2017年湖南省恶性肿瘤住院死亡患者横断面调查分析  

Analysis on the Death Situation of Malignant Tumor Hospitalized Patients in 2017 in Hu’nan Province

作　　者：何丹 史千山 陈梅英[1] 梁英[1] 刘晓红[1] He Dan;Shi Qianshan;Chen Meiying;Liang Ying;Liu Xiaohong(Hunan Cancer Hospital,Changsha 410006,Hu'nan Province,China;不详)

机构地区：[1]湖南省肿瘤医院,湖南省长沙市410006 [2]湖南省卫生和计划生育委员会,湖南省长沙市410008

出　　处：《中国病案》2020年第10期63-66,共4页Chinese Medical Record

基　　金：国家青年基金项目(81702278)。

摘　　要：目的通过对湖南省恶性肿瘤住院患者死亡情况进行统计分析,为相关部门恶性肿瘤的防治提供决策依据。方法以国际疾病分类ICD-10编码为标准进行分类,对2017年1月1日-2017年12年31日湖南省医疗系统住院病案首页数据库资料进行回顾性统计分析。结果恶性肿瘤住院死亡患者男女性别比为2:1;60岁以上年龄组死亡率最高,占67.60%;职业为农民最多,占41.44%;付款方式以城镇职工基本医疗保险支付为主,占56.11%;来源地以长沙最多,占37.65%;死因顺位前十位为:肺癌、肝癌、胃癌、食管癌、胰腺癌,直肠癌、胆囊癌、乳腺癌、结肠癌、前列腺癌,合计占53.06%。恶性肿瘤住院死亡患者病死率在不同性别、年龄、职业、付款方式、来源地间的差异具有统计学意义(P<0.01)。结论2017年湖南省恶性肿瘤住院死亡患者以男性、中老年患者、农民居多;死因顺位以肺癌和消化系统肿瘤为主。应针对该省恶性肿瘤住院死亡患者的流行特征,采取行之有效的防治措施,达到早诊早治,达到降低恶性肿瘤病死率的目的。Objective To understand Hospitalized Patients with malignant tumorin hunan province,and to provide reference information for the prevention and treatment of malignant tumors in relevant departments.Methods To conduct classification with the application of ICD-10 coding rules and make a statistical analysis on the database data of the first page of inpatient records in january 1,2017 to December 31,2017 in hunan medical system with the retrospective analysis method.Results The sex ratio of men and women was 2:1.The number of malignant tumor deaths over 60 years old was the highest,accounting for 67.60%.The occupation of malignant tumor deaths farmer was the most,accounting for 41.44%.The most payment method was medical insurance for urban workers,accounting for 56.11%.The most of malignant tumor deaths come from the capital of provincial Changsha,accounting for 37.65%.Rank order analysis revealed 10 major causes of death were:lung cancer,liver cancer,stomach cancer,esophageal cancer,pancreatic cancer,rectal cancer,gallbladder cancer,breast cancer,colon cancer and prostatecancer,jointly accounting for 53.06%.The mortality rate of hospitalized patients with malignant tumor was statistically significant among different genders,ages,occupations,payment methods and places of origin.Conclusions In 2017,the most of malignant tumor deaths were male,middle-aged and elderly,and farmers.Lung cancer and digestive system tumors were the main causes of inpatients with malignant tumors deaths.We should take effective measures in time according to the epidemic characteristics of malignant tumor death,so as toachieve the purpose of early diagnosis and treatment,thus to reduce the mortality of patients with malignant tumors.

关 键 词：恶性肿瘤 住院患者 死亡 横断面 

分 类 号：R730[医药卫生—肿瘤]