安阳市2007-2009年恶性肿瘤住院患者疾病谱分析

Constitution analysis of disease spectrum of hospitalized patients with malignant tumor in Anyang from 2007 to 2009

目的探讨河南省安阳市2007-2009年恶性肿瘤住院患者的情况,为制定可行、有效地防治措施提供科学依据。方法选取2007-2009年河南省安阳市8家综合医院17 952例恶性肿瘤住院患者作为研究对象,分析恶性肿瘤分布的城乡、性别和年龄特征。采用Excel建立数据库,运用SPSS 15.0统计软件进行数据分析和处理。结果2007-2009年安阳市恶性肿瘤住院患者人数呈上升趋势,平均增长速度为10.95%;恶性肿瘤住院病种前5位依次是食管癌、胃癌、肺癌、肝癌、肠癌,食管癌3年来一直居首位;城市医院和县级医院住院人数比是3.15∶1,构成比分别为7.05%和2.53%,差异有统计学意义(P<0.01)。男女比例为1.61∶1,恶性肿瘤构成比分别为6.71%和3.46%,差异有统计学意义(P<0.01);男性恶性肿瘤病种前5位依次是食管癌、胃癌、肺癌、肝癌、白血病,女性前5位依次是食管癌、胃癌、乳腺癌、肺癌和生殖器癌;15岁以上恶性肿瘤住院人数呈明显上升趋势,45岁以上占比例最高,为88.90%,白血病在15~44岁构成比最高,为45.41%,乳腺癌在45~59岁组构成比最高,为46.82%。结论 2007-2009年安阳市恶性肿瘤住院人数呈不断上升趋势,住院患者群呈现低龄化趋势,应加强早期筛查和全民健康生活方式宣传。

Objective To analyze the conditions of the hospitalized patientswith malignant tumor,and to provide evidences for the prevention and treatments of malignant tumor.Methods 17 952 cases of inpatients,who were diagnosed as malignant tumor between 2007 and 2009 from 8 hospitals in Anyang,were subjects of this study.Characterslike age,gender and geographic distribution were analyzed in the study.Excel was used to input the dataset,and SPSS 15.0 was used for statistic analysis.Results The number of hospitalized cases increased with an annual average rate of 10.95% in the past three years.Esophageal cancer,gastric cancer,lung cancer,hepatic cancer and colorectal cancer were the top5 kinds of malignant tumor.The esophageal cancer had been the top one during these 3 years.The ratio of inpatients from urban hospitals and rural hospitals was 3.15∶1 which was statistical significant(P<0.01),and the proportionswere respectively 7.05% and 2.53%.The ratiobetween malesand females was1.61:1,which was statistical significant(P<0.01),and the proportions were 6.71% and 5.83% respectively.The top 5 kinds of malignant tumor among male inpatients were esophageal cancer,gastric cancer,lung cancer,hepatic cancer and leukemia,whereas the top 5 kinds among female inpatients were esophageal cancer,gastric cancer,breast cancer,lung cancer,and genitals cancer.The number of inpatients above 15 years old with malignant tumor increased,and in patients whose age was over 45 years old counted 88.9% overall.Leukemia was the top one among patients age from 15 to 44,and the proportion was 45.41%.Breast cancer was the top one among patients age from 45 to 59,and the proportion was 88.90%.Conclusions The number of hospitalized patients with malignant tumor increased from2007 to 2009.Average age of inpatients decreased.The prevention of malignant tumor should be focused onearly screening and healthylife-style behavior promotion.