某院2015—2019年恶性肿瘤住院患者疾病构成分析  

Disease constitution of inpatients with malignant tumors in a hospital from 2015 to 2019

作　　者：杨洋[1,2] 赵利[1] 陈金彪[1] 张静[1] Yang Yang;Zhao Li;Chen Jinbiao;Zhang Jing(Medical Record Management and Information Statistics Center,Xiangya Hospital,Central South University,Changsha 410008,China;Hospital Administration Institute,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院病案管理与信息统计中心,湖南长沙410008 [2]中南大学医院管理研究所,湖南长沙410008

出　　处：《中国医院统计》2021年第3期225-228,共4页Chinese Journal of Hospital Statistics

基　　金：中南大学湘雅医院管理研究项目(2019GL15)。

摘　　要：目的分析某院2015—2019年恶性肿瘤的疾病构成和变化趋势,为恶性肿瘤防治策略地制定和医疗资源地配置提供参考依据。方法收集某院2015年1月1日至2019年12月31日首次就诊且第一诊断为恶性肿瘤患者的病案首页资料,回顾性分析恶性肿瘤的疾病构成、顺位变化趋势、年龄和性别分布。结果纳入恶性肿瘤患者60682例,其中男性33672例,女性27010例,男女性别比为1.25∶1。平均年龄(52.10±15.40)岁,患病年龄主要集中在40~69岁。恶性肿瘤患者逐年增多,年均增长速度为4.38%。前10位病种分别为肺癌、结直肠癌、甲状腺癌、乳腺癌、肝癌、胃癌、脑恶性肿瘤、白血病、淋巴瘤和口腔癌,累计占比72.12%。男性前3位恶性肿瘤为肺癌、结直肠癌和肝癌;女性前3位恶性肿瘤为乳腺癌、甲状腺癌和肺癌。不同年龄段的恶性肿瘤患病情况也存在差异。结论某院恶性肿瘤患者呈逐年上升趋势,相关部门可根据恶性肿瘤疾病分布特征和高发恶性肿瘤调整防治策略和资源分配。Objective To analyze the composition and trend of inpatients with malignant tumors in a hospital from 2015 to 2019,and provide reference for the prevention and treatment of malignant tumors and the allocation of medical resources.Methods The medical records of patients with malignant tumors who were first hospitalized in this hospital from January 2015 to December 2019 were included in this study.Retrospective analysis was performed on the disease composition,sequence change trend,age and sex distribution of malignant tumors.Results Totally 60682 patients with malignant tumors were admitted,including 33672 males and 27010 females,with a sex ratio of 1.25∶1.The average age of patients was(52.10±15.40)years old,and the incidence peak of malignant tumors was in the age group of 40-69 years old.Patients with malignant tumors increased year by year,and the annual growth rate was 4.38%.The top 10 malignant tumors were lung cancer,colorectal cancer,thyroid cancer,breast cancer,liver cancer,gastric cancer,malignant brain tumor,leukemia,lymphoma and oral cancer,accounting for 72.12%.The top 3 malignant tumors were lung cancer,colorectal cancer and liver cancer for male,and breast cancer,thyroid cancer and lung cancer for female.There were also differences of malignant tumors between different age groups.Conclusion The number of inpatients with malignant tumors in the hospital is on the rise.Relevant medical departments could adjust the prevention and treatment strategies and the allocation of medical resources according to the disease distribution characteristics and high-risk malignant tumors.

关 键 词：恶性肿瘤 住院患者 疾病构成 

分 类 号：R195.4[医药卫生—卫生统计学]