2017-2021年某三级甲等中医医院恶性肿瘤住院患者流行病学分析

Epidemiological analysis of inpatients with malignant tumors in a tertiary Chinese medicine hospital from 2017 to 2021

目的分析某三甲中医医院恶性肿瘤住院患者的流行病学特征,为恶性肿瘤的防治工作提供科学依据。方法利用医院病案信息系统,参照国际疾病分类ICD-10,收集该院2017-2021年恶性肿瘤患者病案首页信息进行回顾性分析,利用SPSS软件对数据进行差异性分析和趋势性检验。结果5年收治符合条件的恶性肿瘤住院患者共6377例,其中男性3758例(58.93%),女性2619例(41.07%),男女性别比为1.43∶1。60~69岁恶性肿瘤住院患者最多,占比25.81%。不同性别的恶性肿瘤患者年龄分布上存在差异,且差异有统计学意义(χ^(2)=101.91,P<0.001);主要恶性肿瘤在不同年龄段分布有差异,且差异有统计学意义(χ^(2)=1137.60,P<0.001)。恶性肿瘤患者的平均住院日为13.14 d,平均增长速度为1.05%;平均次均费用为24728.74元,平均增长速度为4.17%;平均日均住院费用1881.16元,平均增长速度为3.02%。6377例恶性肿瘤患者中,居前10位的恶性肿瘤患者共2991例(46.90%),分别为肝细胞癌、肺上叶恶性肿瘤、支气管或肺恶性肿瘤、甲状腺恶性肿瘤、乳房恶性肿瘤、前列腺恶性肿瘤、直肠恶性肿瘤、肺下叶恶性肿瘤、乙状结肠恶性肿瘤和多发性骨髓瘤。前10位恶性肿瘤平均住院日最长的肿瘤是多发性骨髓瘤15.26 d,次均费用最高的肿瘤为多发性骨髓瘤30015.57元。结论恶性肿瘤疾病构成存在性别和年龄差异,应关注男性和老年群体,采取不同的预防控制措施,多管齐下,减低恶性肿瘤的发病,加强费用的管控,提高生活质量,减轻患者负担。

Objective To analyze the epidemiological characteristics of inpatients with malignant tumors in a tertiary Chinese medicine hospital from 2017 to 2021,and to provide scientific evidence for the prevention and treatment of malignant tumors.Methods According to the International Classification of Diseases ICD-10,the information system of the homepage of hospital medical records was used to collect the information of inpatients with malignant tumors in a hospital from 2017 to 2021 for retrospective analysis.SPSS software was used for difference analysis and trend analysis.Results In 5 years,6377 eligible inpatients with malignant tumors were admitted including 3758 male patients,accounting for 58.93%,and 2619 female patients,accounting for 41.07%,with the gender ratio of male to female 1.43∶1.The most inpatients with malignant tumors were 60-69 years old,accounting for 25.81%.There were significant differences in the age distribution of malignant tumor patients with different genders(χ^(2)=101.91,P<0.001).The distribution of main malignant tumors in different age groups was different,and the difference was statistically significant(χ^(2)=1137.60,P<0.001).The average hospitalization days of malignant tumor patients were 13.14 days,with an average growth rate of 1.05%;the average cost per time was 24728.74 yuan,with an average growth rate of 4.17%;the average daily hospitalization cost was 1881.16 yuan,with an average growth rate of 3.02%.Among 6377 patients with malignant tumors,2991 cases(46.90%)were in the top 10,which were as follows:hepatocellular carcinoma,upper lobe lung cancer,bronchial or lung cancer,thyroid cancer,breast cancer,prostate cancer,rectal cancer,and lower lobe lung cancer,sigmoid colon cancer,and multiple myeloma.In the top 10 malignant tumors,the longest average hospital stay was 15.26 days for multiple myeloma,and the highest average cost was 30015.57 yuan for multiple myeloma.Conclusion There are gen der and age differences in the composition of malignant tumors.Attention should be paid to male and elderly people,通信作者:曾路情,Email:1075517691@qq.com and different prevention and control measures should be adopted to reduce the incidence of malignant tumors,strengthen cost control,improve the quality of life,and reduce the burden on patients.