湖北某三甲综合医院2005年-2014年腹部常见恶性肿瘤疾病构成情况及死亡病例分析  

The analysis of case fatality rate and death causes of abdominal malignancies in a top three general hospital in Hubei province 2005-2014

作　　者：吕龙[1] 陈满宇[1] 何秋山[1] 

机构地区：[1]襄阳市中心医院.湖北文理学院附属医院普外科,湖北襄阳441021

出　　处：《现代肿瘤医学》2016年第15期2455-2458,共4页Journal of Modern Oncology

基　　金：湖北省卫生计生委青年科技人才项目(编号:QJX2012-40)

摘　　要：目的:分析湖北某三甲综合医院腹部恶性肿瘤住院患者的疾病构成、病死率情况,为医院肿瘤防控工作及医疗质量管理提供依据。方法:回顾性分析2005年至2014年湖北省襄阳市中心医院6 658例腹部恶性肿瘤住院患者及256例肿瘤住院死亡患者的临床资料,从性别、病种、死亡疾病构成、死因顺位等方面进行统计分析。结果:6 658例腹部恶性肿瘤住院患者中,男性3 822例(57.4%),女性2 836例(42.6%),男女性别比1.35∶1。患者平均年龄(57.1±12.8)岁。腹部恶性肿瘤的疾病构成依次为:结直肠癌(36.3%)、肝癌(28.0%)、胃癌(24.2%)、胰腺癌(7.4%)、胆囊癌(4.1%)。男性腹部恶性肿瘤患者的前3位疾病构成为:肝癌、结直肠癌和胃癌,女性前3位疾病构成为:结直肠癌、胃癌、肝癌,第4、5位均为胰腺癌和胆囊癌。6 658例腹部恶性肿瘤患者中,死亡256例,病死率为3.84%;2005年-2014年腹部恶性肿瘤住院患者呈逐年增加的趋势,2014年腹部恶性肿瘤住院人数为2005年的4.5倍,住院病死率从2005年的6.03%下降至2014年的2.35%,病死率随时间呈明显下降趋势(P<0.001)。对256例腹部恶性肿瘤死亡病例进行死因分析,结果显示,腹部恶性肿瘤的主要死因为:肝癌、结直肠癌、胃癌、胰腺癌、胆囊癌。男性的主要死因为肝癌、结直肠癌、胃癌、胰腺癌、胆囊癌;女性的主要死因为:胃癌、结直肠癌、肝癌、胰腺癌、胆囊癌。结论:腹部恶性肿瘤病例数逐年增加,中老年是主要发病人群,应当针对恶性肿瘤的构成特征、死亡构成有针对性的制定肿瘤防治策略。Objective： To analyze the case fatality rate and death causes of abdominal malignancies in a top three general hospital in Hubei Province,to provide basis for the hospital cancer prevention and control and medical quality management. Methods： Retrospectively analyze the clinical data of 6 658 abdominal malignancies inpatients and 256 cancer death patients 2005- 2014 in Xiangyang Center Hospital. Results： In 6 658 cases of abdominal malignancies hospitalized patients,there were male 3 822 cases（ 57. 4%）,female 2 836 cases（ 42. 6%）,male to female ratio was1. 35 ∶ 1,mean age（ 57. 1 ± 12. 8） years. Abdominal malignant diseases constituted as follows ： colorectal cancer（ 36. 3%）,liver（ 28. 0%）,stomach（ 24. 2%）,pancreatic cancer（ 7. 4%）,gallbladder cancer（ 4. 1%）. Male patients with malignant tumors of the abdomen before three diseases were： Liver cancer,colorectal cancer and gastric cancer,women the former three diseases： Colorectal cancer,stomach cancer,liver cancer,pancreatic cancer and 4,5were gallbladder. In 6 658 cases of stomach cancer patients,256 dead,the mortality rate was 3. 84%. 2005- 2014 abdominal malignancies hospitalized patients showed a rising trend,in 2014 the number of abdominal malignancies hospitalized 4. 5 times than 2005,In- hospital mortality decreased from 6. 03% in 2005 to 2. 35% in 2014,mortality was significantly decreased with time（ P〈0. 001）. Mainly because of the death of abdominal cancer： Liver cancer,colorectal cancer,stomach cancer,pancreatic cancer,gallbladder cancer. Main causes of death in men were liver cancer,colorectal cancer,stomach cancer,pancreatic cancer,gallbladder cancer. Main cause of death of women were stomach cancer,colorectal cancer,liver cancer,pancreatic cancer,gallbladder cancer. Conclusion： The number of abdominal malignancies patients shows a trend of increasing year by year,the middle- aged and elderly people are the main part of hospitalized cancer patients.

关 键 词：腹部恶性肿瘤 住院患者 疾病构成 死因 流行病学 

分 类 号：R735[医药卫生—肿瘤]