2017—2021年某三甲医院恶性肿瘤住院病例统计分析

Statistical analysis of inpatients with malignant tumors in a tertiary hospital from 2017 to 2021

目的通过研究某三甲医院恶性肿瘤住院患者的病案资料,掌握主要的恶性肿瘤疾病构成和变化趋势等,为该地区的恶性肿瘤防治工作提供科学参考依据。方法收集整理某院2017—2021年恶性肿瘤住院患者的病案首页信息,回顾性分析该院恶性肿瘤患者的疾病构成、顺位结构、年龄和性别分布等。结果2017—2021年恶性肿瘤住院患者共19198例,男女性别比1.3∶1,50~69岁住院人次占比最高(50.66%),恶性肿瘤病死率为4.96%。疾病顺位前5位依次为支气管和肺恶性肿瘤、肝和肝内胆管恶性肿瘤、鼻咽恶性肿瘤、乳房恶性肿瘤、结肠恶性肿瘤。次均住院费用和次均药品费用分别为23711.55元和4851.93元,住院天数均值为13.03 d。结论应针对高危人群和主要恶性肿瘤,制定加强50岁以上重点人群肿瘤综合防治措施,开展早诊早治癌症筛查工作,加强医疗费用管控。

Objective To study the medical records of patients with malignant tumors in a tertiary hospital,to grasp the composition and change trend of the main malignant tumor diseases,and to provide scientific reference for the prevention and treatment of malignant tumors in the local area.Methods Data of the first page of medical records of malignant tumor patients in a hospital from 2017 to 2021 were collected and retrospectively analyzed in terms of disease composition,sequence structure,age and gender distribution of patients with malignant tumors in the hospital.Results Totally 19198 patients with malignant tumor were admitted,and the gender ratio was 1.3∶1.The proportion of hospitalized patients aged 50-69 was the highest(50.66%),and the mortality rate of malignant tumor was 4.96%.The top 5 malignant tumors were lung cancer,liver cancer,nasopharynx cancer,breast cancer,and colon cancer.The average medical cost of malignant tumor patients was 23711.55 yuan,the average medicine cost was 4851.93 yuan and the average hospitalization days were 13.03 days.Conclusion It should be aimed at high-risk groups and common types of malignant tumors.It is necessary to formulate comprehensive prevention and treatment measures for local population with malignant tumors over 50 years old,carry out cancer screening for early diagnosis and treatment,and strengthen control over medical expenses.