2016年-2020年四川省自贡市某三甲综合医院恶性肿瘤出院患者分析

Analysis of Patients with Malignant Tumors Discharged from a Tertiary General Hospital in Zigong City,Sichuan Province from 2016 to 2020

目的分析自贡市某三甲综合医院2016年-2020年近5年来恶性肿瘤出院患者信息,了解前10位恶性肿瘤的构成、性别、年龄、地区的分布情况。方法从医院住院病案首页录入系统中获取2016年1月1日-2020年12月31日主要诊断编码为C00-C97的出院患者,对其基本信息核对和校正后录入到Excel数据库,按照年龄、性别、地区、疾病顺位进行统计,用SPSS17.0软件进行数据分析,计数资料采用构成比进行描述,计数资料组间用卡方检验。结果病种前10顺位随时间有变化,恶性肿瘤占出院患者的比例从2016年的3.77%增长至2020年的4.21%,前10位恶性肿瘤病种与省内研究有一定差异,气管、支气管和肺恶性肿瘤2543例,肝和肝内胆管恶性肿瘤1427例,食管恶性肿瘤1114例始终处于前3位,甲状腺恶性肿瘤排位上升明显;男性恶性肿瘤8341例,女性5838例,45.38%的患者主要集中在60岁及以上年龄。结论5年间恶性肿瘤出院人数呈上升趋势,恶性肿瘤在性别、年龄、地区、职业之间存在统计学差异,男性恶性肿瘤患者多于女性,60岁以上年龄人群为高发人群,需要加强对高危人群的癌防筛查;肺癌、肝癌、食管癌、宫颈癌是需要重点癌防的病种,应加大对其投入和癌防宣传力度。

Objectives This study aims to analyze the information on patients with malignant tumors discharged from a tertiary general hospital in Zigong City in the past five years from 2016 to 2020 and understand the composition,gender,age,and regional distribution of the top 10 malignant tumors.Methods From January 1,2016to December 31,2020,the discharged patients whose main diagnosis codes are C00-C97 were obtained from the input system of the front page of hospital inpatient records.After checking and correcting the basic information,the information was entered into the Excel database and analyzed according to age,gender,region,and order of disease.SPSS17.0 software was used for data analysis,count data were described by composition ratio,and the chi-square test was used between count data groups.Results The top 10 diseases have changed over time.The proportion of malignant tumors among all discharged patients increased from 3.77%in 2016 to 4.21%in 2020.There were some differences between the top 10 malignant tumor diseases in the provincial research.2543 cases of malignant tumors of the trachea,bronchus,and lung,1427 cases of malignant tumors of the liver and intrahepatic bile duct,and 1114 cases of malignant tumors of the esophagus were always in the top three.The ranking of malignant thyroid tumors had risen significantly.8341 cases of malignant tumors were in males and 5838 cases were in females.45.38%of patients were mainly concentrated in the age of 60 and above.Conclusions The number of discharged patients with malignant tumors was on the rise in the past 5 years.There were statistical differences among malignant tumors in gender,age,region,and occupation.There were more male cancer patients than female.People over the age of 60 were the high-risk group.Cancer screening for high-risk groups needs to be strengthened.Lung cancer,liver cancer,esophageal cancer,and cervical cancer are diseases that require key cancer prevention,and investment in and promotion of cancer prevention should be increased.