRA的患者年龄多分布在50~<70岁,占60.07%,30~<50岁次之,占20.87%,<30岁最少,占1.26%。男性的CRA发生率高于女性,差异有统计学意义(P<0.05)。结论CRA整体发生率较高,以1~2级贫血为主,男性CRA发生率高于女性。

Objective To analyze the anemia of 20500 patients with malignant tumor.Methods The clinical data of 20500 patients with malignant tumors admitted to Zhejiang cancer hospital from January to November 2018 were analyzed retrospectively,the incidence of different tumor associated anemia(CRA)was calculated.The severity of different CRA were analyzed.The age distribution and gender distribution of CRA were analyzed.Results The incidence of CRA in 20,500 cases was 23.7%.The highest incidence of CRA was gynecological tumors,followed by digestive and urinary system tumors.The incidence of head and neck tumors with anemia was the lowest.The severity of CRA was mostly 4,424(91.1%)in grades 1-2,and 434(8.9%)of CRA in grades 3-4.The age of CRA patients were mostly distributed from 50 to<70 years,accounting for 60.07%,followed by 30 to<50 years,accounting for 20.87%,and the youngest were less than 30 years,accounting for 1.26%.The incidence of CRA was higher in men than in women,the difference was statistically significant(P<0.05).Conclusion The overall incidence of CRA is high,with grade 1-2 anemia as the predominant factor,the incidence of CRA is higher in men than in women.