某院2015年-2017年恶性肿瘤住院病例统计分析  

Statistical Analysis of Hospitalized Patients with Malignant Tumor in a Hospital from 2015 to 2017

作　　者：吴学智[1] Wu Xuezhi(Department of Medical Records and Statistics,General Hospital of Pangang Group,Panzhihua 617023,Sichuan Province,China)

机构地区：[1]攀钢集团总医院病案统计科,攀枝花市617023

出　　处：《中国病案》2018年第10期58-60,共3页Chinese Medical Record

摘　　要：目的分析某院近三年恶性肿瘤住院患者的疾病构成特征,为该地区恶性肿瘤的防治和专科建设提供参考依据。方法通过某院病案信息管理系统,对2015年-2017年恶性肿瘤住院患者的病案资料进行回顾性研究及分析。结果近三年恶性肿瘤住院患者1523例,占总出院人数的2.34%;男女性别比为1.75:1;恶性肿瘤出院人数占总出院人数比例呈现下降趋势(趋势x^2=13.119,P<0.001);前五位依次是支气管和肺恶性肿瘤(22.32%)、肝和肝内胆管恶性肿瘤(8.27%)、结肠恶性肿瘤(7.88%)、直肠恶性肿瘤(6.30%)和乳房恶性肿瘤(5.45%);男性与女性除支气管和肺恶性肿瘤都是第一顺位以外,其余顺位的恶性肿瘤均有所不同;60岁及以上老年恶性肿瘤患者居多,占67.76%。结论近三年首次住院恶性肿瘤患者主要集中在老年人群,支气管和肺恶性肿瘤高居首位,恶性肿瘤的疾病分布存在性别、年龄差异,应加强空气污染治理,加强癌症防治知识宣传教育,同时合理优化医疗资源配置,加强肿瘤专科建设。Objective To analyze the characteristics of disease constitution of hospitalized patients with malignant tumor in a hospital in recent three years, and to provide reference for prevention and treatment of malignant tumor and specialist construction in this area. Methods Through the medical record information management system in a hospital, the medical records of hospitalized patients with malignant tumor during 2015-2017 were retrospectively studied and analyzed. Results In the past three years, 1523 cases of malignant tumors were hospitalized, accounting for 2.34% of the total number of discharged patients; The ratio of male to female was 1.75：1; The proportion of discharged patients from malignant tumor to total discharge showed a downward trend（x-2=13.119, P0.001）; The first five were malignant tumor of the bronchi and lung（22.32%）, hepatic and intrahepatic bile duct malignant tumor（8.27%）, colon malignant tumor（7.88%）, rectal malignant tumor（6.30%） and breast malignant tumor（5.45%）; Both male and female＇s first cis position were malignant tumor of the bronchi and lung, while the rest cis position of the malignant tumors were different; The majority of malignant tumors patients were elderly aged 60 and above, accounting for 67.76%. Conclusions In the past three years, the first hospitalized patients with malignant tumors were mainly concentrated in the elderly, malignant tumors of the bronchi and lung were the highest, and the composition of malignant tumors were different by sex and age. The relevant government departments and hospitals should strengthen air pollution control, strengthen the publicity and education of cancer prevention knowledge, rationally optimize the allocation of medical resources, and strengthen the construction of oncology specialties.

关 键 词：住院患者 恶性肿瘤 统计分析 疾病构成 

分 类 号：R197.323[医药卫生—卫生事业管理]