新疆某院2013~2017年恶性肿瘤住院患者病例统计

Statistics of inpatients with malignant tumors from 2013 to 2017 in a hospital in Xinjiang

目的探讨恶性肿瘤住院患者电子病历病案首页,分析恶性肿瘤发病情况,为临床防治工作提供参考依据。方法收集2013~2017年新疆某三甲医院恶性肿瘤住院患者电子病历中病案首页资料,以出院主诊断为依据,并对其疾病构成、性别、手术情况、年龄进行统计分析。结果恶性肿瘤患者数量逐年增加,占总出院患者的3.13%,其中前10位恶性肿瘤例数占全部恶性肿瘤的82.41%。5年数据统计显示肺癌、甲状腺癌始终位列各年度前两位。该院数据体现恶性肿瘤患者人数男性略多于女性,男女比例为1.03∶1.00。所有恶性肿瘤中甲状腺癌和乳腺癌、皮肤癌的手术率较高,分别达96.61%、77.64%和77.19%。结论针对部分特定人群建立早期的筛查机制,能够有效避免和预防恶性肿瘤的发生发展,或将为患者和医疗机构减轻负担。

Objective To discusse the first page of the electronic medical record of inpatients with malignant tumors,analyze the incidence of malignant tumors,and to provide reference for clinical prevention and treatment.Methods From 2013 to 2017,the first page of medical records of inpatients with malignant tumors in a grade A hospital in Xinjiang was collected.Based mainly on the discharged diagnosis,the disease constitution,gender,operation situation and age were analyzed.Results The number of malignant tumor patients increased year by year,accounting for 3.13%of the total discharged patients,among which the top 10 malignant tumor cases accounted for 82.41%of all total malignancy.5 years'statistics showed that lung cancer and thyroid cancer always rank the top 2 in each year.The number of patients with malignant tumor in the hospital in males was slightly higher than that in females,with a male-female ratio of 1.03 to 1.00.Among all malignant tumors,thyroid cancer,breast cancer and skin cancer had the highest surgical rate,reaching 96.61%,77.64%and 77.19%,respectively.Conclusion The establishment of early screening mechanism for some specific groups can effectively avoid and prevent the occurrence and development of malignant tumors,or reduce the burden on patients and medical institutions.