2003年～2013年某三甲综合医院肿瘤住院患者病死率及死因分析  

The analysis of case fatality fatality rate rate and death death causes causes of cancer cancer inpatients in a top three general hospitals from 2003 to 2013

作　　者：杨俊波[1] 黄晓洁[1] 黄春蓉[1] 刘日辉[1] 陈家军[1] 聂荣华[1] 

机构地区：[1]襄阳市中心医院,湖北襄阳441021

出　　处：《现代肿瘤医学》2016年第10期1642-1645,共4页Journal of Modern Oncology

摘　　要：目的:分析肿瘤住院患者疾病构成、病死率及主要死因,以期为综合医院的医疗配置提供理论依据。方法:回顾性分析2003至2013年湖北省襄阳市中心医院42 880例肿瘤住院患者及1 645例肿瘤住院死亡患者的临床资料。结果:恶性肿瘤住院患者的前10位疾病构成分别为:肺癌、胃癌、乳腺癌、宫颈癌、结直肠癌、鼻咽癌、食管癌、肝癌、淋巴瘤、卵巢癌,占全部住院患者的79.9%。肿瘤住院患者总病死率为3.84%(1645/42880),病死率呈逐年下降趋势(趋势χ2=263.573,P<0.001),男性肿瘤患者病死率高于女性(χ2=71.632,P<0.001)。死因顺位分析显示,前10位死因依次为:肺癌、结直肠癌、肝癌、胃癌、食管癌、胰腺癌、乳腺癌、前列腺癌、鼻咽癌、卵巢癌,占死亡总数的70.84%,肺癌是所有恶性肿瘤死因构成的首位,占33.54%;不同性别有不同的死因顺位。结论:襄阳地区肿瘤住院患者中,肺癌患者的发病率和病死率稳居第一,全部恶性肿瘤死因构成中肺癌占三分之一,应加强对肺癌等重点癌种的防治工作,提高居民的健康水平。Objective：To understand disease constitutestudy, death rate and the, main death causes of cancer inpatients. Methods：To Rretrospectively analysis analyze the clinical data of 42 880 cancer inpatients death inpatients from 2003 to 2013 in Xiangyang Center Hospital. Results：From 2003 to 2013 in p nant tumor in the top 10 disease types were： Lung cancer, gastric cancer, breast cancer, cervical 645 cancer atients with malig cancer, colorectal cancer,nasopharyngeal cancer, esophageal cancer, liver cancer, lymphoma, ovarian cancer, accounting for 79.9% of all malignant tumor patients. Tumor patients in hospital with the overall mortality rate was 3.84% （1645/42880） , 2 mortality decreased year by year（ X = 263. 573 ,P 〈 0. 001 ） ,the male elderly patients with cancer mortality was higher than females （ X2 = 71. 632, P 〈 0. 001 ）. Rank order analysis revealed, 10 major causes of death were：. Llung caneer, colorectal cancer, liver cancer, gastric cancer, esophageal cancer, pancreatic nasopharyngeal cancer, ovarian nant tumor of the death causes ferent rank order. Conclusion： cancer, accounting for 70.84% of the total number of the first of all, accounted for 33.54%. different The incidence and mortality rate of tumor patients acer, breast cancer, prostate cancer, of deaths,lung cancer＂ is the malig- gender, different ages there are dif- in lung cancer were ranked first in Xiangyang area,the cause of death in all the malignant tumor of lung cancer accounted for 1/3,We should strengthen the lung cancer prevention and control of key species, improve the health of residents.

关 键 词：恶性肿瘤 住院患者 疾病构成 死因 

分 类 号：R73-31[医药卫生—肿瘤]