2018年-2021年泰州某三甲医院恶性肿瘤患者疾病谱构成及帕累托图分析

Analysis of Disease Spectrum and Pareto Diagram of Malignant Tumor Patients in a Three A and Tertiary Hospitalin Taizhou from 2018 to 2021

目的 分析泰州某三甲医院首诊为恶性肿瘤住院患者疾病构成特征及变化趋势,为恶性肿瘤的防治工作提供参考,并为专科建设提供依据。方法 选取2018年1月1日至2021年12月31日泰州某三甲医院收治的15 963例首诊为恶性肿瘤住院患者信息,分析不同年份、年龄、性别、户籍地间恶性肿瘤的疾病构成及顺位变化。结果 前10位恶性肿瘤依次为支气管和肺恶性肿瘤、胃恶性肿瘤、食管恶性肿瘤、甲状腺恶性肿瘤、乳房恶性肿瘤、结肠恶性肿瘤、肝恶性肿瘤、直肠恶性肿瘤、宫颈恶性肿瘤、前列腺恶性肿瘤,占4年来恶性肿瘤总例数的74.84%。男性患者明显多于女性,其中男性恶性肿瘤首位是支气管和肺恶性肿瘤,占男性恶性肿瘤的20.5%;女性恶性肿瘤首位是乳房恶性肿瘤,占女性恶性肿瘤的15.8%。肿瘤发病年龄相对集中于50岁以上的中老年人群。泰州所辖三市三区中,海陵区患者最多。结论 泰州某三甲医院首诊为恶性性肿瘤患者中,男性多于女性;支气管和肺恶性肿瘤、胃恶性肿瘤和食管恶性肿瘤是主要病种;肝恶性肿瘤患者呈下降趋势,而甲状腺恶性肿瘤患者呈上升趋势;掌握肿瘤分布特征,根据肿瘤发病的年龄、性别和地区差异,调整防治措施,因地制宜地做好恶性肿瘤的三级预防工作。

Objectives To analyze the disease composition characteristics and changing trends of patients with malignant tumors first diagnosed in a Three A and Tertiary Hospital in Taizhou,and provide reference for the prevention and treatment of malignant tumors,and provide basis for specialty construction.Methods Data of 15963 inpatients with first diagnosis of malignant tumor admitted to a Three A and Tertiary Hospital in Taizhou from January 1st,2018 to December 31st,2021 were selected to analyze the disease composition and rank changes of malignant tumor among different years,ages,genders and places of residence.Results The top 10 malignant tumors were bronchial and lung malignant tumors,gastric malignant tumors,esophageal malignant tumors,thyroid malignant tumors,breast malignant tumors,colon malignant tumors,liver malignant tumors,rectal malignant tumors,cervical malignant tumors,and prostate malignant tumors,accounting for 74.84%of the total number of malignant tumors in the past four years.There were significantly more male patients than females,of which the first male malignant tumors were bronchial and lung malignant tumors,accounting for 20.5%of male malignant tumors;the first female malignant tumors were breast malignant tumors,accounting for 15.8%of female malignant tumors.The age of tumor onset was relatively concentrated in the middle-aged and elderly population over 50 years old.Among the three cities and districts under the jurisdiction of Taizhou,Hailing District has the largest number of patients.Conclusions There were more male than female patients with malignant tumor diagnosed for the first time in a Three A and Tertiary Hospital in Taizhou.Bronchial and pulmonary malignancies,gastric malignancies and esophageal malignancies were the main types of cancer.The patients with liver malignant tumor showed a decreasing trend,while the patients with thyroid malignant tumor showed an increasing trend.Grasp the distribution characteristics of tumors,adjust the prevention and control measures according to the age,gender and regional differences of the incidence of tumors,and did a good job in the tertiary prevention of malignant tumors according to local conditions.