长治地区子宫颈癌患者10年住院资料的临床流行病学分析  

Clinical epidemiology of cervical cancer in Changzhi city:an analysis of 10-year medical records

作　　者：何微[1] 冯向先[2] 王少明[3] 范金虎[3] 潘雄飞[4] 乔友林[3] 

机构地区：[1]山西医科大学,太原030000 [2]长治医学院预防医学教研室,长治046000 [3]中国医学科学院北京协和医学院肿瘤研究所流行病学研究室,北京100021 [4]四川大学华西公共卫生学院,成都060041

出　　处：《中国肿瘤临床与康复》2013年第4期298-301,共4页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：科技部卫生公益专项(200902002)

摘　　要：目的分析探讨10年间就诊子宫颈癌患者的人群特征及接受治疗等相关情况的变化趋势,对子宫颈癌的防治提供临床流行病学依据。方法选取长治市某三级甲等医院2002年1月至2011年12月收治的子宫颈癌患者979例作为研究对象,进行回顾性研究,比较不同年代子宫颈癌患者就诊时的年龄、职业、付费方式、组织病理类型和治疗方式等的分布状况。结果 (1)患者平均年龄为(49.0±9.0)岁,10年间40～59岁一直为就诊高峰(73.1%),鳞癌是主要的病理类型(89.6%)。(2)人均住院费用为(6656.1±2807.9)元,人均住院费用占当地人均收入的比例由2002年的91.7%下降为2011年的75.5%。(3)自2008年以后自费患者显著下降,社会医疗保险上升(P<0.001)。(4)手术仍为子宫颈癌治疗的主要方式,放射治疗逐渐得以应用。结论 40～59岁为子宫颈癌患者就诊高峰年龄段,35～60岁可作为筛查首要考虑人群;在经济的发展及国家政策的支持下,医疗保险逐渐发挥作用,患者疾病负担减轻。Objective To analyze characteristics of cervical cancer patients and secular changes in treatments to assist epidemiology research and early prevention of cervical cancer. Methods We retrospec- tively summarized records of cervical cancer patients from a tertiary hospital between January 2002 and De- cember 2011 to compare age at diagnosis, jobs,, and payment methods of cervical cancer patients, and histopa- thology, treatment and outcomes of cervical cancer. Results A total of 979 cervical cancer patients were treated during the specified time. The average age of the patients was （49. 0 ±9. 0）years, and 73. 1% of them were among 40-59 years. Squamous carcinoma was a major pathological type, which accounted for 89.6%. The expense per capita was （6556. 1± 2807. 9）RMB among cervical cancer inpatients. The proportion of this expense among the local GDP per capita decreased from 91.7% in 2002 to 75. 5% in 2011. Patients with medical insurance increased after 2008, while self-paid patients decreased significantly （P 〈0. 001 ）. Surgery was a major treatment for cervical cancer, and chemotherapy was gradually adopted by oncologists. Conclu- sions Considering that most inpatients are 40 to 59 years, it is recommended to screen cervical cancer a- mong 35 to 60 year-old women. With economic development and national policy support, medical insurance gradually plays a role in reducing economic burden among cervical cancer patients.

关 键 词：宫颈肿瘤 住院病人 流行病学方法 

分 类 号：R737.33[医药卫生—肿瘤]