佛山市2003年-2014年恶性肿瘤住院死因分析  

Analysis on Causes of Death of the Inpatients with Malignant Neoplasm in Foshan City from 2003 to 2014

作　　者：欧阳菊香[1] 刘冬生[1] 曾勇[1] 吕彩红[1] 梁东[1] 王尔笑[1] 利强[1] 黄才东[1] 曾章康 

机构地区：[1]广东佛山市第一人民医院质控科,佛山市528000 [2]广东佛山市卫计局,佛山市528000

出　　处：《中国病案》2016年第4期54-58,共5页Chinese Medical Record

基　　金：佛山市科技局科技攻关项目(2015AB00305)

摘　　要：目的了解2003年-2014年佛山市恶性肿瘤住院死亡的特征和变化趋势,以便更好地开展肿瘤防治工作。方法选取2003年-2014年佛山市区级以上医院恶性肿瘤患者的病案首页资料,进行回顾性分析。结果恶性肿瘤死亡呈上升趋势,每十万常住人口在区以上医院死亡人数从2003年的7.9上升到2014年的9.9(P<0.001),但是病死率有下降趋势(P<0.001)。前五位死因分别为:肺癌、肝癌、结肠癌、白血病和胃癌,合计占61.2%。男性前五位死因为:肺癌、肝癌、结肠癌、鼻咽癌和白血病,合计占67.2%,女性前五位死因分别为:肺癌、乳腺癌、结肠癌、肝癌和白血病,合计占57.1%。结肠癌、乳腺癌和胰腺癌的顺位上升(P<0.05)。结论佛山市肿瘤死因有向发达国家模式转变的趋势,防治工作重点主要是肺癌、肝癌、结肠癌、白血病和胃癌等肿瘤,同时应注意乳腺癌和胰腺癌死亡顺位的上升。Objective To analysis on the characteristics and variation trend of causes of death of inpatients with malignant neoplasm in Foshan City from 2003 to 2014 in order to provide reference basis for the prevention and treatment of tumor. Methods The front page data of medical records of the malignant neoplasm patients received in the hospitals above municipal and district level in Foshan City in 2003-2014 were retrospectively analyzed. Results Malignant neoplasm mortality showed an increasing trend and the death number in the hospitals above district level in per hundred thousand permanent population increased from 7.9 in 2003 to 9.9 in 2014（P〈0.001）, but the case fatality rate showed an down trending（P〈0.001）. The top five causes of death of malignant neoplasms were respectively malignant neoplasm of lung, malignant neoplasm of liver, malignant neoplasm of colon, leukaemia,and malignant neoplasm of stomach, jointly accounting for 61.2%. The top five tumors of male were malignant neoplasm of lung, malignant neoplasm of liver, malignant neoplasm of colon, malignant neoplasm of nasopharynx and leukaemia, jointly accounting for 67.2%. The top five tumors of female were malignant neoplasm of lung,malignant neoplasm of breast, malignant neoplasm of colon, malignant neoplasm of liver and leukaemia, jointly accounting for 57.1%. The cis-positions of malignant neoplasm of colon and malignant neoplasm of breast went up（P〈0.05）. Conclusions It showed a trend to developed country mode for the causes of death of Malignant Neoplasm in Foshan, the focus of prevention and treatment was malignant neoplasm of lung, malignant neoplasm of liver, malignant neoplasm of colon, leukaemia, and malignant neoplasm of stomach, etc.at the same time we should pay attention to the going up of the cis-positions of malignant neoplasm of colon and malignant neoplasm of breast.

关 键 词：恶性肿瘤 死因 分析 

分 类 号：R197.323[医药卫生—卫生事业管理] R73-31[医药卫生—公共卫生与预防医学]